Abstract
Cancer is an increasing cause of mortality and morbidity worldwide. Incidences of common cancers has been growing in different provinces of Iran in recent years but trends in Khuzestan which shares a border with Iraq and is located in south west of Iran have not been investigated. This study aimed to assess secular changes in incidences of common cancers in Khuzestan province from 2004 to 2008. Data were collected from Khuzestan cancer registry which is a branch of Iranian Ministry of Health Cancer Registry (http://ircancer.ir) for the period 2004-2008. Data were presented as incidence rates by site, sex, age, using the crude rate and age-standardized rate (ASR) per 105 persons. A direct method of standardization was applied according to the WHO guideline and data analysis was performed using the SPSS package. During the 2004-2008 period, 14,893 new cases of cancer were registered in Khuzestan cancer registry. The age- standardized incidence rate of all cancers was 153.7 per 105 in males and 156.4 per 105 in females. The incidence was increased over the period of five years. The most incident cancers among males were skin cancer (ASR =18.7/105), stomach cancer (ASR13.8/105), lung cancer (ASR12.9/105), leukemia (ASR=12.6/105) and prostate cancer (ASR=12.4/105). In females, the most incident cancers were breast cancer (ASR=41/105), skin cancer (ASR=16.4/105), colorectal cancer (ASR=10.0/105), leukemia (ASR=8.1/105) and lung cancer (ASR=6.9/105). Incidences of various cancers are rising in Khuzestan. It is necessary to develop and implement comprehensive cancer control programs in this region which could be monitored and evaluated by the future trend data from cancer registry.
Highlights
Cancer is one of the most common causes of death worldwide
Incidences of common cancers has been growing in different provinces of Iran in recent years but trends in Khuzestan which shares a border with Iraq and is located in south west of Iran have not been investigated
The total incidence rate of cancers in Khuzestan province was 135.8/105 in men and 156.4/105 in women, a significant increase was observed in the incidence rates of various cancers over the five years study period
Summary
Cancer is one of the most common causes of death worldwide. It is estimated that the incidence of cancer will increase by 45% in developing countries by 2025 (Parkin et al, 2005). All cancer incidence is higher in Khuzestan, which shares border with Iraq and is located in south west Iran, compare to the neighboring provinces and the average incidence rate of the country (155/105 vs 142/105) (Balducci et al, 2005; Akbari et al, 2008). It is likely to reach 13.1 million deaths per year by 2030, and developing countries will have the highest rate of increase i.e. 70% (Jemal, 2010). Incidences of common cancers has been growing in different provinces of Iran in recent years but trends in Khuzestan which shares a border with Iraq and is located in south west of Iran have not been investigated. It is necessary to develop and implement comprehensive cancer control programs in this region which could be monitored and evaluated by the future trend data from Khuzestan cancer registry
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More From: Asian Pacific journal of cancer prevention : APJCP
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