Breast Cancer in Iran: levels, Variations and Correlates
SALĀMAT-I IJTIMĀĪ (Community Health),
Vol. 5 No. 1,
20 February 2018
,
Page 11-21
https://doi.org/10.22037/ch.v5i1.15856
Abstract
Background and Objectives: As the most common neoplasm among females and the second most common cancer globally, breast cancer imposes enormous costs on health systems. This study aims to estimate levels of breast cancer in Iran and provinces, and examine correlates of incidence of breast cancer, focusing on place of residence, using the most recent nationally available data.
Material and Methods: This study is based on a total of 8333 breast cancer cases (259 males and 8074 females) registered by Iran Cancer Registration System during a Persian year (March 21th 2009 through March 20th 2010). Complementary demographic data about the study population was obtained from the 2011 National Census, conducted by Iranian Statistical Center. The Age-Standardized Rate (ASR) of breast cancer was estimated for the overall population, the capital city of provinces, large metropolitan areas, and four categories of provinces located in the north, south, east, west, and center of Iran.
Results: Only 3.1% of total 8333 breast cancer patients were men. The mean (SD) age of female and male
participants were, respectively, 50.5(12.7) and 56.5 (15.4). The rate of breast cancer for the country was estimated at 33.1 cancers per 100,000 population, and the estimated rates for men and women was are respectively 24.6 and 0.82 per 100,000 population. The incidence of breast cancer in Iran varies from 15 cancers per 100,000 population in urban areas to 34.6 cancers in large metropolitan areas. Also, the estimated rate of breast cancers ranged from 18.1, 19.1 and 19.7 cancers in the west, north, and east of the country, respectively, to 29.3 and 29.7 cancers per 100,000 population in southern and central provinces of Iran. With rising the level of urbanization of provinces, the estimated rate of breast cancer increased (r=0.71, P<0.001).
Conclusion: Given the strong correlation between the incidence of breast cancer and urbanization, especial preventative and screening health programs need to be designed and implemented in urban areas to detect suspected cases of breast cancer.
DOI: http://dx.doi.org/10.22037/ch.v5i1.15856.
- Breast neoplasms, Incidence, Iran, Registration, Urbanization
How to Cite
References
Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F. Cancer Incidence
and Mortality Worldwide: Sources, Methods and Major Patterns in GLOBOCAN 2012. International Journal of
Cancer. 20151;136(5).
Babaei M, Jaafarzadeh H, Sadjadi AR, Samadi F, Yazdanbod A, Fallah M, Aghlmandi S, Ramezani R, Haukka J,
Hekmat SH, Didevar R. Cancer Incidence and Mortality in Ardabil: Report of an Ongoing Population-based Cancer
Registry in Iran, 2004-2006. Iranian Journal of Public Health. 2009;38(4):35-45.
Somi MH, Farhang S, Mirinezhad SK, Naghashi S, Seif-Farshad M, Golzari M. Cancer in East Azerbaijan, Iran:
Results of a Population-based Cancer Registry. Asian Pac J Cancer Prev. 2008 Jan 1;9(2):327-0.
Aghajani H, Eatemad K, Goya M, Ramezani R, Modirian MN, Nadali F. Iranian Annual of National Cancer
Registration Report 2008-2009. Center for Disease Control. 2011.
سرطان پستان در ایران: ... کامبیز عباچ یزاده و همکاران 21
Al-Hashimi MM, Wang XJ. Breast Cancer in Iraq, Incidence Trends from 2000-2009. Asian Pacific Journal of Cancer
Prevention. 2014;15(1):281-6.
Haqiqat Sh, Akbari M E, Ghafari Sh, Yavari P. Health Expenditure in Initial Diagnostic and Treatment Approach to
Non-metastatic Breast Cancer in Iran. Iranian Journal of Breast Disease 2013;6(2):14-25.
World Health Organization. World health statistics 2010. World Health Organization; 2010.
Ramezani R. Iranian Annual of National Cancer Registration Report 2009-2010. Center for Disease Control. 2012.
Mousavi SM, Montazeri A, Mohagheghi MA, Jarrahi AM, Harirchi I, Najafi M, Ebrahimi M. Breast Cancer in Iran: an
Epidemiological Review. The Breast Journal. 2007 1;13(4):383-91.
Jemal A, Siegel R, Ward E, Hao Y, Xu J, Murray T, Thun MJ. Cancer Statistics, 2008. CA Cancer J Clin. 2008;58(2):71-96.
Jemal A, Siegel R, Xu J, Ward E. Cancer Statistics, 2010. CA Cancer J Clin.2010;60(5):277-300.
Ly D, Forman D, Ferlay J, Louise A. Cook B, Cook M. An International Comparison of Male and Female Cancer
Incidence Rates. International Journal of Cancer 2013;132:1918-1926.
Giordano SH, Buzdar AU, Hortobagyi GN. Breast Cancer in Men. Ann Intern Med. 2002;137(8): 678-687.
Miao H, Verkooijen HM, Chia KS, Bouchardy C, Pukkala E, Larønningen S, Mellemkjær L, Czene K, Hartman
M. Incidence and Outcome of Male Breast Cancer: an International Population-based Study. Journal of Clinical
Oncology. 2011;29(33):4381-6.
Mirmalek S.A, Elhamkani F. Male Breast Cancer. Iranian Journal of Surgery.2007; 15(1):19-36.
Bakhtiari A, Hajahmadi M. 5 Year Assessment of Breast Cancer at Rajaeii Hospital, Babolsar (2001-2005). Iranian
Journal of Gynecology, Obstetrics and Sterility. 2007; 9(1):47-52.
Fazeli Z, Najafian-zade M, Eshrati B, Almasi-Hashiani A. Five-year Evaluation of Epidemiological, Geographical
and Survival Analysis of Breast Cancer in Markazi Province,2007-2011. Arak Medical University Journal. 2014;
(80):72-79.
Sadat Taheri N, Bakhshande Nosrat S, Aarabi M, Naeimi Tabiei M, Kashani E, Rajaei S, et al. Epidemiological
Pattern of Breast Cancer in Iranian Women: Is There an Ethnic Disparity. Asian Pacific J Cancer Prev. 2012;13(9):
-4520.
Roshandel G, Sadjadi A, Sedaghat SM, Semnani S, Malekzadeh R. Cancer Incidence in Golestan Province: Report
of an Ongoing Population-based Cancer Registry in Iran between 2004 and 2008. Archives of Iranian medicine. 2012
;15(4):196.
Marjani A, Kabir MJ. Breast Cancer Incidence among Females in the Golestan Province, Iran. Indian Journal of
Cancer. 2009;46(4):351-2.
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