50歳未満でがんの発症率が上昇中(Incidence rates of some cancer types have risen in people under age 50)

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2025-05-08 アメリカ国立衛生研究所(NIH)

米国国立がん研究所(NCI)の調査によると、2010〜2019年の間に50歳未満の人々で14種のがんの発症率が増加し、特に乳がん、大腸がん、腎臓がん、子宮がんが顕著だった。若年層のがん患者の63%が女性である。大腸がんや子宮がんなど一部のがんでは死亡率も上昇しており、肥満や食生活の変化、出産年齢の高齢化が要因と考えられる。一方、肺がんや前立腺がんなど19種では減少傾向が見られた。大腸がん検診開始年齢の引き下げなど、若年層への対策が進んでいる。

<関連情報>

米国における早期発症および高齢発症年齢層のがん罹患率および死亡率の傾向(2010~2019年) Trends in Cancer Incidence and Mortality Rates in Early-Onset and Older-Onset Age Groups in the United States, 2010–2019

Meredith S. Shiels;Anika T. Haque;Amy Berrington de González;M. Constanza Camargo;Megan A. Clarke;Brittny C. Davis Lynn;Eric A. Engels;Neal D. Freedman;Gretchen L. Gierach;Jonathan N. Hofmann;Rena R. Jones;Erikka Loftfield;Rashmi Sinha;Lindsay M. Morton;Stephen J. Chanock
Cancer Discovery  Published:May 08 2025
DOI:https://doi.org/10.1158/2159-8290.CD-24-1678

Abstract

We estimated age-standardized cancer incidence (2010–2019) and mortality rates (2010–2022) in the United States to investigate whether cancer rates have increased at younger ages. Fourteen cancers had incidence rates that increased in at least one early-onset age group (i.e., 15–29-, 30–39-, and 40–49-year-olds)—9 of these also increased in at least one older-onset age group (i.e., 50–59, 60–69, and 70–79; i.e., female breast, colorectal, kidney, testicular, uterine and pancreatic cancers, and several lymphoid neoplasms). The largest absolute increases in 2019 compared with expected diagnoses based on 2010 rates were female breast (n = 4,834 additional cancers), colorectal (n = 2,099), kidney (n = 1,793), and uterine cancers (n = 1,209). Although there were not concomitant increases in mortality rates for most cancers, colorectal, uterine, and testicular cancer mortality rates increased in early-onset age groups. The drivers of increasing incidence rates are cancer-specific and could include a combination of established and perhaps new etiologic factors, and increased detection.

Significance:

In the United States, incidence rates of some cancers have increased in early-onset age groups. For many of these cancers, rates have also increased in older-age groups, suggesting that the impact of changes in risk factor prevalence and/or improvements in detection could affect risk across the age range.

医療・健康
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