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  • Title: EPIDEMIOLOGY OF BREAST CANCER IN UKRAINE WITH CONSIDERATION OF THE FACTORS OF THE CHORNOBYL ACCIDENT.
    Author: Prysyazhnyuk AY, Bаzykа DA, Romanenko AY, Fedorenko ZP, Fuzik MM, Gudzenko NA, Trotsyuk NK, Gulak LO, Gorokh EL, Ryzhov AY, Khuryanskaya OM, Danevich SA.
    Journal: Probl Radiac Med Radiobiol; 2019 Dec; 24():150-168. PubMed ID: 31841464.
    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. Meta: otsinka mozhlyvogo vplyvu avariï na Chornobyl's'kiy̆ AES na riven' zakhvoriuvanosti na rak molochnoï zalo- zy u zhinochogo naselennia Ukraïny v tsilomu i v okremykh grupakh postrazhdalykh.Ob’iekt doslidzhennia: zhinoche naselennia Ukraïny v tsilomu i okremi grupy postrazhdalykh – zhinky-uchasnytsi likvi- datsiï naslidkiv avariï (ULNA) u 1986–1987 rr., evakuy̆ovani iz zony vidchuzhennia ta meshkanky nay̆bil'sh zabrud- nenykh radionuklidamy terytoriy̆.Metody doslidzhennia: statystychni, matematychni, kartografichni.Rezul'taty. Potochne doslidzhennia, shcho okhopliuie znachnyy̆ chasovyy̆ period (1976–2016 rr.), vyiavylo stiy̆ku chaso- vu i terytorial'nu aglomeratsiiu oblastey̆ z bil'sh vysokym rivnem zakhvoriuvanosti na rak molochnoï zalozy v pivdennykh i pivdenno-skhidnykh regionakh Ukraïny. Nyzhchyy̆ – u zakhidnykh i pivnichnykh regionakh. Sposterigaiet'sia sta- bil'ne zrostannia rivnia zakhvoriuvanosti, ale v ostanni roky tse zrostannia upovil'nylos'. Epidemiologichna sytu- atsiia shchodo zakhvoriuvanosti na rak molochnoï zalozy zhinochogo naselennia Ukraïny vprodovzh 30 rokiv pislia Chorno- byl's'koï avariï v tsilomu zalyshaiet'sia stabil'noiu. Razom z tym vidmicheno istotne zrostannia chastoty tsiieï pato- logiï v grupakh postrazhdalogo naselennia, osoblyvo zhinok – ULNA.Vysnovky. Vyznachena stiy̆ka aglomeratsiia oblastey̆ z vysokymy rivniamy zakhvoriuvanosti na pivdni ta pivdenno- mu skhodi, nyz'kymy – na zakhodi ta pivnochi kraïny. Dynamika zakhvoriuvanosti na rak molochnoï zalozy v Ukraïni v tsilomu kharakteryzuiet'sia stiy̆kym zrostanniam, khocha v ostanni roky ïï tempy deshcho znyzylys'. Sered okremykh grup naselennia, postrazhdalogo vnaslidok avariï na ChAES (ULNA, evakuy̆ovani zhinky iz zony vidchuzhennia, meshkanky nay̆bil'sh zabrudnenykh radionuklidamy terytoriy̆), til'ky u zhinok-likvidatoriv 1986–1987 rr. uchasti vidmicheno suttieve zrostannia zakhvoriuvanosti na rak molochnoï zalozy, iake perevyshchuie natsional'ni pokaznyky u 1,3–1,6 raza.
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