Informations on cancer incidence and epidemiologic characteristics are very important for the maangement, prevention and research of cance. But there are little informaltions, especially about the gynecologic cancer, in Korea. So gynecologic
cancer
grgistry program in Korean women was carried out to characterize the gynecologic cancer (cervical carcinoma, ovarian cancer, utrine endometrial cancer0 occurrence and to analyse their clinicopathologic characteristics and treatment modalities
from
january 1990 to December 1992 to December 1992 by Korean associations of obstetricians and gynecologists. But there were some artifacts and limitations of the data analysis because those were derived from the hospital-based-cancer registries
(1991:84
resident training hospital, 1991, 1992: 94 resident training hospital), not population-based-cancer registry.
@ES The results were as follows;
@EN 1. Total numbers of cases registered during this period were 8,640 cases with cervical cancer, 1,340 cases with ovarian cancer and 515 cases with endometrial cancer.
2. The age distribution of cancer patients had a peak incidence in 50~59 years in cervical and endometrial cancer, 55~64 years in ovarian cancer.
3. In cervical cancer, about 80% cases were diagnosed at stage I and II. In endometrial cancer 48.2% cases were diagnosed at clinical stage I but 63.8% cases at surgical stage. I. In ovarian cancer, 42.8% cases were diagnosed in stage I and
22.2%
in
stage III.
4. In cervical cancer, the incidence of squamous cell carcinoma, large cell nonkeratinizing type was most common (55.6%) and adenocarcinoma (63.8%) in endometrial cancer, epithelial ovarina cancer (64.4%) in ovarian cancer were most common
histologic
type.
5. In cervical cancer, the surgery was main treatment modality but the use of combination with radiation therapy and chemotherapy or radiation therapy alone were increased according to advancing the stage. And the use of neoadjuvant chemotherapy
were
increased (1990: 4.5%, 1992: 16.0%). In ovarian cancer, the combination therapy with surgery and chemotherapy was most common treatment modality regardless of stage, histologic type and age.
6. This is the first report in Korea about the clinicopathological characteristics and distribution of treatment modalities for gynecologic cancer of Korean women through a nationwide survey. We are sorry that there are some problems and
limitations in
gynecologic cancer registry. So I think that the gynecologic cancer registry program woule be some modified and developed. But this registry program must be carried out continuously till the beginning of the population based cancer registry.
Cordially
thanks for the painstaking efforts of the members in all participating hospitals and chairman and officials of Korean association of obstetricians and gynecologists.
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