Annals of Coloproctology

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Characteristics and Survival of Korean Anal Cancer From the Korea Central Cancer Registry Data: Hyoung-Chul Park, Kyu-Won Jung, Byung-Woo Kim, Aesun Shin, Young-Joo Won, Jae Hwan Oh, Seung-Yong Jeong, Chang Sik Yu, Bong Hwa Lee; Ann Coloproctol. 2013;29(5):182-185. Published online October 31, 2013; DOI: https://doi.org/10.3393/ac.2013.29.5.182

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Purpose

In Korea, anal cancer is rare disease entity with specific clinical characteristics. Therefore, no survival analysis with a sufficient patient population has been performed. The aim of this study was to evaluate the characteristics of Korean anal cancer, focusing on the survival according to tumor histologies, sex, and a specific age group, using the nationwide cancer registry.

Methods

Using the Korea Central Cancer Registry, we analyzed a total of 2,552 cases from 1993 to 2010. We assessed the 5-year relative survival by using tumor histology. In addition, survival differences of Surveillance Epidemiology and End Results (SEER) stage were analyzed for both sexes and for young-age cancer (younger than 40 years) and advanced-age cancer (older than 70 years).

Results

The 5-year relative survival among anal cancer patients increased from 38.9% for the period 1993-1995 to 65.6% for the period 2006-2010. The anal squamous cell carcinoma was the most common histology and showed better survival than other types of cancer. Females demonstrated better survival than males in all SEER stages. The 5-year survivals for patients in whom anal cancer developed before the age of 40 and at or after the age of 40 were 62.4% and 51.6%, respectively. The 5-year survival for patients in whom cancer developed at or after the age of 70 was much worse than that for patients in whom the cancer had developed prior to that age.

Conclusion

Korean anal cancer has certain distinctive characteristics of survival according to tumor histology, sex, and age. Despite limitations on available data, this study used the nationwide database to provide important information on the survival of Korean patients with anal cancer.

Citations

Citations to this article as recorded by

Evaluating cost-effectiveness of 9-valent HPV vaccination for men who have sex with men by HIV status in Hong Kong
Dijing You, Jianchao Quan, David Bishai, Wendy Wing Tak Lam, Karen Ann Grépin, Linda Chan, Diana Dan Wu, David Ka Ki Wong, William Chi Wai Wong, Jiandong Zhou
Vaccine.2025; 63: 127625. CrossRef
Post-marketing surveillance study of the safety of the HPV-16/18 vaccine in Korea (2017–2021)
Byung-Wook Eun, Enas Bahar, Stebin Xavier, Hyungwoo Kim, Dorota Borys
Human Vaccines & Immunotherapeutics.2023;[Epub] CrossRef
Long-term Oncologic Outcome and Its Relevant Factors in Anal Cancer in Korea: A Nationwide Data Analysis
Hyuk Hur, Kyu-Won Jung, Byung-Woo Kim, Chang-Mo Oh, Young-Joo Won, Jae Hwan Oh, Nam Kyu Kim
Annals of Coloproctology.2020; 36(1): 35. CrossRef
Burden of Human papillomavirus (HPV)-related disease and potential impact of HPV vaccines in the Republic of Korea
Young-Tak Kim, Beatriz Serrano, Jae-Kwan Lee, Hyunju Lee, Shin-Wha Lee, Crystal Freeman, Jin-Kyoung Oh, Laia Alemany, Francesc-Xavier Bosch, Laia Bruni
Papillomavirus Research.2019; 7: 26. CrossRef
Oncologic outcomes of squamous cell carcinoma of the anal canal after chemoradiation therapy
Dae Ro Lim, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim
Korean Journal of Clinical Oncology.2016; 12(1): 41. CrossRef
Trends and Analysis of Cancer Incidence for Common Male and Female Cancers in the Population of Punjab Province of Pakistan during 1984 to 2014
Khalid Masood, Andleeb Masood, Junaid Zafar, Abubaker Shahid, Mujahid Kamran, Sohail Murad, Misbah Masood, Zafar Alluddin, Masooma Riaz, Naseem Akhter, Munir Ahmad, Fayyaz Ahmad, Javaid Akhtar, Muhammad Naeem
Asian Pacific Journal of Cancer Prevention.2015; 16(13): 5297. CrossRef
Reply on "Characteristics and Survival of Korean Anal Cancer From the Korea Central Cancer Registry Data"
Hyoung-Chul Park, Bong Hwa Lee
Annals of Coloproctology.2014; 30(1): 56. CrossRef
Patterns and Trends with Cancer Incidence and Mortality Rates Reported by the China National Cancer Registry
Peng-Lai Chen, Ting Zhao, Rui Feng, Jing Chai, Gui-Xian Tong, De-Bin Wang
Asian Pacific Journal of Cancer Prevention.2014; 15(15): 6327. CrossRef
Commentary on "Characteristics and Survival of Korean Anal Cancer From the Korea Central Cancer Registry Data"
Mohammad Mohammadianpanah
Annals of Coloproctology.2014; 30(1): 54. CrossRef
Anal Cancer Study Based on Korea Central Cancer Registry Data: One Step Forward in Clinical Research
Nam Kyu Kim
Annals of Coloproctology.2013; 29(5): 177. CrossRef

Analysis of Result of Primary Treatment of Anal Cancer.: Choi, Dong Lak , Yu, Chang Sik , Kim, Jin Cheon , Kim, Jong Hoon; J Korean Soc Coloproctol. 1997;13(3):389-396.

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Abstract PDF: Anal cancer is a relatively rare disease to supply consistent therapeutic modality. We analysed 18 anal cancer patients treated from 1989 to 1996 at the Department of Surgery, Asan Medical Center, to evaluate two categories of the treatment e.g. initial surgery followed by radiochemotherapy and radiochemotherapy Preceding surgery. The aim of this study is to evaluate the advantage and pitfall of both therapeutic options. Among 18 patients presenting with carcinoma of the anus, the dominant histologic type was squamous followed by cloacogenic and verrucous carcinoma, 72%, 17%, 11% respectively According to the staging system of AJCC/UICC, T1 and T2 were 12 patients, NO were 7 patients. According to the treatment options, abdominoperineal resection preceding radiochemotherapy were performed in 8 patients, Whereas surgery after radiochemo-therapy were in 10 patients. Among the 8 patient with prior surgery, two patients developed recurrent disease and one patient was dead. Among the 10 patient with prior radiochemotherapy, two patients developed recurrent disease and two patients were dead. Histological differentiation of squamous cell carcinoma was significantly related with survival. The metachronous lymph nodes metastasis showed poorer prognosis than the synchronous metastasis. Radiochemotherapy shoud be considered as primary therapy of anal cancer that obviated wide excision sacrificing anorectal function.

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