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March 13, 1991, Vol 265, No. 10 >
ARTICLE | March 13, 1991

Rising Incidence of Adenocarcinoma of the Esophagus and nGastric Cardia FREE

William J. Blot, PhD; Susan S. Devesa, PhD; Robert W. Kneller, MD; Joseph F. Fraumeni, Jr, MD
[+] Author Affiliations

Reprint requests to Biostatistics Branch, National Cancer Institute/NIH, EPN, Suite 431, Bethesda, MD 20892 (Dr Blot).


JAMA. 1991;265(10):1287-1289. doi:10.1001/jama.1991.03460100089030
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References

Analyses of cancer incidence data from nine areas of the United States revealed steadily rising rates from 1976 to 1987 of adenocarcinomas of the esophagus and gastric cardia. The increases among men in this period ranged from 4% to 10% per year, and thus exceeded those of any other type of cancer. In contrast, there were relatively stable trends for squamous cell carcinoma of the esophagus and slight declines for adenocarcinoma of more distal portions of the stomach. Adenocarcinomas of the esophagus and gastric cardia disproportionately affected white men and rarely occurred among women. By the mid-1980s. among white men, adenocarcinomas accounted for about one third of all esophageal cancers, while cardia cancers accounted for about one half of all stomach cancers with specified subsites. The rising incidence rates and similar demographic patterns point to the need for investigation into the causes of these poorly understood cancers.

(JAMA. 1991;265:1287-1289)

REFERENCES

1 +
Wang HH, Antonioli DA, Goldman H.  Comparative features of esophageal and gastric adenocarcinomas: recent changes in type and frequency . Hum Pathol. 1986;;17:482-487.
2 +
Yang PC, Davis S.  Incidence of cancer of the esophagus in the US by histologic type . Cancer. 1988;;61:612-617.
3 +
Yang PC, Davis S.  Epidemiological characteristics of adenocarcinoma of the gastric cardia and distal stomach in the United States, 1973-1982 . Int J Epidemiol. 1988;;17:293-297.
4 +
Young JL Jr, Percy CL, Asire AJ. Surveillance, Epidemiology, and End Results: Incidence and Mortality Data, 1973-1977: (NCI Monograph 57) . Bethesda, Md: National Institutes of Health; 1981;:1-9. NIH publication 81-2330.
5 +
World Health Organization. International Classification of Diseases for Oncology . Geneva, Switzerland: World Health Organization; 1976;.
6 +
Lauren P.  The two main histological types of gastric carcinoma: diffuse and so-called intestinaltype carcinoma . Acta Pathol Microbiol Scand. 1965;;64:31-49.
7 +
Ries LA, Hankey BF, Edwards BK, eds. Cancer Statistics Review, 1973-1987 . Bethesda, Md: US Dept of Health and Human Services; 1990;. NIH publication 90-2789.
8 +
Moeller H, Jensen OM.  Trends in incidence of oesophagus, cardia, and stomach cancer in Denmark, 1943-1982 . Presented at the Sixth Annual ECP Symposium, International Symposium on Gastric Carcinogenesis; March 1988; London, England .
9 +
Powell J, McConkey CC.  Increasing incidence of adenocarcinoma of the gastric cardia and adjacent sites . Br J Cancer. 1990;;59:440-443.
10 +
Cameron AJ, Ott BJ, Payne WS.  The incidence of adenocarcinoma in columnar-lined (Barrett's) esophagus . N Engl J Med. 1985;:313:857-859.
11 +
Spechler SJ, Goyal RK.  Barrett's esophagus . N Engl J Med. 1986;;315:362-371.
12 +
Li JY, Ershow AG, Chen ZJ, et al.  A casecontrol study of cancer of the esophagus and gastric cardia in Linxian . Int J Cancer. 1989;;43:755-761.
13 +
MacDonald WC, MacDonald JB.  Adenocarcinoma of the esophagus and/or gastric cardia . Cancer. 1987;;60:1094-1098.
14 +
Levi F, Ollyo JB, LaVecchia C, Boyle P, Monnier P, Savary M.  The consumption of tobacco, alcohol, and the risk of adenocarcinoma in Barrett's oesophagus . Int J Cancer. 1990;;45:852-854.
15 +
Fiore MC, Novotny TE, Pierce JP, Hatziandreu EJ, Patel KM, Davis RM.  Trends in cigarette smoking in the United States: the changing influence of gender and race . JAMA. 1989;;261:49-55.
16 +
Day NE, Munoz N.  Esophagus . In: Schottenfeld D, Fraumeni JF Jr, eds. Cancer Epidemiology and Prevention . Philadelphia, Pa: WB Saunders Co; 1982;:596-623.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Wang HH, Antonioli DA, Goldman H.  Comparative features of esophageal and gastric adenocarcinomas: recent changes in type and frequency . Hum Pathol. 1986;;17:482-487.
2 +
Yang PC, Davis S.  Incidence of cancer of the esophagus in the US by histologic type . Cancer. 1988;;61:612-617.
3 +
Yang PC, Davis S.  Epidemiological characteristics of adenocarcinoma of the gastric cardia and distal stomach in the United States, 1973-1982 . Int J Epidemiol. 1988;;17:293-297.
4 +
Young JL Jr, Percy CL, Asire AJ. Surveillance, Epidemiology, and End Results: Incidence and Mortality Data, 1973-1977: (NCI Monograph 57) . Bethesda, Md: National Institutes of Health; 1981;:1-9. NIH publication 81-2330.
5 +
World Health Organization. International Classification of Diseases for Oncology . Geneva, Switzerland: World Health Organization; 1976;.
6 +
Lauren P.  The two main histological types of gastric carcinoma: diffuse and so-called intestinaltype carcinoma . Acta Pathol Microbiol Scand. 1965;;64:31-49.
7 +
Ries LA, Hankey BF, Edwards BK, eds. Cancer Statistics Review, 1973-1987 . Bethesda, Md: US Dept of Health and Human Services; 1990;. NIH publication 90-2789.
8 +
Moeller H, Jensen OM.  Trends in incidence of oesophagus, cardia, and stomach cancer in Denmark, 1943-1982 . Presented at the Sixth Annual ECP Symposium, International Symposium on Gastric Carcinogenesis; March 1988; London, England .
9 +
Powell J, McConkey CC.  Increasing incidence of adenocarcinoma of the gastric cardia and adjacent sites . Br J Cancer. 1990;;59:440-443.
10 +
Cameron AJ, Ott BJ, Payne WS.  The incidence of adenocarcinoma in columnar-lined (Barrett's) esophagus . N Engl J Med. 1985;:313:857-859.
11 +
Spechler SJ, Goyal RK.  Barrett's esophagus . N Engl J Med. 1986;;315:362-371.
12 +
Li JY, Ershow AG, Chen ZJ, et al.  A casecontrol study of cancer of the esophagus and gastric cardia in Linxian . Int J Cancer. 1989;;43:755-761.
13 +
MacDonald WC, MacDonald JB.  Adenocarcinoma of the esophagus and/or gastric cardia . Cancer. 1987;;60:1094-1098.
14 +
Levi F, Ollyo JB, LaVecchia C, Boyle P, Monnier P, Savary M.  The consumption of tobacco, alcohol, and the risk of adenocarcinoma in Barrett's oesophagus . Int J Cancer. 1990;;45:852-854.
15 +
Fiore MC, Novotny TE, Pierce JP, Hatziandreu EJ, Patel KM, Davis RM.  Trends in cigarette smoking in the United States: the changing influence of gender and race . JAMA. 1989;;261:49-55.
16 +
Day NE, Munoz N.  Esophagus . In: Schottenfeld D, Fraumeni JF Jr, eds. Cancer Epidemiology and Prevention . Philadelphia, Pa: WB Saunders Co; 1982;:596-623.

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