Japanese Journal of Clinical Oncology Advance Access published online on August 9, 2008
Japanese Journal of Clinical Oncology, doi:10.1093/jjco/hyn072
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Trends in Lung Cancer Incidence by Histological Type in Osaka, Japan
1 Department of Cancer Control and Statistics, Osaka Medical Center for Cancer and Cardiovascular Disease
2 Public Health, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Osaka, Japan
For reprints and all correspondence: Tomio Nakayama, Department of Cancer Control and Statistics, Osaka Medical Center for Cancer and Cardiovascular Disease, 537-8511 3-3 Nakamichi 1-chome, Higashinari-ku, Osaka 537-8511, Japan. E-mail: nakayama-to{at}mc.pref.osaka.jp
Received March 11, 2008; accepted July 13, 2008
Background: In Japan, an increase in age-adjusted incidence rates of lung adenocarcinoma (ADC) and a decrease in lung squamous cell carcinoma (SQCC) have been reported.
Methods: The number of lung cancer incidence, age-adjusted rates, and age-specific rates by birth-cohort according to histological type were examined using the data from Osaka Cancer Registry.
Results: The numbers of lung cancer incidence among men and women have increased, particularly in ADC. The age-adjusted incidence rates of ADC among men and women have continuously increased, while those of SQCC and small cell carcinoma (SMCC) turned to decrease since 1990s. A trough of lung cancer incidence rates was observed among men in 1935–39 birth-cohorts. The declining trend appeared in 1955–59 birth-cohorts. Lung cancer incidence rates among women have increased since 1895–99 birth-cohorts, but those rates leveled off or decreased in 1950s birth-cohorts. Trends of ADC by birth-cohort were almost the same as those of all histological types. The SQCC among men peaked in 1915–19 birth-cohorts, and decreased in the subsequent birth-cohorts. The SMCC among men peaked in 1920s birth-cohorts, and decreased or leveled off in the subsequent birth-cohorts.
Conclusions: Lung cancer incidence rates by birth-cohorts were almost parallel to the smoking prevalence. However, those for ADC among young women in 1950s birth-cohorts were not parallel to the smoking prevalence, which requires careful monitoring to confirm such findings.
Key Words: lung cancer incidence histological type birth-cohort