Review
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World J Gastroenterol. Sep 14, 2013; 19(34): 5598-5606
Published online Sep 14, 2013. doi: 10.3748/wjg.v19.i34.5598
Epidemiology of esophageal cancer
Yuwei Zhang
Yuwei Zhang, Department of Environmental and Occupational Health, School of Public Health and Health Services, The George Washington University, Washington, DC 20052, United States
Author contributions: Zhang Y solely contributed to this manuscript.
Correspondence to: Yuwei Zhang, MD, PhD, Department of Environmental and Occupational Health, School of Public Health and Health Services, The George Washington University, 2300 I Street NW, Washington, DC 20052, United States. yuwei_zhang@gwu.edu
Telephone: +1-202-9946023 Fax: +1-202-9940011
Received: May 15, 2013
Revised: July 13, 2013
Accepted: July 17, 2013
Published online: September 14, 2013
Processing time: 121 Days and 11.7 Hours
Abstract

Esophageal cancer (EsC) is one of the least studied and deadliest cancers worldwide because of its extremely aggressive nature and poor survival rate. It ranks sixth among all cancers in mortality. In retrospective studies of EsC, smoking, hot tea drinking, red meat consumption, poor oral health, low intake of fresh fruit and vegetables, and low socioeconomic status have been associated with a higher risk of esophageal squamous cell carcinoma. Barrett’s esophagus is clearly recognized as a risk factor for EsC, and dysplasia remains the only factor useful for identifying patients at increased risk, for the development of esophageal adenocarcinoma in clinical practice. Here, we investigated the epidemiologic patterns and causes of EsC. Using population based cancer data from the Surveillance, Epidemiology and End Results Program of the United States; we generated the most up-to-date stage distribution and 5-year relative survival by stage at diagnosis for 1998-2009. Special note should be given to the fact that esophageal cancer, mainly adenocarcinoma, is one of the very few cancers that is contributing to increasing death rates (20%) among males in the United States. To further explore the mechanism of development of EsC will hopefully decrease the incidence of EsC and improve outcomes.

Keywords: Risk factor; Barrett’s esophagus; Cyclin D1 G870A; Esophageal neoplasm; Susceptibility; Polymorphism

Core tip: Here, we investigated the epidemiologic patterns and causes of esophageal cancer. Using population based cancer data from the Surveillance, Epidemiology and End Results Program of the United States; we generated the most up-to-date stage distribution and 5-year relative survival by stage at diagnosis for 1998-2009.