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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2002 December;161(6):207-12


language: Italian

Gynaecological tumours: incidence and mortality in Crete, Greece, in 1994-95

Vlachonikolis I. G. 1, Aletrà TH. J. 1, Tsuderu I. 1, Georgoulias V. 2

1 Divisione di Medicina Sociale, Università di Creta, Iraklio, Grecia; 2 Divisione di Oncologia Clinica, Ospedale Universitario Periferico, Iraklio, Grecia


Background. The epidemiological results (incidence and mortality) regarding malignant tumours of the breast, the neck and body of the uterus and the ovaries. These results are based on primary incidence and mortality data in Crete in 1995. Thereafter, these results are compared with corresponding results in the rest of Greece and with those of other countries in the European Community.
Methods. All the women studied were inhabitants of the Island of Crete and suffered from the above malignant tumours diagnosed for the first time in 1994-95 or who died in the same year. The data were processed and analysed by the Registration Centre for malignant cancer in Crete. Indices stabilised by age, incidence or mortality (S.I.I or S.I.M respectively) per 100,000 women were calculated in conformity with the European population.
Results. The stabilised indices of incidence (S.I.I) in Crete for the years 1994-95 were 71 for breast cancer, 10 for cancer of the uterine neck, 13 for cancer of the body of the uterus and 11 for cancer of the ovaries. The index of incidence, as regards cancers of the breast and body of the uterus, were higher in Crete than in the population of Greece as a whole. The variations in the indices of incidence between the 15 countries of the European Union and Crete highlighted 3 distinct groups.
Conclusions. The differences between the indices observed in Crete and the rest of the country can be explained by the fact that for Greece we only have evaluations that plausibly do not represent the real dimensions of the situation. This and other limitations make necessary a careful analysis and an analytical study of the prevalence of the risk factors underlined.

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