© 1989 by Oxford University Press
Journal of the National Cancer Institute, Vol. 81, No. 23, 1828-1831,
December 6, 1989
© 1989 Oxford University Press
Differences in Incidence Rates of Cancers of the Respiratory Tract by Anatomic Subsite and Histologic Type: An Etiologic Implication
Division of Epidemiology, Cancer Control Agency of British Columbia Vancouver, BC, Canada
Department of Epidemiology, School of Public Health and Community Medicine, University of Washington Seattle, WA
Division of Public Health Sciences, Fred Hutchinson Cancer Research Center Seattle, WA
Department of Aeronautics and Astronautics, University of Washington Seattle, WA
*Correspondence to: Dr. C. Paul Yang, Division of Epidemiology, Cancer Control Agency of British Columbia, 600 W. 10th Ave., Vancouver, BC, Canada V5Z 4E6.
Data from nine population-based cancer registries participating in the Surveillance, Epidemiology, and End Results Program (1973–1982) were analysed to determine whether the incidence of different histologic types of respiratory tract cancers varies by anatomic location. The variation in cancer incidence among respiratory tract subsites was remarkable for squamous cell carcinoma, but the variation was less prominent for adenocarcinoma. The rates of squamous cell carcinoma and adenocarcinoma along the airways correspond closely with the deposition pattern of large and the small smoke particles, respectively. Also, the rates of adenocarcinoma parallel the distribution of surface glandular cells of the respiratory tract. Our results support the hypothesis that anatomy and physiology, in conjunction with size of particles inhaled cigarette smoke, play an important role in the genesis of specific histologic types of respiratory tract cancers. [J Natl Cancer Inst 81:1828–1831, 1989]
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