Low Incidence of Cancer Recorded in the Galapagos Archipelago

ABSTRACT Background Cancer incidence in the Galapagos archipelago is unknown. Aim In 2021, a task force including Ecuadorian and Italian researchers was established to estimate cancer incidence among the 25 244 Galapagos residents. Methods Registration covered all malignancies, including malignant m...

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Main Authors: Stefano Nicolas Chisesi, Massimo Rugge, Giulia Raffaella Galli, Martina Manni, Veronica Mishell Luzuriaga Delgado, Teodoro Chisesi, Juan Carlos Ruiz, Rina Mariuxi Quinto Briones, Luisa Siculella, Stefano Guzzinati, Manuel Zorzi, Massimo Federico, Anna Iannone
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Cancer Reports
Subjects:
Online Access:https://doi.org/10.1002/cnr2.70028
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author Stefano Nicolas Chisesi
Massimo Rugge
Giulia Raffaella Galli
Martina Manni
Veronica Mishell Luzuriaga Delgado
Teodoro Chisesi
Juan Carlos Ruiz
Rina Mariuxi Quinto Briones
Luisa Siculella
Stefano Guzzinati
Manuel Zorzi
Massimo Federico
Anna Iannone
author_facet Stefano Nicolas Chisesi
Massimo Rugge
Giulia Raffaella Galli
Martina Manni
Veronica Mishell Luzuriaga Delgado
Teodoro Chisesi
Juan Carlos Ruiz
Rina Mariuxi Quinto Briones
Luisa Siculella
Stefano Guzzinati
Manuel Zorzi
Massimo Federico
Anna Iannone
author_sort Stefano Nicolas Chisesi
collection DOAJ
description ABSTRACT Background Cancer incidence in the Galapagos archipelago is unknown. Aim In 2021, a task force including Ecuadorian and Italian researchers was established to estimate cancer incidence among the 25 244 Galapagos residents. Methods Registration covered all malignancies, including malignant melanoma and non‐melanoma skin cancers; case recording was based on the International Classification of Diseases for Oncology. The data collection involved an active search across all relevant health institutions on the islands and the mainland. Mortality data were obtained from the Ecuador national mortality registry. Results From January 2013 and December 2019, 174 new cancer cases were recorded, including 134 malignancies (M:F = 58:76) and 40 non‐melanoma skin cancers. The mean age at diagnosis was 48 years for males and 56 years for females. Prostate, gastric, and melanocytic malignancies were most incident among males; breast, thyroid, and cervical cancers prevailed in females. The age‐standardized incidence rates (ASR) were 80.39 for males and 99.24 for females with a mortality‐to‐incidence ratio 0.43. These ASRs were significantly lower than those reported in continental Ecuador and other South American countries. Conclusions This pilot cancer registration initiative in the Galapagos record a low incidence of malignancies and requires validation with temporal expansion of cancer registration. The environmental etiology of some of the most common cancers warrants strategic primary and secondary prevention efforts.
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spelling doaj-art-97fae38e699d4bd2bc666e56716cb4192024-12-30T06:30:32ZengWileyCancer Reports2573-83482024-12-01712n/an/a10.1002/cnr2.70028Low Incidence of Cancer Recorded in the Galapagos ArchipelagoStefano Nicolas Chisesi0Massimo Rugge1Giulia Raffaella Galli2Martina Manni3Veronica Mishell Luzuriaga Delgado4Teodoro Chisesi5Juan Carlos Ruiz6Rina Mariuxi Quinto Briones7Luisa Siculella8Stefano Guzzinati9Manuel Zorzi10Massimo Federico11Anna Iannone12Angela Serra Association for Cancer Research Pierto Baquerizo Moreno, San Cristobal, Galapagos EcuadorDepartment of Medicine (DIMED), Surgical Pathology and Cytopathology Unit University of Padova Padova ItalyDepartment of Biological and Environmental Sciences and Technologies University of Salento Lecce ItalyDepartment of Medical and Surgical Sciences for Children and Adults University of Modena and Reggio Emilia Modena ItalyAngela Serra Association for Cancer Research Pierto Baquerizo Moreno, San Cristobal, Galapagos EcuadorAngela Serra Association for Cancer Research Pierto Baquerizo Moreno, San Cristobal, Galapagos EcuadorUniversity of Specialties Espíritu Santo Guayaquil EcuadorDepartamento de Campaña Preventiva of Guayaquil Guayaquil EcuadorDepartment of Biological and Environmental Sciences and Technologies University of Salento Lecce ItalyVeneto Cancer Registry Azienda Zero of the Veneto Region Padova ItalyVeneto Cancer Registry Azienda Zero of the Veneto Region Padova ItalySurgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine University of Modena and Reggio Emilia Modena ItalySurgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine University of Modena and Reggio Emilia Modena ItalyABSTRACT Background Cancer incidence in the Galapagos archipelago is unknown. Aim In 2021, a task force including Ecuadorian and Italian researchers was established to estimate cancer incidence among the 25 244 Galapagos residents. Methods Registration covered all malignancies, including malignant melanoma and non‐melanoma skin cancers; case recording was based on the International Classification of Diseases for Oncology. The data collection involved an active search across all relevant health institutions on the islands and the mainland. Mortality data were obtained from the Ecuador national mortality registry. Results From January 2013 and December 2019, 174 new cancer cases were recorded, including 134 malignancies (M:F = 58:76) and 40 non‐melanoma skin cancers. The mean age at diagnosis was 48 years for males and 56 years for females. Prostate, gastric, and melanocytic malignancies were most incident among males; breast, thyroid, and cervical cancers prevailed in females. The age‐standardized incidence rates (ASR) were 80.39 for males and 99.24 for females with a mortality‐to‐incidence ratio 0.43. These ASRs were significantly lower than those reported in continental Ecuador and other South American countries. Conclusions This pilot cancer registration initiative in the Galapagos record a low incidence of malignancies and requires validation with temporal expansion of cancer registration. The environmental etiology of some of the most common cancers warrants strategic primary and secondary prevention efforts.https://doi.org/10.1002/cnr2.70028cancer incidencecancer registrationcancer registryGalapagos Islands
spellingShingle Stefano Nicolas Chisesi
Massimo Rugge
Giulia Raffaella Galli
Martina Manni
Veronica Mishell Luzuriaga Delgado
Teodoro Chisesi
Juan Carlos Ruiz
Rina Mariuxi Quinto Briones
Luisa Siculella
Stefano Guzzinati
Manuel Zorzi
Massimo Federico
Anna Iannone
Low Incidence of Cancer Recorded in the Galapagos Archipelago
Cancer Reports
cancer incidence
cancer registration
cancer registry
Galapagos Islands
title Low Incidence of Cancer Recorded in the Galapagos Archipelago
title_full Low Incidence of Cancer Recorded in the Galapagos Archipelago
title_fullStr Low Incidence of Cancer Recorded in the Galapagos Archipelago
title_full_unstemmed Low Incidence of Cancer Recorded in the Galapagos Archipelago
title_short Low Incidence of Cancer Recorded in the Galapagos Archipelago
title_sort low incidence of cancer recorded in the galapagos archipelago
topic cancer incidence
cancer registration
cancer registry
Galapagos Islands
url https://doi.org/10.1002/cnr2.70028
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