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"resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Determinar la incidencia del cáncer de vejiga en la comarca del Vallès Occidental (Barcelona), describir sus características histopatológicas y comparar su incidencia con la de otras áreas españolas y europeas.</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron los casos nuevos de cáncer de vejiga diagnosticados entre 1992 y 1994 en el Vallès Occidental, área muy industrializada de Cataluña (España). Se ajustaron por edad las tasas de incidencia y se compararon con las de los datos publicados en los registros de otras áreas españolas y europeas.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se identificaron 485 casos de cáncer de vejiga, el 95,5% de los cuales eran carcinomas de células transicionales. La mayoría de los tumores (75,9%) eran superficiales y tenían un grado de diferenciacón I o II (62,6%). El cáncer de vejiga fue más frecuente en los varones. Las mujeres presentaron tumores de peor pronóstico y una edad media en el momento del diagnóstico significativamente superior a la de los varones (71 frente a 66 años; p = 0,03). La tasa de incidencia ajustada para los varones (52,2 casos/100.000) fue de las más altas, mientras que en las mujeres (5,4 casos/ 100.000) fue relativamente baja.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La incidencia de cáncer de vejiga en la población del Vallès Occidental se encuentra para los varones entre las más altas de Europa, y en cambio para las mujeres ocupa un lugar bajo. La elevada razón varón/mujer observada podría ser debida a que las mujeres españolas han estado menos expuestas a los factores de riesgo, o bien lo han hecho más recientemente.</p>"
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"resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To identify all incident cases of bladder cancer in the county of Vallès Occidental (Spain), describe their histopathological characteristics, and make comparisons with other Spanish and European areas.</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The study was carried out from the Corporació Parc Taulí (Sabadell). All new cases of bladder cancer in residents of the county Vallès Occidental, a highly industrialised area of Catalonia (Spain), were included between 1992 and 1994. Incidence rates of bladder cancer were adjusted and were compared with adjusted incidence rates reported by registries in other Spanish and European countries.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">485 new cases were identified. Transitional cell carcinomas predominated (95.5%). The majority of tumours were diagnosed in their initial stages, 75.9% being superficial and 62.6% well to moderately differentiated. Bladder cancer was more common in men than in women, but women presented tumours of worse prognosis. The mean age at diagnosis was also higher in women than men (71 vs. 66 years, p = 0.03). The adjusted incidence rate in men (52.2 cases/100,000) was among the highest of the observed areas, whereas for women (5.4 cases/100,000) was relatively low.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The incidence of bladder cancer among men in Vallès Occidental is among the highest in Europe, and intermediate for women. The high male/female ratio seen in all Spanish areas could be attributed to the fact that women in Spain have been less exposed than men to the risk factors, or their exposure occurred more recently.</p>"
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