Abstract
Constituting 25–30 % of all head and neck cancer cases, laryngeal carcinoma is the most prevalent entity. Major risk factors of laryngeal cancer are smoking and excessive alcohol consumption. This study presents the recent developments in the incidence of laryngeal cancer from 1998 to 2011 in Germany. Laryngeal carcinoma was identified using International Statistical Classification of Diseases and Related Health Problems (ICD10) from German population-based cancer registries. The incidence was provided by the Robert Koch Institute, and the mortality data were derived from German death statistics for further evaluation. Both descriptive and analytical analyses were conducted. From 1998 to 2011, a total of 14,847 laryngeal carcinoma cases were reported, in 13,195 men and 1652 women. Glottic carcinoma represented the main entity, constituting 69 % of male cases and 50 % of female cases. For men, a decline in incidence was observed starting in 2006. The incidence rate for women remained stable for the period of observation. The incidence of laryngeal cancer resembles the development of smoking behaviour in Germany. To maintain the positive trend of the male population and to reduce the incidence in women, it is crucial to continue and to improve the prevention of smoking campaigns in Germany.
Similar content being viewed by others
References
Strutz J, Mann W (2001) Praxis der HNO-Heilkunde, Kopf- und Halschirurgie, 2. Georg Thieme Verlag
ICD-10-GM Version 2015 [Internet]. Available from: DMDI Deutsches Institut für medizinische Information und Dokumentation; 2014. http://www.dimdi.de/static/de/klassi/icd-10-gm/kodesuche/onlinefassungen/htmlgm2015/block-c30-c39.htm. abgerufen am 29 Sept 2014
Boffetta P, Hashibe M (2006) Alcohol and cancer. Lancet Oncol 7(2):149–156
Pantel M, Guntinas-Lichius O (2012) Laryngeal carcinoma: epidemiology, risk factors and survival. Hno 60(1):32–40
Hashibe M, Brennan P, Benhamou S, Castellsague X, Chen C, Curado MP et al (2007) Alcohol drinking in never users of tobacco, cigarette smoking in never drinkers, and the risk of head and neck cancer: pooled analysis in the International Head and Neck Cancer Epidemiology Consortium. J Natl Cancer Inst 99(10):777–789
Altieri A, Garavello W, Bosetti C, Gallus S, La Vecchia C (2005) Alcohol consumption and risk of laryngeal cancer. Oral Oncol 41(10):956–965
Maier H, Dietz A, Gewelke U, Heller WD, Weidauer H (1992) Tobacco and alcohol and the risk of head and neck cancer. Clin Investig 70(3–4):320–327
Torrente MC, Rodrigo JP, Haigentz M Jr, Dikkers FG, Rinaldo A, Takes RP et al (2011) Human papillomavirus infections in laryngeal cancer. Head Neck 33(4):581–586
Pritzkuleit R, Beske F, Katalinic A (2010) Demographic change and cancer. Onkologie 33(Suppl 7):19–24
Krebs in Deutschland 2007/2008. 8 Ausgabe. Robert Koch-Institut (Hrsg) und die Gesellschaft der epidemiologischen Krebsregister in Deutschland e.V. (Hrsg). Berlin, 2012
Reizenstein JA, Bergstrom SN, Holmberg L, Linder A, Ekman S, Blomquist E et al (2010) Impact of age at diagnosis on prognosis and treatment in laryngeal cancer. Head Neck 32(8):1062–1068
Brandstorp-Boesen J, Falk RS, Boysen M, Brondbo K (2014) Long-term trends in gender, T-stage, subsite and treatment for laryngeal cancer at a single center. Eur Arch Oto-Rhino-Laryngol 271(12):3233–3239
Ndiaye C, Mena M, Alemany L, Arbyn M, Castellsague X, Laporte L et al (2014) HPV DNA, E6/E7 mRNA, and p16INK4a detection in head and neck cancers: a systematic review and meta-analysis. Lancet Oncol 15(12):1319–1331
Raitiola H, Pukander J (2000) Symptoms of laryngeal carcinoma and their prognostic significance. Acta Oncol 39(2):213–216
Hansen O, Larsen S, Bastholt L, Godballe C, Jorgensen KE (2005) Duration of symptoms: impact on outcome of radiotherapy in glottic cancer patients. Int J Radiat Oncol Biol Phys 61(3):789–794
Bahar G, Nageris BI, Spitzer T, Popovtzer A, Mharshak G, Feinmesser R (2002) [Subglottic carcinoma]. Harefuah 141(10):914–8, 29
Werner JA, Dunne AA, Myers JN (2003) Functional anatomy of the lymphatic drainage system of the upper aerodigestive tract and its role in metastasis of squamous cell carcinoma. Head Neck 25(4):322–332
Cancer Research UK [Internet]. London: Laryngeal cancer statistics (2014). http://www.cancerresearchuk.org/cancer-info/cancerstats/types/larynx/?script=true
Netherlands Cancer Registry [Internet]. Laryngeal cancer statistics (2014). http://www.dutchcancerfigures.nl/selecties/Dataset_3/img54d89aa75777a
SEER Cancer Statistics Factsheets: Larynx Cancer. National Cancer Institute. Bethesda, MD. http://seer.cancer.gov/statfacts/html/laryn.html
NORDCAN: Cancer incidence and mortality in the Nordic countries 2014. http://www-dep.iarc.fr/NORDCAN/english/frame.asp
Kraus L, Piontek D (2013) Epidemiologischer Suchtsurvey 2012 [2012 Epidemiological Survey of Substance Abuse]. Sucht 59(6):309–366
Office for National Statistics. Smoking and drinking among adults (2005) In: Goddard E (ed) Office of National Statistics, Crown Copyright; 2006
Volzke H, Neuhauser H, Moebus S, Baumert J, Berger K, Stang A et al (2006) Urban-rural disparities in smoking behaviour in Germany. BMC public Health 6:146
Acknowledgments
This study used data from the German Centre for Cancer Registry Data. The interpretation and reporting of the data are the sole responsibility of the authors. We thank Nina Buttmann-Schweiger and Dr. Klaus Kraywinkel at the German Centre for Cancer Registry Data for their kind assistance regarding data extraction and for providing valuable comments on the manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that there are no conflicts of interest.
Rights and permissions
About this article
Cite this article
Peller, M., Katalinic, A., Wollenberg, B. et al. Epidemiology of laryngeal carcinoma in Germany, 1998–2011. Eur Arch Otorhinolaryngol 273, 1481–1487 (2016). https://doi.org/10.1007/s00405-016-3922-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-016-3922-8