[5-year survival of patients with the most common neoplasms among the rural population of the Nowy Sacz region 1972-1974].
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Biomedical subjects
Publications and source records attributed to J Pawlega.
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Urban/rural breast-cancer incidence ratios in the state of Iowa for 1950 and 1969-71 were contrasted with corresponding urban and rural distributions of age-at-first-birth and population nutrition, variable measured approximately 15 years before each morbidity survey and putatively related to breast-cancer incidence. Over the study interval, the decline in the urban/rural breast-cancer incidence ratio correlated better with changing nutritional patterns than with changing age-at-first-birth.
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In connection with the data of the Cracov Tumor Registry concerning the 1970-1985 period and the population prognoses of the city of Cracov the expected incidence and the number of patients with most common malignant neoplasms in the year 2000 has been estimated. One can foresee the continuance of the decrease of the risk and incidence of malignant neoplasms of the stomach in both sexes and of cancer of the lung and breast in women. The incidence of malignant neoplasms in general as compared with the year 1985 will in the year 2000 increase by ca. 60% in men and by ca. 39% in women.
Almost every fifth man and every third woman with malignant neoplasm living in urban and rural areas of the Cracov region, had in the years 1982-1983 the chance to survive 5 years. 5 year survivals of patients from urban and rural areas did not differ significantly. Also in other periods of time between 1976-1977 and 1982-1983 the differences were insignificant. As compared with data taken from other populations in the years 1982-1983, particularly low level of 5 year survivals has been noted in Cracov of male patients with cancer of the colon and in women with cancer of the uterine body. The survivals of patients with malignant neoplasms of the colon in both sexes, of the prostate and kidney in men and of breast in women are strikingly low in Polish patients. Also the survivals of Polish women with carcinoma of the uterine cervix are significantly lower as compared with other countries.
Prostatic cancer is one of the most frequent malignant tumours in men. The chronic course of the disease and the opportunity of selecting of one of many available treatment methods make possible adjustment of the management to the individual problems of the patient. This leads, however, to various difficulties connected with the selection of optimal management in various clinical situations. The purpose of the paper was presentation of selected problems in the diagnosis and treatment of prostatic cancer in the light of own clinical experience, in the first place.
In the light of data from the admission register of the Cracow Branch of the Oncology Centre percent values are presented of actual 5-year survival rate of patients treated for the first time in the period 1979-1981. The group of neoplasms with relatively good prognosis (i.e. survival rate for 5 years over 50%) included six sites: skin, lip, endometrium and cervix, larynx, and Hodgkin's disease. The group of poor prognosis (5-year survival rate below 30%) included: cancer of the kidney, nasopharynx and oropharynx, nasal cavity and nasal sinuses, tongue, rectum, prostate, bladder, lungs, stomach and oesophagus, and brain tumours. The present situation was compared with data from the preceding years and with the survival rates in the populations of Cracow and the USA.
Incidence of different histological types of lung cancer was analyzed in the years 1978-1984 in city and rural inhibitants of the Cracov region. Histologically verified lung cancer ranged from 21% in females of rural population to 52% of city male inhabitants. Squamous lung cancer followed by small cell lung cancer were most often diagnosed in city population and males from villages. Adenocarcinoma was seen more often in females, being most often diagnosed in females of rural population.
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