Differential trends in the rising incidence of endometrial cancer by type: data from a UK population-based registry from 1994 to 2006.

T Evans, O Sany, P Pearmain, Raji Ganesan, Andrew Blann, Sudha Sundar

Research output: Contribution to journalArticle

106 Citations (Scopus)

Abstract

Background:Endometrial cancer is the most common gynaecological cancer in the western world, the incidence increasing in the United Kingdom by over 40% since 1993. Two types of endometrial cancer exist - oestrogen-dependent type 1 with good prognosis and non-oestrogen-dependent type 2 with poor prognosis. The histopathological distribution of the increase in endometrial cancer is unknown. This study investigates the observed incidence trends of the two types, the age, stage, and socioeconomic distribution of this increase and survival outcome.Methods:Data were analysed from 6867 women with endometrial cancer registered between 1994 and 2006, at a UK population-based cancer registry.Results:Increased endometrial cancer incidence is confined to type 1 cancers with a significant increase in age standardised incidence rate (ASR) from 12.0 per 100 000 (confidence interval (CI) 10.7-13.2) in 1994 to 16.3 per 100 000 (CI 14.9-17.7), P0.05. Increase in type 1 cancer is most marked in age groups 60-69 years (P
Original languageEnglish
Pages (from-to)1505-1510
Number of pages6
JournalBritish Journal of Cancer
Volume104
Issue number9
DOIs
Publication statusPublished - 26 Apr 2011

Bibliographical note

Role – I conceived the study and wrote the paper. This paper showed for the first time, that the nearly 50% increase in endometrial cancer incidence over the last decade is confined to obesity driven Type 1 endometrial cancer. This paper is cited in CRUK webpage on uterine cancer. http://www.cancerresearchuk.org/cancer-info/cancerstats/types/uterus/incidence/. Citations - 45

Additional ‘best output’ for this application

Keywords

  • endometrial cancer
  • type 1

ASJC Scopus subject areas

  • Oncology

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