Incidence and long-term effects of treatment of malignant germ cell neoplasms in Ukraine

Summary. Aim: To describe incidence of malignant germ cell neoplasms (GCNs) in Ukraine and assess the medical care to patients with GCNs and its efficacy. Materials and Methods: Records on 6495 males and 1038 females with malignant GCNs diagnosed in 2000–2013 extracted fro...

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Дата:2023
Автори: Fedorenko, Z.P., Mikhailovich, Yu.I., Goulak, L.O., Ryzhov, A.Yu., Gorokh, Ye.L., Soumkina, O.V.
Формат: Стаття
Мова:English
Опубліковано: PH Akademperiodyka 2023
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Онлайн доступ:https://exp-oncology.com.ua/index.php/Exp/article/view/2020-1-7
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Назва журналу:Experimental Oncology

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Experimental Oncology
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institution Experimental Oncology
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datestamp_date 2023-10-11T16:42:32Z
collection OJS
language English
topic cancer incidence
cancer registry
germ cell neoplasms
survival
spellingShingle cancer incidence
cancer registry
germ cell neoplasms
survival
Fedorenko, Z.P.
Mikhailovich, Yu.I.
Goulak, L.O.
Ryzhov, A.Yu.
Gorokh, Ye.L.
Soumkina, O.V.
Incidence and long-term effects of treatment of malignant germ cell neoplasms in Ukraine
topic_facet cancer incidence
cancer registry
germ cell neoplasms
survival
cancer incidence
cancer registry
germ cell neoplasms
survival
format Article
author Fedorenko, Z.P.
Mikhailovich, Yu.I.
Goulak, L.O.
Ryzhov, A.Yu.
Gorokh, Ye.L.
Soumkina, O.V.
author_facet Fedorenko, Z.P.
Mikhailovich, Yu.I.
Goulak, L.O.
Ryzhov, A.Yu.
Gorokh, Ye.L.
Soumkina, O.V.
author_sort Fedorenko, Z.P.
title Incidence and long-term effects of treatment of malignant germ cell neoplasms in Ukraine
title_short Incidence and long-term effects of treatment of malignant germ cell neoplasms in Ukraine
title_full Incidence and long-term effects of treatment of malignant germ cell neoplasms in Ukraine
title_fullStr Incidence and long-term effects of treatment of malignant germ cell neoplasms in Ukraine
title_full_unstemmed Incidence and long-term effects of treatment of malignant germ cell neoplasms in Ukraine
title_sort incidence and long-term effects of treatment of malignant germ cell neoplasms in ukraine
title_alt Incidence and long-term effects of treatment of malignant germ cell neoplasms in Ukraine
description Summary. Aim: To describe incidence of malignant germ cell neoplasms (GCNs) in Ukraine and assess the medical care to patients with GCNs and its efficacy. Materials and Methods: Records on 6495 males and 1038 females with malignant GCNs diagnosed in 2000–2013 extracted from the database of National Cancer Registry of Ukraine have been analyzed using methods of descriptive epidemiology and survival evaluation. Results: In Ukraine, GCNs covered 79.1% of testicular cancers and 48.9% of ovarian cancers in patients aged 0–19 years, while their proportions in total cancer incidence did not exceed 0.7% in males and 0.1% in females. Most of GCNs in males (75.9%) were diagnosed at the reproductive age (20–49) and in females 72.2% of GCNs were diagnosed at the age of 0–44 years. Female gonadal GCNs were divided by germinomatous and nongerminomatous as 49.3% vs 50.7% while in males this proportion was 65.3% vs 34.7%. Age-specific incidence of genital GCNs in Ukraine reached peak values in males aged 25–39 years and in females aged 10–24 years. Nonseminomatous testicular GCN cases were more common than seminomatous cases in males until the age of 30 years with an incidence of seminomas peaked 10 years later than non-seminomas. Ovarian germinomas were more common than non-germinomas in females aged 15–29. Total GCN incidence rate in 2013 was 1.99 ± 0.090/0000 in males and 0.32 ± 0.040/0000 in females, being closer to that in the countries of Eastern Europe and Asia. In Ukraine, 5-year survival of patients with testicular GCN of stage I who received surgery combined with chemotherapy or radiotherapy was lower than that reported for Europe and USA, and substantially lower in patients with stages II–IV. Five-year survival of patients with ovarian GCN treated with surgery plus chemotherapy was close to that reported in a study for populations of European countries. Conclusion: The trends and patterns of GCN incidence in Ukraine are similar to those in other European countries, while patterns of treatment and survival in Ukraine are closer to that in countries in transition. Further research and analysis are impossible without due registration of both the diagnosis and the treatment undertaken as well as close follow-up of patients’ life status.
publisher PH Akademperiodyka
publishDate 2023
url https://exp-oncology.com.ua/index.php/Exp/article/view/2020-1-7
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spelling oai:ojs2.ex.aqua-time.com.ua:article-2032023-10-11T16:42:32Z Incidence and long-term effects of treatment of malignant germ cell neoplasms in Ukraine Incidence and long-term effects of treatment of malignant germ cell neoplasms in Ukraine Fedorenko, Z.P. Mikhailovich, Yu.I. Goulak, L.O. Ryzhov, A.Yu. Gorokh, Ye.L. Soumkina, O.V. cancer incidence, cancer registry, germ cell neoplasms, survival cancer incidence, cancer registry, germ cell neoplasms, survival Summary. Aim: To describe incidence of malignant germ cell neoplasms (GCNs) in Ukraine and assess the medical care to patients with GCNs and its efficacy. Materials and Methods: Records on 6495 males and 1038 females with malignant GCNs diagnosed in 2000–2013 extracted from the database of National Cancer Registry of Ukraine have been analyzed using methods of descriptive epidemiology and survival evaluation. Results: In Ukraine, GCNs covered 79.1% of testicular cancers and 48.9% of ovarian cancers in patients aged 0–19 years, while their proportions in total cancer incidence did not exceed 0.7% in males and 0.1% in females. Most of GCNs in males (75.9%) were diagnosed at the reproductive age (20–49) and in females 72.2% of GCNs were diagnosed at the age of 0–44 years. Female gonadal GCNs were divided by germinomatous and nongerminomatous as 49.3% vs 50.7% while in males this proportion was 65.3% vs 34.7%. Age-specific incidence of genital GCNs in Ukraine reached peak values in males aged 25–39 years and in females aged 10–24 years. Nonseminomatous testicular GCN cases were more common than seminomatous cases in males until the age of 30 years with an incidence of seminomas peaked 10 years later than non-seminomas. Ovarian germinomas were more common than non-germinomas in females aged 15–29. Total GCN incidence rate in 2013 was 1.99 ± 0.090/0000 in males and 0.32 ± 0.040/0000 in females, being closer to that in the countries of Eastern Europe and Asia. In Ukraine, 5-year survival of patients with testicular GCN of stage I who received surgery combined with chemotherapy or radiotherapy was lower than that reported for Europe and USA, and substantially lower in patients with stages II–IV. Five-year survival of patients with ovarian GCN treated with surgery plus chemotherapy was close to that reported in a study for populations of European countries. Conclusion: The trends and patterns of GCN incidence in Ukraine are similar to those in other European countries, while patterns of treatment and survival in Ukraine are closer to that in countries in transition. Further research and analysis are impossible without due registration of both the diagnosis and the treatment undertaken as well as close follow-up of patients’ life status. Summary. Aim: To describe incidence of malignant germ cell neoplasms (GCNs) in Ukraine and assess the medical care to patients with GCNs and its efficacy. Materials and Methods: Records on 6495 males and 1038 females with malignant GCNs diagnosed in 2000–2013 extracted from the database of National Cancer Registry of Ukraine have been analyzed using methods of descriptive epidemiology and survival evaluation. Results: In Ukraine, GCNs covered 79.1% of testicular cancers and 48.9% of ovarian cancers in patients aged 0–19 years, while their proportions in total cancer incidence did not exceed 0.7% in males and 0.1% in females. Most of GCNs in males (75.9%) were diagnosed at the reproductive age (20–49) and in females 72.2% of GCNs were diagnosed at the age of 0–44 years. Female gonadal GCNs were divided by germinomatous and nongerminomatous as 49.3% vs 50.7% while in males this proportion was 65.3% vs 34.7%. Age-specific incidence of genital GCNs in Ukraine reached peak values in males aged 25–39 years and in females aged 10–24 years. Nonseminomatous testicular GCN cases were more common than seminomatous cases in males until the age of 30 years with an incidence of seminomas peaked 10 years later than non-seminomas. Ovarian germinomas were more common than non-germinomas in females aged 15–29. Total GCN incidence rate in 2013 was 1.99 ± 0.090/0000 in males and 0.32 ± 0.040/0000 in females, being closer to that in the countries of Eastern Europe and Asia. In Ukraine, 5-year survival of patients with testicular GCN of stage I who received surgery combined with chemotherapy or radiotherapy was lower than that reported for Europe and USA, and substantially lower in patients with stages II–IV. Five-year survival of patients with ovarian GCN treated with surgery plus chemotherapy was close to that reported in a study for populations of European countries. Conclusion: The trends and patterns of GCN incidence in Ukraine are similar to those in other European countries, while patterns of treatment and survival in Ukraine are closer to that in countries in transition. Further research and analysis are impossible without due registration of both the diagnosis and the treatment undertaken as well as close follow-up of patients’ life status. PH Akademperiodyka 2023-06-01 Article Article application/pdf https://exp-oncology.com.ua/index.php/Exp/article/view/2020-1-7 10.32471/exp-oncology.2312-8852.vol-42-no-1.14235 Experimental Oncology; Vol. 42 No. 1 (2020): Experimental Oncology; 66-74 Експериментальна онкологія; Том 42 № 1 (2020): Експериментальна онкологія; 66-74 2312-8852 1812-9269 10.32471/exp-oncology.2312-8852.vol-42-no-1 en https://exp-oncology.com.ua/index.php/Exp/article/view/2020-1-7/2020-1-7 Copyright (c) 2023 Experimental Oncology https://creativecommons.org/licenses/by-nc/4.0/