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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">TO investigate the changes in lung cancer incidence&#44; histological type&#44; and survival in patients in the north of the province of Castell&#243;n&#44; Spain&#44; during a follow-up period of 10 years&#44; and to compare the findings with other national and international studies&#46;</p> <span class="elsevierStyleSectionTitle">Patients and Method</span><p class="elsevierStyleSimplePara elsevierViewall">All patients diagnosed with lung cancer between January 1&#44; 1993 and December 31&#44; 2002 were included in this prospective&#44; observational study&#46; Disease was confirmed by biopsy or suspected from clinical&#44; radiological&#44; and&#47;or bronchoscopic findings&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">In the study period&#44; 271 patients were diagnosed with lung cancer &#40;239 men and 32 women&#41;&#44; with a mean &#40;SD&#41; age of 66&#46;8 &#40;11&#46;8&#41; years&#46; The age-adjusted incidence rate standardized to the world population was 20&#46;42 cases per 100&#8200;000 population&#46; Smokers or ex-smokers comprised 88&#46;1&#37; of the study population&#44; and 72&#46;6&#37; of patients were over 60 years old&#46; Biopsy confirmation was obtained in 262 cases &#40;96&#46;7&#37;&#41;&#46; Squamous cell carcinoma predominated &#40;46&#46;5&#37;&#41; but the proportion of adenocarcinoma increased &#40;23&#46;6&#37;&#41;&#46; Surgery was possible in only 22&#37; of the patients&#46; Mean overall 5-year survival was 15&#46;7 months&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">In the north of the province of Castell&#243;n&#44; the incidence of lung cancer continues to increase in men but has decreased slightly in women&#46; Squamous cell carcinoma is the most common type&#44; but the incidence of adenocarcinoma has clearly increased&#46; Overall&#44; survival did not improve during the 10 years of follow up despite advances in treatment&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Conocer la evoluci&#243;n de la incidencia&#44; tipos histol&#243;gicos y supervivencia del carcinoma broncog&#233;nico en el norte de la provincia de Castell&#243;n&#44; en un per&#237;odo de segui-miento de 10 a&#241;os&#44; y comparar los resultados con los de otros estudios nacionales e internacionales&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes Y M&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio prospec-tivo y observacional&#44; en el que se incluy&#243; a todos los pacientes diagnosticados de carcinoma broncog&#233;nico desde el 1 de enero de 1993 hasta el 31 de diciembre de 2002&#46; Se exigi&#243; la confirmaci&#243;n citohistol&#243;gica o la sospecha basada en datos cl&#237;nicos&#44; radiol&#243;gicos y&#47;o broncosc&#243;picos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En el per&#237;odo estudiado se diagnostic&#243; de carcinoma broncog&#233;nico a 271 pacientes &#40;239 varones y 32 muje-res&#41;&#44; con una edad media &#40;&#177; desviaci&#243;n est&#225;ndar&#41; de 66&#44;8 &#177; 11&#44;8 a&#241;os&#46; La tasa de incidencia ajustada a la poblaci&#243;n mun-dial fue de 20&#44;42 casos por 100&#46;000 habitantes&#46; El 88&#44;1&#37; eran fumadores o ex fumadores&#44; y el 72&#44;6&#37; de los pacientes ten&#237;a m&#225;s de 60 a&#241;os&#46; Se obtuvo confirmaci&#243;n citohistol&#243;gica en 262 &#40;96&#44;7&#37;&#41; casos&#46; Predomin&#243; el tipo epidermoide &#40;46&#44;5&#37;&#41; pero con un ascenso del adenocarcinoma &#40;23&#44;6&#37;&#41;&#44; y s&#243;lo se pudo realizar tratamiento con cirug&#237;a en el 22&#37; de los casos&#46; La supervivencia media global a los 5 a&#241;os ha sido de 15&#44;7 meses&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">En el norte de la provincia de Castell&#243;n la incidencia de carcinoma broncog&#233;nico sigue aumentando en los varones y ha disminuido ligeramente en las mujeres&#46; Predomina el carcinoma epidermoide pero con un ascenso claro del adenocarcinoma&#46; A pesar de los avances del tratamiento&#44; desde una visi&#243;n global&#44; la supervivencia no ha me-j or ado en los 10 a&#241;os de seguimiento&#46;</p>"
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Original Articles
Evolution of Lung Cancer in the North of the Province of Castellón, Spain, 1993-2002
L. Miraveta,
Corresponding author
miravet_lui@gva.es

Correspondence: Dr. L. Miravet. Unidad de Neumología. Servicio de Medicina Interna. Hospital Comarcal de Vinaroz. Avda. Gil de Atrocillo, s/n. 12500 Vinaroz. Castellón. España
, A. Paradísb, S. Peláezb, M. Arnalc, F. Cabadésc
a Unidad de Neumología, Servicio de Medicina Interna, Hospital Comarcal de Vinaroz, Vinaroz, Castellón, Spain
b Servicio de Anatomía Patológica, Hospital Comarcal de Vinaroz, Vinaroz, Castellón, Spain
c Servicio de Medicina Interna, Hospital Comarcal de Vinaroz, Vinaroz, Castellón, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">TO investigate the changes in lung cancer incidence&#44; histological type&#44; and survival in patients in the north of the province of Castell&#243;n&#44; Spain&#44; during a follow-up period of 10 years&#44; and to compare the findings with other national and international studies&#46;</p> <span class="elsevierStyleSectionTitle">Patients and Method</span><p class="elsevierStyleSimplePara elsevierViewall">All patients diagnosed with lung cancer between January 1&#44; 1993 and December 31&#44; 2002 were included in this prospective&#44; observational study&#46; Disease was confirmed by biopsy or suspected from clinical&#44; radiological&#44; and&#47;or bronchoscopic findings&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">In the study period&#44; 271 patients were diagnosed with lung cancer &#40;239 men and 32 women&#41;&#44; with a mean &#40;SD&#41; age of 66&#46;8 &#40;11&#46;8&#41; years&#46; The age-adjusted incidence rate standardized to the world population was 20&#46;42 cases per 100&#8200;000 population&#46; Smokers or ex-smokers comprised 88&#46;1&#37; of the study population&#44; and 72&#46;6&#37; of patients were over 60 years old&#46; Biopsy confirmation was obtained in 262 cases &#40;96&#46;7&#37;&#41;&#46; Squamous cell carcinoma predominated &#40;46&#46;5&#37;&#41; but the proportion of adenocarcinoma increased &#40;23&#46;6&#37;&#41;&#46; Surgery was possible in only 22&#37; of the patients&#46; Mean overall 5-year survival was 15&#46;7 months&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">In the north of the province of Castell&#243;n&#44; the incidence of lung cancer continues to increase in men but has decreased slightly in women&#46; Squamous cell carcinoma is the most common type&#44; but the incidence of adenocarcinoma has clearly increased&#46; Overall&#44; survival did not improve during the 10 years of follow up despite advances in treatment&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Conocer la evoluci&#243;n de la incidencia&#44; tipos histol&#243;gicos y supervivencia del carcinoma broncog&#233;nico en el norte de la provincia de Castell&#243;n&#44; en un per&#237;odo de segui-miento de 10 a&#241;os&#44; y comparar los resultados con los de otros estudios nacionales e internacionales&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes Y M&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio prospec-tivo y observacional&#44; en el que se incluy&#243; a todos los pacientes diagnosticados de carcinoma broncog&#233;nico desde el 1 de enero de 1993 hasta el 31 de diciembre de 2002&#46; Se exigi&#243; la confirmaci&#243;n citohistol&#243;gica o la sospecha basada en datos cl&#237;nicos&#44; radiol&#243;gicos y&#47;o broncosc&#243;picos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En el per&#237;odo estudiado se diagnostic&#243; de carcinoma broncog&#233;nico a 271 pacientes &#40;239 varones y 32 muje-res&#41;&#44; con una edad media &#40;&#177; desviaci&#243;n est&#225;ndar&#41; de 66&#44;8 &#177; 11&#44;8 a&#241;os&#46; La tasa de incidencia ajustada a la poblaci&#243;n mun-dial fue de 20&#44;42 casos por 100&#46;000 habitantes&#46; El 88&#44;1&#37; eran fumadores o ex fumadores&#44; y el 72&#44;6&#37; de los pacientes ten&#237;a m&#225;s de 60 a&#241;os&#46; Se obtuvo confirmaci&#243;n citohistol&#243;gica en 262 &#40;96&#44;7&#37;&#41; casos&#46; Predomin&#243; el tipo epidermoide &#40;46&#44;5&#37;&#41; pero con un ascenso del adenocarcinoma &#40;23&#44;6&#37;&#41;&#44; y s&#243;lo se pudo realizar tratamiento con cirug&#237;a en el 22&#37; de los casos&#46; La supervivencia media global a los 5 a&#241;os ha sido de 15&#44;7 meses&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">En el norte de la provincia de Castell&#243;n la incidencia de carcinoma broncog&#233;nico sigue aumentando en los varones y ha disminuido ligeramente en las mujeres&#46; Predomina el carcinoma epidermoide pero con un ascenso claro del adenocarcinoma&#46; A pesar de los avances del tratamiento&#44; desde una visi&#243;n global&#44; la supervivencia no ha me-j or ado en los 10 a&#241;os de seguimiento&#46;</p>"
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