Radiation Oncology Chulolongkorn University
Epidemiology
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ÍàÁÃÔ¡Ò ÁÕ¼Ùé»èÇ´éÇÂâä¹Õé»ÃÐÁÒ³ 150,000 ÃÒµèÍ»Õ ¤Ô´à»ç¹ 15% ¢Í§¼Ùé»èÇ·Ñé§ËÁ´ ÊÓËÃѺ»ÃÐà·Èã¹·ÇÕ»àÍà«ÕÂáÅÐÍÑ¿ÃÔ¡Ò ÁÕÍØºÑµÔ¡Òóì¢Í§ÁÐàÃç§ÅÓäÊéãËèµèÓ¡ÇèÒ»ÃÐà·ÈµÐÇѹµ¡ ·Õè¹èÒʹ㨤×͵Óá˹觡ÒÃà»ç¹¢Í§âäÁÐàÃç§ÁÕ¡ÒÃà»ÅÕè¹á»Å§ä»¨Ò¡à´ÔÁ¤×Í à´ÔÁ¾º·ÕèÅÓäÊéãËèÊèǹ»ÅÒ (Recto-sigmoid Colon) ä´é¤èÍ æ àÅ×è͹仾ºÇèÒÁÒ¡¢Öé¹·ÕèÅÓäÊéãËèÊèǹµé¹ (Proximal Colon)2,3 ÁÐàÃç§ÅÓäÊéãË辺ÁÒ¡ã¹»ÃÐà·È·Õè¾Ñ²¹ÒáÅéÇ (¡àÇé¹»ÃÐà·ÈÕè»Øè¹«Öè§¾º¹éÍÂÁÒ¡)4
¼ÙéªÒ¾ºÁÒ¡¡ÇèÒ¼ÙéËÔ§»ÃÐÁÒ³ 1.1-1.4 µèÍ 1.0 ã¹»ÃÐà·ÈÊËÃѰÍàÁÃÔ¡Ò¾ºÇèҾǡ·Õè¹Ñº¶×Í
ÈÒʹҤÃÔʵì¹Ô¡Ò Seventh-Day Adventists áÅÐ Mormons ÁÕÍØºÑµÔ¡Òóì¢Í§ÁÐàÃç§ÅÓäÊéãËèµèÓàª×èÍÇèÒà¡Ô´¨Ò¡¡ÒÃÅÐàÇé¹ ¡Òô×èÁÊØÃҢͧÁÖ¹àÁÒ äÁèÊÙººØËÃÕè áÅÐÃѺ»ÃзҹÍÒËÒ÷ÕèÁÕä¢ÁѹµèÓáÅÐÁÕàÊé¹ãÂÁÒ¡ (Dietary Fiber)1,5
¡Ò÷Õ褹ä·ÂàÃÔèÁÁÕ¡ÒôÓà¹Ô¹ªÕÇÔµáÅСÒÃÃѺ»ÃзҹÍÒËÒÃẺµÐÇѹµ¡ «Öè§»ÃСͺ´éÇÂÍÒËÒÃä¢ÁѹÊÙ§ à¹×éÍÊѵÇìÁÒ¡ áÅÐàÊé¹ãµèÓ ·ÓãËéÍØºÑµÔ¡Òóì¢Í§âä¹Õéà¾ÔèÁÊÙ§¢Öé¹ â´Â੾ÒÐ㹪¹ªÑ鹡ÅÒ§áÅмÙéÁÕ°Ò¹Ð´Õ ¨Ò¡Ê¶ÔµÔâäÁÐàÃ秢ͧâç¾ÂÒºÒŨØÌÒŧ¡Ã³ì µÑé§áµè ¾.È. 2530 -
2536 ¾ºÁÐàÃ秢ͧÅÓäÊéãËèä´éµÑé§áµè 110-174 ÃÒµèÍ»Õ «Öè§¾ººèÍÂà»ç¹Íѹ´Ñº·Õè 3 ¶Ö§ 5 ËÃ×Í»ÃÐÁÒ³ 5.3%-7.4% ¢Í§ÁÐàÃç§·Ñé§ËÁ´ â´Â¾ºÍѵÃÒÊèǹ¢Í§ÁÐàÃç§ Colon cancer µèÍ Rectal cancer µÑé§áµè 0.67:1 ¶Ö§ 1.04:1 «Öè§ÊèǹãËè¨Ð¾ºÍغѵԡÒóì¢Í§ Colon cancer ã¡Åéà¤Õ§¡Ñº Rectal cancer (µÒÃÒ§·Õè 1) ¾ÂÒ¸ÔÊÀÒ¾·Õ辺ÊèǹãËè»ÃÐÁÒ³ 90% à»ç¹ adenocarcinoma Êèǹ¹éÍÂà»ç¹ mucinous adenocarcinoma, signet ring cell carcinoma, undifferentiated carcinoma
áÅÐÍ×è¹ æ6
µÒÃÒ§·Õè 1 áÊ´§ÍغѵԡÒóìÁÐàÃç§ÅÓäÊéãËèÊèǹµé¹ (colon cancer) à·Õº¡ÑºÁÐàÃç§ÅÓäÊéãËè
Êèǹ»ÅÒ (rectal cancer) ¢Í§¼Ùé»èÇÂã¹âç¾ÂÒºÒŨØÌÒŧ¡Ã³ì µÑé§áµè»Õ ¾.È. 2530 ¶Ö§»Õ 2536
Diseases |
2530 |
2531 |
2532 |
2533 |
2534 |
2535 |
2536 |
Colon Cancer |
56 |
60 |
56 |
57 |
75 |
84 |
79 |
Rectal Cancer |
54 |
69 |
84 |
70 |
76 |
90 |
82 |
Colon : Rectal |
1.04:1 |
0.87:1 |
0.67:1 |
0.81:1 |
1:1 |
0.93:1 |
0.69:1 |
Total |
110 |
129 |
140 |
127 |
151 |
174 |
161 |
Anatomy |
|
Etiology of Colorectal Cancer |
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ÁÐàÃç§ÅÓäÊéãËè |
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Last modified on 25 October 1996