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British Medical Bulletin 52:887-897 (1996)
© 1996 The British Council

research-article

Cancer in adolescence

Ian J Lewis

Department of Paediatric Oncology and Haematology, St James's University Hospital Leeds, UK

Dr Ian J Lewis, Department of Paediatric Oncology and Haematology, St James's University Hospital, Beckett Street, Leeds LS9 7TF, UK.

Abstract

Adolescence is a flexible concept reflecting specific developmental tasks but broadly encompassing individuals in their leens and early twenties. Comparison of published data from cancer registries demonstrates that the incidence of cancer (rate/106/year) increases through the 5 year age bands 10–14 (range 100–130.1 for males, 80–115.3 for females), 15–19 (range 154.3–220.7 for males, 127–206.7 for females) and 20–24 (229 for males, 313 for females). Leukaemia and central nervous system fumours predominate in the 10–14 year group but during mid and late adolescence lymphomas become the main single tumour group and epithelial cancers become increasingly common, Arguments are presented for the formation of specialised adolecent cancer units based on the premise that centralisation of care would lead to improved treatment and survival. The physical, psychological, social and educational needs of adolescents are best served by the expertise of a single multidisciplinary team.


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