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Prysyazhnyuk AY, Bаzykа DA, Romanenko AY, Fedorenko ZP, Fuzik MM, Gudzenko NA, Trotsyuk NK, Gulak LO, Gorokh EL, Ryzhov AY, Khuryanskaya OM, Danevich SA. EPIDEMIOLOGY OF BREAST CANCER IN UKRAINE WITH CONSIDERATION OF THE FACTORS OF THE CHORNOBYL ACCIDENT. Probl Radiac Med Radiobiol 2020; 24:150-168. [PMID: 31841464 DOI: 10.33145/2304-8336-2019-24-150-168] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Indexed: 12/24/2022]
Abstract
OBJECTIVE Assessment of the possible impact of the Chornobyl accident on the incidence of breast cancer in the female population of Ukraine as a whole and in some affected groups. OBJECT OF THE STUDY The female population of Ukraine as a whole and in separate groups of victims - women par- ticipating in the clean-up works in 1986-1987, evacuaees from the exclusion zone and inhabitants of the territo- ries most contaminated with radionuclides. METHODS Statistical, mathematical, cartographic. RESULTS This study, covering a significant period of time (1976-2016), revealed a steady temporal and territorial agglomeration of regions with a higher incidence of breast cancer in the southern and south-eastern regions of Ukraine. Lower - in the western and northern regions. There is a steady increase in the incidence rate, but in recent years this growth has slowed down. The epidemiological situation regarding the incidence of breast cancer in the female population of Ukraine during the 30 years after the Chornobyl accident is generally stable. At the same time, a marked increase in the frequency of this pathology in the groups of the affected population, especially in women, participated in clean-up works in 1986-1987. CONCLUSIONS A stable agglomeration of regions with high levels of incidence in the south and south-east, and low in the west and north of the country is determined. The dynamics of breast cancer in Ukraine as a whole is characterized by steady growth, although in recent years its pace has slightly decreased. Among the individual population groups affected by the Chornobyl catastrophe (female liquidators, evacuated women from the exclusion zone, residents of the most contaminated with radionuclides territories) only among female liquidators of 1986-1987 the significant in- crease was observed in the incidence of breast cancer, which exceeds the national indicators at 1.3-1.6 times.
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Affiliation(s)
- A Ye Prysyazhnyuk
- State Institution «National Research Center for radiation Medicine of the National Academy of medical Sciences of Ukraine», 53 Yuriia Illienka St., Kyiv, 04050, Ukraine
| | - D A Bаzykа
- State Institution «National Research Center for radiation Medicine of the National Academy of medical Sciences of Ukraine», 53 Yuriia Illienka St., Kyiv, 04050, Ukraine
| | - A Yu Romanenko
- State Institution «National Research Center for radiation Medicine of the National Academy of medical Sciences of Ukraine», 53 Yuriia Illienka St., Kyiv, 04050, Ukraine
| | - Z P Fedorenko
- National Cancer Institute, 33/43 Lomonosova St., Kyiv, 03022, Ukraine
| | - M M Fuzik
- State Institution «National Research Center for radiation Medicine of the National Academy of medical Sciences of Ukraine», 53 Yuriia Illienka St., Kyiv, 04050, Ukraine
| | - N A Gudzenko
- State Institution «National Research Center for radiation Medicine of the National Academy of medical Sciences of Ukraine», 53 Yuriia Illienka St., Kyiv, 04050, Ukraine
| | - N K Trotsyuk
- State Institution «National Research Center for radiation Medicine of the National Academy of medical Sciences of Ukraine», 53 Yuriia Illienka St., Kyiv, 04050, Ukraine
| | - L O Gulak
- National Cancer Institute, 33/43 Lomonosova St., Kyiv, 03022, Ukraine
| | - E L Gorokh
- National Cancer Institute, 33/43 Lomonosova St., Kyiv, 03022, Ukraine
| | - A Yu Ryzhov
- Taras Shevchenko National University of Kyiv, 60 Volodymyrska St., Kyiv, 01033, Ukraine
| | - O M Khuryanskaya
- State Institution «National Research Center for radiation Medicine of the National Academy of medical Sciences of Ukraine», 53 Yuriia Illienka St., Kyiv, 04050, Ukraine
| | - S A Danevich
- State Institution «National Research Center for radiation Medicine of the National Academy of medical Sciences of Ukraine», 53 Yuriia Illienka St., Kyiv, 04050, Ukraine
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