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Clinicoepidemiologic Study of Uterine Cancer

Comparative Aspects of the Endometrial and Cervical Sites

From the Department of Clinical Epidemiology at Chaim Sheba Medical Center, Tel Hashomer, and Tel Aviv University Medical School, Tel Aviv, Israel

Abstract

A review of all newly diagnosed cases of cervical and endometrial carcinoma in Israel during the S-year 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 first symptom in both sites. Fifty percent of the patients of both groups were diagnosed within 1 month, but the delay was somewhat longer in the endometrial group. Median survival was 5 years in patients with cervical cancer and above 12 years 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. It is expected that the gradual disappearance of intraethhic differences in Israel would lead to a decrease in the incidence of invasive cervical cancer, coupled with an increased incidence of the endometrial category.