CLINICO-EPIDEMIOLOGIC STUDY OF UTERINE CANCER - COMPARATIVE ASPECTS OF ENDOMETRIAL AND CERVICAL SITES

Abstract

A review of all newly diagnosed cases of cervical and endometrial carcinoma in Israel during the 5-yr period of 1961-1965 yielded mean annual incidence rates of 4.9/100,000 and 7.4/100,000, respectively. Cervical cancer was more prevalent in Moroccan-born women and among divorcees, while the risk of endometrial cancer was highest in older age, among the European born, and the single; it also appeared earlier in life. Postmenopausal bleeding constituted the most frequent 1st symptom in both sites. Fifty percent of the patients of both groups were diagnosed within 1 mo., but the delay was somewhat longer in the endometrial group. Median survival was 5 yr in patients with cervical cancer and above 12 yr in those with cancer of the corpus. Five-year survival was 50 and 75%, respectively. Survival tended to be better in younger patients in both groups. The gradual disappearance of intraethnic differences in Israel may lead to a decrease in the incidence of invasive cervical cancer, coupled with an increased incidence of the endometrial category.