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Cancer Epidemiology, Biomarkers & Prevention

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Cancer Surveillance Research

Small Intestinal Cancer: a Population-Based Study of Incidence and Survival Patterns in the United States, 1992 to 2006

Osama Qubaiah, Susan S. Devesa, Charles E. Platz, Mark M. Huycke and Graça M. Dores
Osama Qubaiah
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Susan S. Devesa
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Charles E. Platz
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Mark M. Huycke
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Graça M. Dores
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DOI: 10.1158/1055-9965.EPI-10-0328 Published August 2010
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  • Figure 1.
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    Figure 1.

    Age-specific IRs of small intestinal cancers according to histology, gender, racial/ethnic group, and subsite, SEER-12, 1992 to 2006.

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    Figure 2.

    Trends in age-adjusted IRs of small intestinal cancers according to histology, gender, racial/ethnic group, and subsite, SEER-12, 1992 to 2006.

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    Figure 3.

    Age-specific IRs and trends in age-adjusted IRs of lymphomas of the small intestine according to histology and gender, SEER-12, 1992 to 2006.

Tables

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  • Table 1.

    ICD-O histology codes, IRs, and RS of patients with small intestinal cancers, SEER 12, 1992 to 2006

    ICD-O-3 codesIncidence*Survival†
    No.RateNo.1-y RS (%)5-y RS (%)
    Total10,9452.107,05276.359.7
    Carcinomas
        Adenocarcinomas
            NOS81402,3680.461,43853.528.1
            Mucin-producing/mucinous8480, 8481, 84904830.0930959.323.8
            Arising in adenoma8210, 8261, 82633110.0618867.736.7
            Other specified8144, 8145, 8201, 8211, 8255, 8260, 8262, 8310, 8323, 8441, 8452, 8460, 8500650.013561.832.5
        Other specified8070, 8082, 8120, 856018<0.019∼∼
        NOS8010, 8012, 8020, 8021, 8022, 8032, 8033, 8046, 85101670.039427.821.1
    Neuroendocrine cancers
        Differentiated (carcinoids)
            Carcinoid, NOS82403,8960.752,48991.982.4
            Hormone specific8153, 8156, 8241320.0124∼∼
        Undifferentiated
            Large cell8013, 82463280.0622987.866.7
            Small cell80416∼5∼∼
            Atypical carcinoid8249, 857410∼5∼∼
        Mixed endocrine-exocrine8154, 8243, 8244, 8245430.012892.059.3
    Sarcomas
        GIST8935, 89366160.1239693.370.3
        Leiomyosarcoma8890, 8891, 8895, 88963070.0620684.244.3
        Other specified8825, 8830, 8851, 8852, 8853, 8858, 8901, 8930, 8940, 8980, 8990, 9044, 9120, 9133, 9140760.015256.638.8
        Undifferentiated8800, 8801, 8802, 8803, 8804850.025073.643.8
    Lymphomas
        B cell
            Large cell9675, 9680, 96841,0060.1969166.156.6
            Follicular9690, 9691, 9695, 96983510.0725295.690.7
            MALT96991700.0311786.171.9
            Diffuse9670, 9671, 9673850.025882.170.7
            Burkitt9687770.016270.363.7
            Other specified9650, 9652, 9727, 9728, 9734, 9755, 9758, 976416<0.0113∼∼
        T cell9702, 9714, 9717, 9719870.026350.634.9
        NHL and lymphoma NOS9590, 95912310.0416366.652.6
    Other specified malignancies
        Melanoma8720, 87309∼5∼∼
        Mesothelioma9050, 9052, 90535∼2∼∼
        Germ cell and gonadal stromal tumors8590, 9064, 91003∼3∼∼
        Neuroepithelial and peripheral nerve sheath8680, 9364, 9473, 9540, 956013∼9∼∼
        Myeloid sarcoma99303∼3∼∼
    Unspecified malignancies8000, 8001, 8004780.025468.850.9

    Abbreviations: No., number of cases; ∼, incidence and RS rates are not presented for fewer than 16 and 25 cases, respectively; GIST, gastrointestinal stromal tumor; NHL, non–Hodgkin lymphoma.

    • ↵*IRs are age-adjusted to the 2000 U.S. standard population and expressed per 100,000 person-years.

    • ↵†RS is based on cases diagnosed during 1992 to 2005 and followed through 2006.

  • Table 2.

    Age-adjusted IRs and IRRs of small intestinal cancers according to histology, gender, race, stage, and subsite, SEER-12, 1992 to 2006

    CharacteristicCarcinomasNeuroendocrine cancersSarcomasLymphomas
    No.IRIRR(95% CI)No.IRIRR(95% CI)No.IRIRR(95% CI)No.IRIRR(95% CI)
    Total3,4120.66∼4,3150.83∼1,0840.20∼2,0230.38∼
    Gender
        Females1,6180.551.00(Reference)2,0130.701.00(Reference)4890.171.00(Reference)7590.261.00(Reference)
        Males1,7940.801.45(1.35-1.55)2,3021.001.42(1.34-1.51)5950.241.43(1.27-1.62)1,2640.542.06(1.88-2.26)
    Race*
        Whites2,3400.631.00(Reference)3,2460.881.00(Reference)7320.201.00(Reference)1,5220.421.00(Reference)
        Hispanics2540.530.84(0.73-0.96)2880.560.64(0.56-0.72)1070.180.92(0.73-1.14)1890.310.75(0.63-0.89)
        Blacks5751.292.06(1.87-2.26)6481.431.63(1.50-1.78)930.190.93(0.74-1.16)1200.240.58(0.47-0.70)
        APIs2430.480.77(0.67-0.88)1330.250.29(0.24-0.34)1520.271.36(1.13-1.62)1920.360.87(0.74-1.01)
    Stage
        Localized7800.151.00(Reference:)1,5860.311.00(Reference)5200.101.00(Reference)N/AN/A
        Regional1,2920.251.66(1.51-1.81)1,4730.280.93(0.86-1.00)2240.040.43(0.37-0.50)N/AN/A
        Distant1,0620.211.36(1.24-1.49)1,0510.200.66(0.61-0.71)2580.050.50(0.43-0.58)N/AN/A
        Unspecified2780.050.36(0.31-0.42)2050.040.13(0.11-0.15)820.020.15(0.12-0.19)N/AN/A
    Subsite
        Duodenum1,8880.371.00(Reference)8180.161.00(Reference)1960.041.00(Reference)3940.071.00(Reference)
        Jejunum5830.110.30(0.28-0.33)2310.040.28(0.24-0.33)2770.051.43(1.18-1.72)3140.060.81(0.70-0.94)
        Ileum4370.080.23(0.21-0.25)1,9660.382.39(2.20-2.59)2030.041.06(0.87-1.30)5070.101.29(1.13-1.47)
        Unspecified5040.100.26(0.24-0.29)1,3000.251.59(1.46-1.74)4080.082.11(1.77-2.52)8080.152.07(1.83-2.34)
    Stage and subsite†
        Duodenum
            Localized3560.071.00(Reference)5720.111.00(Reference)770.021.00(Reference)N/AN/A
            Regional7300.142.05(1.80-2.33)580.010.10(0.07-0.13)460.010.60(0.40-0.87)N/AN/A
            Distant5650.111.59(1.39-1.82)610.010.11(0.08-0.14)310.010.40(0.25-0.61)N/AN/A
        Jejunum
            Localized1640.031.00(Reference)760.021.00(Reference)1610.031.00(Reference)N/AN/A
            Regional2290.041.40(1.14-1.73)920.021.20(0.87-1.64)450.010.28(0.19-0.39)N/AN/A
            Distant1790.031.09(0.88-1.35)600.010.78(0.55-1.11)600.010.37(0.27-0.51)N/AN/A
        Ileum
            Localized1330.031.00(Reference)5290.101.00(Reference)990.021.00(Reference)N/AN/A
            Regional1740.031.30(1.03-1.64)8550.161.62(1.45-1.81)490.010.49(0.34-0.70)N/AN/A
            Distant1180.020.88(0.68-1.14)5440.101.03(0.91-1.16)470.010.48(0.33-0.69)N/AN/A

    NOTE: IRs are age-adjusted to the 2000 U.S. standard population and expressed per 100,000 person-years. IRRs are based on unrounded rates.

    Abbreviations: N/A, data not available.

    • ↵*Whites include non-Hispanics only; Hispanics include whites only.

    • ↵†Excludes cases with unspecified stage or unspecified subsite.

  • Table 3.

    RS of small intestinal cancers according to histology, gender, race, age, calendar year, stage, and subsite, SEER-12, 1992 to 2005

    CharacteristicCarcinomasNeuroendocrine cancersSarcomasLymphomas
    No.1 y (%)5 y (%)No.1 y (%)5 y (%)No.1 y (%)5 y (%)No.1 y (%)5 y (%)
    Total2,07354.528.02,78091.480.770486.557.91,41973.464.1
    Gender
        Females98854.328.11,34691.780.931789.063.351877.172.7
        Males1,08554.827.81,43491.280.638784.553.490171.358.9
    Race
        Whites1,65554.529.02,35492.281.863287.858.71,32973.464.1
        Blacks41854.624.242687.275.07275.051.19073.862.7
    Age (y)
        <6071666.333.81,11196.486.537789.860.765377.366.7
        60+1,35748.024.01,66988.076.232782.654.476670.060.9
    Calendar year
        1992-199897454.125.91,15589.778.130982.545.067668.756.4
        1999-20051,09954.930.51,62592.683.639589.669.574377.771.6
    Stage
        Localized42377.857.590591.488.532297.074.8N/AN/AN/A
        Regional80269.035.499895.789.615185.953.6N/AN/AN/A
        Distant69527.63.875787.563.917374.237.0N/AN/AN/A
        Unspecified15336.514.212077.759.15864.333.3N/AN/AN/A
    Subsite
        Duodenum1,16847.324.549187.877.513276.655.428275.865.9
        Jejunum38070.833.616193.080.118193.363.622774.160.3
        Ileum25664.940.31,29093.984.311590.056.533876.069.4
        Unspecified26952.822.683889.176.927685.455.357270.459.6
    Stage and subsite*
        Duodenum
            Localized20466.046.434492.985.64899.582.8N/AN/AN/A
            Regional45766.334.33586.977.22772.147.7N/AN/AN/A
            Distant37119.03.53266.640.923∼∼N/AN/AN/A
        Jejunum
            Localized9894.068.34095.283.39897.370.5N/AN/AN/A
            Regional15279.534.76991.582.23590.658.3N/AN/AN/A
            Distant12642.23.05191.772.53989.554.9N/AN/AN/A
        Ileum
            Localized6882.371.330092.590.95896.463.8N/AN/AN/A
            Regional11269.541.358297.692.52887.062.4N/AN/AN/A
            Distant7238.78.138789.468.22776.630.8N/AN/AN/A

    NOTE: RS is based on cases diagnosed during 1992 to 2005 and followed through 2006.

    Abbreviation: ∼, survival rates are not presented for fewer than 25 cases.

    • ↵*Excludes cases with unspecified stage or unspecified subsite.

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Cancer Epidemiology Biomarkers & Prevention: 19 (8)
August 2010
Volume 19, Issue 8
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Small Intestinal Cancer: a Population-Based Study of Incidence and Survival Patterns in the United States, 1992 to 2006
Osama Qubaiah, Susan S. Devesa, Charles E. Platz, Mark M. Huycke and Graça M. Dores
Cancer Epidemiol Biomarkers Prev August 1 2010 (19) (8) 1908-1918; DOI: 10.1158/1055-9965.EPI-10-0328

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Small Intestinal Cancer: a Population-Based Study of Incidence and Survival Patterns in the United States, 1992 to 2006
Osama Qubaiah, Susan S. Devesa, Charles E. Platz, Mark M. Huycke and Graça M. Dores
Cancer Epidemiol Biomarkers Prev August 1 2010 (19) (8) 1908-1918; DOI: 10.1158/1055-9965.EPI-10-0328
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