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        춘천지역에서의 위암 발생률 추정에 관한 연구

        장웅기(Woong Ki Chang),김동준(Dong Joon Kim),윤택중(Taek Jung Yoon),김진환(Jin Hwan Kim),주상언(Sang Aun Joo),유재영(Jae Young Yoo),최보율(Bo Youl Choi),이수진(Soo Jin Lee),김병렬(Byong Reol Kim) 대한내과학회 1996 대한내과학회지 Vol.51 No.6

        N/A Objectives: This study was carried out to estimate the incidence rate of the stomach cancer in a small to medium sized community (Chuncheon Si and Chuncheon Kun, Kangweon Do) of about 230,000 population. Methods: The study period was from Jan. 1. 1992 to Dec. 31. 1993 and the subjects were confined to newly diagnosed cases living in Chuncheon area during this period. The data collected through medical records from 9 medical facilities located in Chuncheon area and capable of pathologic (Gastroendoscopy) or roentgenographic (Upper gastrointestinal series) diagnosis among 12 medical facilities. Results: 1) The total cases of newly diagnosed stomach cancer during the study period (2 years) were 163. The frequency of stomach cancer by age was in order of 70s (48 cases, 29.4%), 60s (41 cases, 25.1%), 50s (38 cases, 23.3%) years of age in all, 50s (32 cases, 27.8%), 60s (28 cases, 24.3%), 70s (27 cases, 23.5%) in male and 70s (21 cases, 43.8%), 60s (13 cases, 27.1%), 50s (6 cases, 12.5%) in female. The male to female ratio in total stomach cancer cases was 2.4:1. 2) The annual crude incidence rate of stomach cancer was estimated to be 35.7 persons per 100,000 persons in all, 49.9 and 21,4 persons per 100,000 persons in male and female, respectively. 3) The annual age standardized incidence rate of the stomach cancer for the Korean population was 35.7 persons per 100,000 persons in all, 44.1 and 18.4 persons per 100,000 persons in male and female, respectively. 4) The cumulative incidence rate of the stomach cancer for age span 0-69 years was 4.8% in male, 1.3% in female and that for age span 0-79 was 9.5% in male, 3.8% in female. 5) The major symptoms of stomach cancer patients were the epigastric pain (69.9%), indigestion (32.5%), and weight loss (30.0%). Most patients had suffered from the symptoms more than one month before the first visit to hospitals or clinics, suggesting the diagnosis tend to be delayed. 6) The proportion of early gastric cancer was 24 persons (14.7%) among 163 persons of stomach cancer patients. Conclusion: We estimate the incidence rate of the stomach cancer in a small to medium sized community (Chuncheon city and Kun, Kangweon Do) of about 230,000 population from Jan. 1. 1992 to Dec. 31. 1993 and report the characteristics of the stomach cancer patients.

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