title: Changing pattern of esophageal cancer incidence in New Mexico: a 30-year evaluation.
abstract: OBJECTIVE
  The incidence of esophageal adenocarcinoma has increased over the last 30 years, especially in non-Hispanic whites (nHw). Recent work indicates an increase in Hispanic Americans (HA). It is important to understand the effect of ethnicity on cancer occurrence over a prolonged interval.
  
  
  METHODS
  We searched the New Mexico Tumor Registry for all cases of esophageal cancer from 1 January 1973 to 31 December 2002. Inclusion criteria were histologic diagnosis of adenocarcinoma or squamous cell carcinoma, ethnicity and gender. Incidence rates for both were compared among ethnic groups in 5-year intervals.
  
  
  RESULTS
  Nine hundred eighty-eight patients met the criteria. Esophageal adenocarcinoma incidence rates/100,000 population increased significantly over 30 years; 1973-1977, 0.4 cases; 1978-1982, 0.4 cases; 1983-1987, 0.6 cases; 1988-1992, 1.2 cases, 1993-1997, 1.6 cases and 1998-2002, 2.2 cases; P < 0.001. Squamous cell carcinoma incidence rates remained unchanged during the interval. In nHw and HA, adenocarcinoma incidence rates increased significantly during the study period. In all minority groups, squamous cell carcinoma remained the major type.
  
  
  CONCLUSIONS
  Esophageal adenocarcinoma incidence among nHw and HA increased from 1973 to 2002 in New Mexico. Squamous cell carcinoma remains predominant in minorities. Ethnicity may influence the histology or indicate an increased risk for certain types of esophageal cancer.
authors.affiliation: Division of Gastroenterology, University of Florida Health Science Center/Jacksonville, Suite 300, Jacksonville, FL 32207, USA. kenneth.vega@jax.ufl.edu
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Vega
authors.forename: M Mazen
authors.initials: MM
authors.lastname: Jamal
authors.forename: Charles L
authors.initials: CL
authors.lastname: Wiggins
mesh_terms: D000230:Adenocarcinoma / Q000208:ethnology*; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000208:ethnology*; D004938:Esophageal Neoplasms / Q000208:ethnology*; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007198:Indians, North American / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009516:New Mexico / Q000453:epidemiology; D012042:Registries; D012189:Retrospective Studies; D013997:Time Factors; D044465:White People / Q000706:statistics & numerical data
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