Clinical and epidemiological rationale for prevention of uterus cancer

Abstract

Introduction. Malignant neoplasms of the reproductive system dominate the structure of cancer incidence in women in the Russian Federation. In the structure of oncogynecological diseases, uterine body cancer (UBC) leads the way.The purpose of the study: to analyze the dynamics of UBC incidence in the Omsk region in comparison with data for the Russian Federation in 2002–2018 years to determine the priorities of cancer prevention.Results. There was a moderate tendency to increase the incidence of UBC in the region (Rg. = +1.8 %; p < 0.001) and for the Russian Federation (Rg. = +1.7 %; p < 0.001). The maximum percentage was among patients of 60–69 years old (32.3 %). There was a moderate trend in increasing UBC among women of 30–39 years old, and in the group of women of 35–39 years old there was a distinct trend in increasing the incidence (Rg. = +5.6 %; p < 0.050). The article presents the epidemiological features of UBC in comparison with cervical cancer in the region: the increase in the incidence of UBC (Rg. =+1.8 %) and the stability of the indicator at cervical cancer (Rg. = +0.050 %), the trend to rejuvenate both locations of cancer.Conclusion. In Omsk Region, there is a unidirectional increase in the incidence of UBC with the Russian Federation, a trend in rejuvenating the disease, which dictates the need for cancer prevention in the practice of an obstetrician-gynecologist.