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https://hdl.handle.net/2440/56238
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Type: | Journal article |
Title: | A cluster of vulvar cancer and vulvar intraepithelial neoplasia in young Australian Indigenous women |
Author: | Condon, J. Rumbold, A. Thorn, J. O'Brien, M. Davy, M. Zardawi, I. |
Citation: | Cancer Causes and Control, 2009; 20(1):67-74 |
Publisher: | Kluwer Academic Publ |
Issue Date: | 2009 |
ISSN: | 0957-5243 1573-7225 |
Statement of Responsibility: | John R. Condon, Alice R. Rumbold, Jane C. Thorn, Margaret M. O’Brien, Margaret J. Davy and Ibrahim Zardawi |
Abstract: | Objective: To describe the epidemiological features of a possible disease cluster of vulvar cancer and pre-cancers in Australian Indigenous women living in the Northern Territory (NT) of Australia. Methods: We identified NT-resident women with a confirmed histological diagnosis of vulvar cancer or high-grade vulvar intraepithelial neoplasia (VIN) between 1 January 1996 and 31 December 2005. Results: Seventy-one women were identified; 32 diagnosed with vulvar cancer and 39 with high-grade VIN. Most women diagnosed were Indigenous, aged less than 50 years and living in remote communities in the East Arnhem (EA) district, on the north-east coast of the NT. The age-adjusted incidence rate of vulvar cancer in EA Indigenous women aged 0–49 years was 31.1 per 100,000 (95% CI 13.1–49.1), over 50 times higher than the national Australian rate (0.4 per 100,000, 95% CI 0.4–0.5) for the same age-group. In the age-group of 0–49 years, the age-adjusted incidence rate of VIN for EA Indigenous women was 34.7 per 100,000 (95% CI 15.2–54.3), compared with 6.7 per 100,000 (95% CI 2.0–11.4) for Indigenous women living elsewhere in the Top End of the NT. Conclusion: These data provide evidence of a geographic cluster of vulvar cancer in remote Indigenous communities in northern Australia. |
Keywords: | Vulvar neoplasms Ethnology Incidence |
DOI: | 10.1007/s10552-008-9218-6 |
Published version: | http://dx.doi.org/10.1007/s10552-008-9218-6 |
Appears in Collections: | Aurora harvest 5 Obstetrics and Gynaecology publications |
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