La surveillance des cancers de l’adolescent et du jeune adulte en France

Abstract : In France, adult cancer registries from the FRANCIM network are used for the surveillance of cancer in adolescents and young adults (AYAs). Since 2011, data on 15-17 year olds have also been recorded by the two French National Childhood Cancer registries. Between 2000 and 2008, 2,418 new cases of cancer in AYAs were recorded. The most frequently diagnosed cancers in AYA were malignant gonadal germ-cell tumors, Hodgkin's lymphoma, melanoma and thyroid carcinoma. Overall age-standardized incidence rates (ASR) were 254.1 per million in 15-24 year olds (sex ratio 1.1). The ASR was stable over time. Between 2000 and 2004, the 5-year overall survival rate for all cancers was 81.8%, with differences observed between genders and age groups: 78.8% and 85.2% for males and females, respectively; 78.5% and 84.3% in 15-19 and 20-24 year olds, respectively. Survival significantly improved over the last 20 years. Studies investigating the management of AYAs with cancer have shown great disparities in patient care and a lack of collaboration between adult oncologists and pediatric oncologists. Consequently, an AYA cancer multidisciplinary working group has been created to improve AYA cancer services and care.
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Emmanuel Desandes, Jacqueline Clavel, Brigitte Lacour, Pascale Grosclaude, Laurence Brugières. La surveillance des cancers de l’adolescent et du jeune adulte en France. Bulletin d'épidémiologie hebdomadaire, INVS, 2013, 49-50, pp.497-500. ⟨hal-01795614⟩

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