DOI QR코드

DOI QR Code

Nasopharyngeal Carcinoma Incidence in North Tunisia: Negative Trends in Adults but not Adolescents, 1994-2006

  • Wided, Ben Ayoub Hizem (Department of Epidemiology and Biostatistics, Salah Azaiez Institute of Oncology Cancer Registry North of Tunisia) ;
  • Hamouda, Boussen (Medical Oncology Department, Abderrahmen Mami Hospital) ;
  • Hamadi, Hsairi (National Institute of Public Health) ;
  • Mansour, Ben Abdallah (Department of Epidemiology and Biostatistics, Salah Azaiez Institute of Oncology Cancer Registry North of Tunisia)
  • 발행 : 2015.04.14

초록

Nasopharyngeal carcinoma (NPC) is the second most common neoplasm of head and neck in Tunisia. The distribution is bimodal with a first period occurrence between 15 and 20 years old and a second peak at around 50 years of age. Undifferentiated carcinoma of nasopharynx type III (UCNT) is the predominant histological type (93.4%). Data of cancer registry of North Tunisia confirmed that it is an intermediate risk area for NPC with overall ASRs of 3.6 and 1.6/100,000 respectively in males and females. This study aimed to present the evolution of incidence rate of nasopharyngeal carcinoma over a period of 12 years (1994-2006). Data of cancer registry of North Tunisia (NTCR), covering half of the Tunisian population, were used to determine evolution of NPC incidence, calculated by 5 year periods. The estimated annual percentage change (EAPC) was used as an estimate of the trend. To best summarize the behavior or the data trend across years, we used a join-point regression program. Between 1994 and 2006, we observed negative annual average change of standardized incidence in men and women (-3.3%and -2.7%) also for the standardized incidences which showed a rather important decline (26.4% in males and 22.3% in females). The truncated age standardized incidence rate of NPC in adults aged of 30 years old and more (N= 1209) decreased by -0.4% per year from 1994 to 2006 over time in north Tunisia dropping from 6.09 to 4.14 person-years. However, the rate was relatively stable during this period among youths aged 0-29 years (N= 233) in both sexes. NPC demonstrated a favorable evolution from 1994-2006 probably due to a improvement in socioeconomic conditions.

키워드

참고문헌

  1. Andejani AA, Kundapur V, Malaker K (2004). Age distribution of nasopharyngeal cancer in Saudi Arabia. Saudi Med J, 25, 1579-82.
  2. Arnold M, Wildeman MA, Visser O, et al (2013). Lower mortality from nasopharyngeal cancer in The Netherlands since 1970 with differential incidence trends in histopathology. Oral Oncol, 49, 237-43 https://doi.org/10.1016/j.oraloncology.2012.09.016
  3. Ayadi W, Feki L, Khabir A, et al (2007). Polymorphism analysis of Epstein-Barr virus isolates of nasopharyngeal carcinoma biopsies from Tunisian patients. Virus Genes, 34, 137-45. https://doi.org/10.1007/s11262-006-0051-2
  4. Barista I, Varan A, Ozyar E (2007). Bimodal age distribution in Hodgkin's disease and nasopharyngeal carcinoma. Med Hypotheses, 68, 1421. https://doi.org/10.1016/j.mehy.2006.11.014
  5. Bray F, M Haugen, T A Moger, et al (2008). Age-incidence curves of nasopharyngeal carcinoma worldwide: bimodality in low-risk populations and aetiologic implications. Cancer Epidemiol Biomarkers Prev, 17, 9.
  6. Busson P, Ooka T, Corbex M (2004). Carcinomes nasopharynges associes au virus d'Epstein-Barr: De l'epidemiologie a la therapeutique et au depistage. M/S: Medecine Sciences, 20, 453-7. https://doi.org/10.1051/medsci/2004204453
  7. Cancer Registry Northern Tunisia: Data 2004-2006 (2012). Salah Azaiz Institute, National Institute of Public Health and Epidemiology Research Unit of Cancer in Tunisia. Tunis. Ministry of health.
  8. Curado MP, Edwards B, Shin H, et al (2007). Cancer Incidence in Five Continents. Vol. IX. IARC Scientific Publications No. 160. Lyon: IARC.
  9. Doll R (1976). Comparison between Registries.Age-Standardized Rates. In: Waterhouse JAH, Muir CS, Correa P, Powell J (eds ). Cancer incidence in Five Continents, Vol. III (IARC Scientific Publications No. 15), Lyon, International Agency for Research on Cancer, 453-59.
  10. Ellouz R, Cammoun M, Attia RB, et al (1978). Nasopharyngeal carcinoma in children and adolescents in Tunisia: clinical aspects and the paraneoplastic syndrome, IARC Sci Publ, 20, 115-29.
  11. Feng BJ, Jalbout M, Ayoub WB, et al (2007). Dietary risk factors for nasopharyngeal carcinoma in Maghrebian countries. Int J Cancer, 121, 1550-5. https://doi.org/10.1002/ijc.22813
  12. Feng BJ, Khyatti M, Ben-Ayoub W, et al (2009). Cannabis, tobacco and domestic fumes intake are associated with nasopharyngeal carcinoma in North Africa. Br J Cancer, 101, 1207-12. https://doi.org/10.1038/sj.bjc.6605281
  13. Ghandri N, Gabbouj S, Farhat K, et al (2011). Association of HLA-G polymorphisms with nasopharyngeal carcinoma risk and clinical outcome. Hum Immunol, 72, 150 -8. https://doi.org/10.1016/j.humimm.2010.10.006
  14. Hadhri-Guiga B, Khabir AM, Mokdad-Gargouri R, et al (2006). Various 30 and 69 bp deletion variants of the Epstein-Barr virus LMP1 may arise by homologous recombination in nasopharyngeal carcinoma of Tunisian patients. Virus Res, 115, 24-30. https://doi.org/10.1016/j.virusres.2005.07.002
  15. Hsu C, Shen YC, Cheng CC, et al (2006). Difference in the incidence trend of nasopharyngeal and oropharyngeal carcinomas in Taiwan: implication from age-period-cohort analysis. Cancer Epidemiol Biomarkers Prev, 15, 856-61. https://doi.org/10.1158/1055-9965.EPI-05-0821
  16. Huang TR, Zhang SW, Chen WQ, et al (2012). Trends in nasopharyngeal carcinoma mortality in China, 1973-2005. Asia Pac J Cancer Prev, 13, 2495-502. https://doi.org/10.7314/APJCP.2012.13.6.2495
  17. Kim HJ, Fay MP, Feuer EJ, et al (2000). Permutation tests for join point regression with applications to cancer rates. Stat Med, 19, 335-51. https://doi.org/10.1002/(SICI)1097-0258(20000215)19:3<335::AID-SIM336>3.0.CO;2-Z
  18. Kuang-rong W, Yong-long Y, You-ye Y, et al (2010). Epidemiolodical trends of NPC in China. Asia Pac J Cancer Prev, 11, 29-30.
  19. Kuangrong W,Ying X, Jing L, et al(2010). No incidence trends and no change in pathological proportion of NPC in Zhongshan in 1970-2007. Asian Pac J Cancer Prev, 11, 1595-9.
  20. Laantri N , Jalbout M, Khyatti M, et al (2011). XRCC1 and hOGG1 genes and risk of nasopharyngeal carcinoma in north african countries. Molec Carcinogenesis, 50, 732-7. https://doi.org/10.1002/mc.20754
  21. Lau HY, Leung CM, Chan YH, et al (2013).Secular trends of salted fish comsumption and Nasopharyngeal Carcinoma: a multi-jurisdiction ecological study in 8 regions from 3 continents. BMC Cancer, 13, 298. https://doi.org/10.1186/1471-2407-13-298
  22. Lee AW, Foo W, Mang O, et al (2003). Changing epidemiology of nasopharyngeal carcinoma in Hong Kong over a 20-year period (1980-99): an encouraging reduction in both incidence and mortality. Int J Cancer, 103, 680-5. https://doi.org/10.1002/ijc.10894
  23. Levine PH, Pocinki AG, Madigan P, et al (1992). Familial nasopharyngeal carcinoma in patients who are not Chinese. Cancer, 70, 1024-9. https://doi.org/10.1002/1097-0142(19920901)70:5<1024::AID-CNCR2820700503>3.0.CO;2-4
  24. Li K, Lin GZ, Shen JC, et al (2014). Time Trends of nasopharyngeal carcinoma in urban Guangzhou over a 12-year period (2000-2011): declines in both incidence and mortality. Asian Pac J Cancer Prev, 15, 9899-903. https://doi.org/10.7314/APJCP.2014.15.22.9899
  25. Li X, Ghandri N, Piancatelli D, et al (2007). Associations between HLA class I alleles and the prevalence of nasopharyngeal carcinoma (NPC) among Tunisians. J Transl Med, 5, 22. https://doi.org/10.1186/1479-5876-5-22
  26. Luo J, Chia KS, Chia SE, et al (2007). Secular trends of nasopharyngeal carcinoma incidence in Singapore, Hong Kong and Los Angeles Chinese populations, 1973-1997. Eur J Epidemiol, 22, 513-21. https://doi.org/10.1007/s10654-007-9148-8
  27. Makni H, Daoud J, Ben Salah H, et al (2010). HLA association with nasopharyngeal carcinoma in southern Tunisia. Mol Biol Rep, 37, 2533-9. https://doi.org/10.1007/s11033-009-9769-y
  28. Mokni-Baizig N, Ayed K, Ayed FB, et al (2001).Association between HLA-A/-B antigens and DRB1 alleles and nasopharyngeal carcinoma in Tunisia. Oncology, 61, 55-8.
  29. Parkin DM, Whelan SL, Ferlay J et al (1997). Cancer incidence in five continents. Vol 7. Lyon, France IARC p334-7.
  30. Cancer registry of North Tunisia (2009), Data of 1999-2003. ISBN : 978-9973-9798-2-7 Tunis Tunisia.
  31. Tabyaoui I, Serhier Z, Sahraoui S, et al (2013). Immunohistochemical expression of latent membrane protein 1(LMP1) and p53 in nasopharyngeal carcinoma. Moroccan experience African Health Sciences, 13, 710-7.
  32. Tsao SW, Yip YL, Tsang CM, et al (2014). Etiological factors of nasopharyngeal carcinoma. Oral Oncol, 50, 330-8. https://doi.org/10.1016/j.oraloncology.2014.02.006
  33. Xie SH, Gong J, Yang NN, et al (2012). Time trends and age-period-cohort analyses on incidence rates of nasopharyngeal carcinoma during 1993-2007 in Wuhan, China. Cancer Epidemiology, 36, 8-10. https://doi.org/10.1016/j.canep.2011.07.002
  34. Yu MC, Yuan J (2006). Nasopharyngeal cancer. In: Schottenfeld D,Fraumeni-JF J, editors. Cancer epidemiology and prevention. 3rded. New York: Oxford University Press, 620-6.

피인용 문헌

  1. Declining Incidence of Nasopharyngeal Carcinoma in Brunei Darussalam: a Three Decade Study (1986-2014) vol.16, pp.16, 2015, https://doi.org/10.7314/APJCP.2015.16.16.7097
  2. Global trends in nasopharyngeal cancer mortality since 1970 and predictions for 2020: Focus on low-risk areas vol.140, pp.10, 2017, https://doi.org/10.1002/ijc.30660