SEER Cancer Registry

  • 文章类型: Journal Article
    乳腺癌仍然是欧洲和美国女性中最常见的非皮肤恶性肿瘤,也是癌症相关死亡的第二大原因。在这项乳腺癌死亡率和生存率研究中,美国对656,501例经显微镜证实的乳腺癌病例进行了回顾性人群分析,1975-2019年,数据来自NCI监测流行病学和最终结果计划,SEER*Stat8.4.0.1.
    Breast cancer remains the most common non-cutaneous malignancy in women in both Europe and the United States and the second leading cause of cancer-related deaths. In this breast cancer mortality and survival study, a US retrospective population-based analysis of 656,501 microscopically confirmed breast cancer cases, 1975-2019, data is derived from the NCI Surveillance Epidemiology & End Results Program, SEER*Stat 8.4.0.1.
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  • 文章类型: Journal Article
    舌癌是一种罕见的癌症部位,SEER1975-2017年数据库中只有31,378例,所有报告的癌症中不到1%。这篇文章更新了发病率的趋势,患病率,舌癌的短期和长期生存和死亡率。
    Cancer of the tongue is an uncommon cancer site, with only 31,378 cases in the SEER 1975-2017 database, fewer than 1% of all reported cancers. This article updates trends in incidence, prevalence, short and long-term survival and mortality of tongue carcinoma.
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  • 文章类型: Systematic Review
    在过去的五十年里,有报道称,在美国和全球范围内,非霍奇金淋巴瘤(NHL)的发病率和死亡率均有所上升.解决流行病学多样性的能力,NHL的预后和治疗取决于准确和一致的分类系统的使用。历史上,由于缺乏非霍奇金淋巴瘤的系统分类学,NHL的统一治疗受到阻碍.在1982年之前,有6种竞争的分类方案与NHL的术语竞争:Rappaport,Lukes-Collins,基尔,世界卫生组织,英国,和Dorfman系统没有就哪个系统在临床相关性方面最令人满意达成共识,科学的准确性和可重复性,为发病率信息的摘要者提出了一项艰巨的任务。1982年,美国国家癌症研究所赞助了一个研讨会,该研讨会开发了一种工作配方,旨在:1)为临床医生提供各种类型的NHL的预后信息,和2)提供了一种通用语言,可用于比较世界各地各种治疗中心的临床试验。研究表明,预后取决于肿瘤分期和组织学,而不是主要的定位。2本研究利用了国家癌症研究所PDQ对世界卫生组织(WHO)更新的REAL(修订后的欧美淋巴瘤)分类的适应3淋巴增殖性疾病,和SEER*Stat8.3.6数据库(2019年8月8日发布),用于1975-2016年诊断年。在这篇文章中,我们利用40年的数据来检查发病率的模式,生存和死亡,以及美国NHL的选定细胞生物行为特征。
    目的:-更新美国非霍奇金淋巴瘤的发病率和患病率趋势,检查,比较和对比生存和死亡率的短期和长期模式,并考虑NHL结节和结外细分的解剖位置的结果影响,利用选定的ICD-O-3组织学类型,按年龄分层,性别,种族/民族,舞台,细胞行为形态学和组织学类型,队列进入时间段和疾病持续时间,利用美国国家癌症研究所SEER*Stat8.3.6项目的统计数据库诊断年1975-2016.4方法。-回顾一下,基于人群的队列研究,使用国家癌症研究所(NCI)监测的全国代表性数据,流行病学,和最终结果(SEER)计划评估1975-2016年诊断年份的384,651例NHL病例,比较多个年龄变量,性别,种族,舞台,细胞行为形态学,队列进入时间段,疾病持续时间和组织学类型。分析了两个队列的相对生存统计数据:1975-1995年和1996-2016年。生存统计数据来自SEER*Stat数据库:发病率-SEER9研究数据,2018年11月提交(1975-2016年)《卡特里娜飓风/丽塔人口调整》于2019年4月发布,基于2018年11月提交。
    结果:-发病率,相对频率分布,按年龄划分的存活率和死亡率,性别,阶段和细胞行为形态,总结了1975-2016年国家癌症研究所SEER计划(SEERStat8.3.6)中记录的2个进入时间段内的成人淋巴结(N)和结外(EN)NHL的情况.识别趋势随时间的变化,这些发现与预后相关,包括短期和长期观察(实际),预期和相对生存,观察到的中位数和相对生存率,每1000人的死亡率和超额死亡率。
    结论:-SEER发病率的趋势,患病率,按年龄划分的存活率和死亡率,性别,种族,舞台,细胞行为形态学,队列进入时间段,相对频率和百分比分布,在1975-2016年的时间框架内,我们对结节性(N)和结外(EN)非霍奇金淋巴瘤提供了当前的流行病学和医学精算风险评估框架。
    During the past 5 decades, there have been reports of increases in the incidence and mortality rates of non-Hodgkin lymphoma (NHL) in the United States and globally. The ability to address the epidemiologic diversity, prognosis and treatment of NHL depends on the use of an accurate and consistent classification system. Historically, uniform treatment for NHL has been hampered by the lack of a systematic taxonomy of non-Hodgkin lymphoma. Before 1982, there were 6 competing classification schemes with contending terminologies for NHL: the Rappaport, Lukes-Collins, Kiel, World Health Organization, British, and Dorfman systems without consensus as to which system is most satisfactory regarding clinical relevance, scientific accuracy and reproducibility and presenting a difficult task for abstractors of incidence information. In 1982, the National Cancer Institute sponsored a workshop1 that developed a working formulation designed to: 1) provide clinicians with prognostic information for the various types of NHLs, and 2) provide a common language that might be used to compare clinical trials from various treatment centers around the world. Studies imply that prognosis is dependent on tumor stage and histology rather than the primary localization per se.2 This study utilizes the National Cancer Institute PDQ adaptation of the World Health Organization\'s (WHO) updated REAL (Revised European American Lymphoma) classification3 of lymphoproliferative diseases, and the SEER*Stat 8.3.6 database (released Aug 8, 2019) for diagnosis years 1975-2016. In this article, we make use of 40 years of data to examine patterns of incidence, survival and mortality, and selected cell bio-behavioral characteristics of NHL in the United States.
    OBJECTIVE: -To update trends in incidence and prevalence in the United States of non-Hodgkin lymphoma, examine, compare and contrast short and long-term patterns of survival and mortality, and consider the outcome impacts of anatomic location of NHL nodal and extranodal subdivisions, utilizing selected ICD-O-3 histologic oncotypes stratified by age, sex, race/ethnicity, stage, cell behavioral morphology and histologic typology, cohort entry time-period and disease duration, employing the statistical database of the National Cancer Institute SEER*Stat 8.3.6 program for diagnosis years 1975-2016.4 Methods.- A retrospective, population-based cohort study using nationally representative data from the National Cancer Institute\'s (NCI) Surveillance, Epidemiology, and End Results (SEER) program to evaluate 384,651 NHL cases for diagnosis years 1975-2016 comparing multiple variables of age, sex, race, stage, cell behavioral morphology, cohort entry time-period, disease duration and histologic oncotype. Relative survival statistics were analyzed in two cohorts: 1975-1995 and 1996-2016. Survival statistics were derived from SEER*Stat Database: Incidence - SEER 9 Regs Research Data, November 2018 Submission (1975-2016) released April 2019, based on the November 2018 submission.
    RESULTS: - Incidence rates, relative frequency distributions, survival and mortality by age, sex, stage and cell behavioral morphology, of adult nodal (N) and extranodal (EN) NHL in 2 entrant time-periods as recorded in the SEER Program of the National Cancer Institute for diagnosis years 1975-2016 (SEER Stat 8.3.6) are summarized. Shifts in trends over time are identified, and the findings are correlated with prognosis, including short and long-term observed (actual), expected and relative survival, median observed and relative survival, mortality rates and excess death rates per 1000 people.
    CONCLUSIONS: - Trends in SEER incidence, prevalence, survival and mortality by age, sex, race, stage, cell behavioral morphology, cohort entry time-period, relative frequency and percent distribution, were examined to provide a current epidemiologic and medical-actuarial risk assessment framework for nodal (N) and extranodal (EN) non-Hodgkin\'s lymphoma in the 1975-2016 timeframe.
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  • 文章类型: Journal Article
    未经批准:对于几种癌症,包括乳房,诊断时年龄小与不良预后相关.虽然这种效应通常归因于可遗传的突变,如BRCA1/2,病理特征之间的关系,年轻的发病年龄,乳腺癌的预后仍不清楚。在本研究中,我们强调了美国女性乳腺癌患者的发病年龄和淋巴结转移(NM)之间的联系.
    UNASSIGNED:来自监视的案例列表,流行病学,和最终结果(SEER)18乳腺癌妇女的登记数据,其中包括关于种族的信息,被使用。对具有受体亚型信息的女性子集的NM及其相关结果进行评估,然后与更大的女性进行比较,来自同一注册表的pre-subtype验证数据集。诊断年龄是5类变量;40岁以下,40-49岁,50-59岁,60-69岁和70岁以上。将单变量和调整后的多变量生存模型应用于两组数据。
    未经评估:根据调整后的逻辑回归模型确定,诊断时40岁以下的女性患NM的几率是60~69岁女性的1.55倍.(HR=激素受体)HR+/HER2+的NM几率,HR-/HER2+,三阴性乳腺癌亚型明显低于HR+/HER2-。在子类型分层调整模型中,诊断年龄有一致的趋势,即按年龄分类NM的几率下降,最明显的是HR+管腔A和B亚型。按年龄划分的单变量5年生存率对于40岁以下的女性来说是最差的,在调整后的多变量模型中,NM占癌症死亡风险的49%。
    未经证实:淋巴结转移与年龄有关,然而,并非所有的分子亚型都明显受到这种关系的影响。对于<40岁的女性,NM是缩短生存期的主要原因。当按亚型分层时,最强的关联是HR+组,提示年轻的乳腺癌发病和NM之间可能存在激素联系。
    UNASSIGNED: For several cancers, including those of the breast, young age at diagnosis is associated with an adverse prognosis. Although this effect is often attributed to heritable mutations such as BRCA1/2, the relationship between pathologic features, young age of onset, and prognosis for breast cancer remains unclear. In the present study, we highlight links between age of onset and lymph node metastasis (NM) in US women with breast cancer.
    UNASSIGNED: Case listings from Surveillance, Epidemiology, and End Result (SEER) 18 registry data for women with breast cancer, which include information on race, were used. NM and its associated outcomes were evaluated for a subset of women with receptor subtype information and then compared against a larger, pre-subtype validation set of data from the same registry. Age of diagnosis was a 5-category variable; under 40 years, 40-49 years, 50-59 years, 60-69 years and 70+ years. Univariate and adjusted multivariate survival models were applied to both sets of data.
    UNASSIGNED: As determined with adjusted logistic regression models, women under 40 years old at diagnosis had 1.55 times the odds of NM as women 60-69 years of age. The odds of NM for (HR = hormone receptor) HR+/HER2+, HR-/HER2+, and triple-negative breast cancer subtypes were significantly lower than those for HR+/HER2-. In subtype-stratified adjusted models, age of diagnosis had a consistent trend of decreasing odds of NM by age category, most noticeable for HR+ subtypes of luminal A and B. Univariate 5-year survival by age was worst for women under 40 years, with NM attributable for 49% of the hazard of death from cancer in adjusted multivariate models.
    UNASSIGNED: Lymph node metastasis is age-dependent, yet not all molecular subtypes are clearly affected by this relationship. For <40-yr-old women, NM is a major cause for shorter survival. When stratified by subtype, the strongest associations were in HR+ groups, suggesting a possible hormonal connection between young age of breast cancer onset and NM.
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  • 文章类型: Journal Article
    Survival period prediction through early diagnosis of cancer has many benefits. It allows both patients and caregivers to plan resources, time and intensity of care to provide the best possible treatment path for the patients. In this paper, by focusing on lung cancer patients, we build several survival prediction models using deep learning techniques to tackle both cancer survival classification and regression problems. We also conduct feature importance analysis to understand how lung cancer patients\' relevant factors impact their survival periods. We contribute to identifying an approach to estimate survivability that are commonly and practically appropriate for medical use.
    We have compared the performance across three of the most popular deep learning architectures - Artificial Neural Networks (ANN), Convolutional Neural Networks (CNN), and Recurrent Neural Networks (RNN) while comparing the performing of deep learning models against traditional machine learning models. The data was obtained from the lung cancer section of Surveillance, Epidemiology, and End Results (SEER) cancer registry.
    The deep learning models outperformed traditional machine learning models across both classification and regression approaches. We obtained a best of 71.18 % accuracy for the classification approach when patients\' survival periods are segmented into classes of \'<=6 months\',\' 0.5 - 2 years\' and \'>2 years\' and Root Mean Squared Error (RMSE) of 13.5 % andR2 value of 0.5 for the regression approach for the deep learning models while the traditional machine learning models saturated at 61.12 % classification accuracy and 14.87 % RMSE in regression.
    This approach can be a baseline for early prediction with predictions that can be further improved with more temporal treatment information collected from treated patients. In addition, we evaluated the feature importance to investigate the model interpretability, gaining further insight into the survival analysis models and the factors that are important in cancer survival period prediction.
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