Document Detail


Plasmacytoma of bone, extramedullary plasmacytoma, and multiple myeloma: incidence and survival in the United States, 1992-2004.
MedLine Citation:
PMID:  19016727     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Population-based plasmacytoma incidence and survival data are sparse. We analyzed incidence rates (IRs), IR ratios (IRRs), and 5-year relative survival for plasmacytoma overall and by site -- bone (P-bone) and extramedullary (P-extramedullary) -- in the Surveillance, Epidemiology and End Results (SEER) Program (1992-2004). For comparison, we included cases of multiple myeloma (MM) diagnosed over the same time period in SEER. Incidence of MM (n = 23,544; IR 5.35/100,000 person-years) was 16-times higher than plasmacytoma overall (n = 1543; IR = 0.34), and incidence of P-bone was 40% higher than P-extramedullary (P < 0.0001). The male-to-female IRRs for P-bone, P-extramedullary, and MM were 2.0, 2.6, and 1.5, respectively. For plasmacytoma and MM, IRs were highest in Blacks, intermediate in Whites, and lowest in Asian/Pacific Islanders. Compared with Whites, the Black IR was approximately 30% higher for P-extramedullary and P-bone and 120% higher for MM. IRs for all neoplasms increased exponentially with advancing age, less prominently at older ages for plasmacytoma than MM. Distinct age, gender, and race incidence patterns of plasma cell disorders suggest underlying differences in clinical detection, susceptibility, disease biology and/or aetiological heterogeneity. Five-year relative survival for P-bone, P-extramedullary, and MM varied significantly by age (<60/60+ years), supporting age-related differences in disease burden at presentation, disease biology, and/or treatment approaches.
Authors:
Graça M Dores; Ola Landgren; Katherine A McGlynn; Rochelle E Curtis; Martha S Linet; Susan S Devesa
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Intramural; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2008-11-11
Journal Detail:
Title:  British journal of haematology     Volume:  144     ISSN:  1365-2141     ISO Abbreviation:  Br. J. Haematol.     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-17     Completed Date:  2009-02-20     Revised Date:  2010-09-23    
Medline Journal Info:
Nlm Unique ID:  0372544     Medline TA:  Br J Haematol     Country:  England    
Other Details:
Languages:  eng     Pagination:  86-94     Citation Subset:  IM    
Affiliation:
Department of Veterans Affairs Medical Center, Medical Service, Oklahoma City, OK 73104, USA. doresg@mail.nih.gov
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Distribution
Aged
Aged, 80 and over
Bone Neoplasms / epidemiology*,  mortality
Confidence Intervals
Ethnic Groups
Female
Humans
Incidence
Male
Middle Aged
Mouth Neoplasms / epidemiology,  mortality
Multiple Myeloma / epidemiology,  mortality
Neoplasms, Plasma Cell / epidemiology*,  mortality
Pharyngeal Neoplasms / epidemiology,  mortality
Plasmacytoma / epidemiology,  mortality
Respiratory Tract Neoplasms / epidemiology,  mortality
Sex Distribution
Survival Rate
United States / epidemiology
Grant Support
ID/Acronym/Agency:
Z01 CP010183-05/CP/NCI NIH HHS
Comments/Corrections
Comment In:
Br J Haematol. 2009 May;145(4):540-2   [PMID:  19298587 ]

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