AUTHOR=Li Qingguo , Mo Shaobo , Dai Weixing , Li Yaqi , Xu Ye , Li Xinxiang , Cai Guoxiang , Cai Sanjun 

TITLE=Changes in Incidence and Survival by Decade of Patients With Primary Colorectal Lymphoma: A SEER Analysis

JOURNAL=Frontiers in Public Health

VOLUME=Volume 8 - 2020

YEAR=2020

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2020.486401

DOI=10.3389/fpubh.2020.486401

ISSN=2296-2565

ABSTRACT=Purpose: To reveal changes in the incidence, treatment, and survival of patients with colorectal lymphoma.
Methods: Patients diagnosed with primary colorectal lymphoma (PCL) or lymphoma between 1973 and 2014 were identified in the SEER registry. The incidence was estimated by age and joinpoint analysis. The incidence of different subtypes and the surgical resection rates were compared over different time periods.
Results: The PCL incidence increased from 1.4 per 1 000 000 people in 1973 to 3.5 in 2014, with an annual percentage change (APC) of 1.98% (95% confidence interval [CI]: 1.29% to 2.68%, P <0.001) from 1985 to 2014. No statistically significant change was found between 1973 and 1984. For people younger than 60 years, there was a slight increase in PCL incidence, from 0.6% to 1.4%, from 1973 to 2014. For people age 60 or older, there was a statistically significant increase in PCL incidence from 5.4% to 14.1% over the same time period. The five-year cause-specific survival (CSS) for PCL improved markedly from 41.6% in the period 1973-1976 to 80.2% in the period 2009-2012 (P<0.001). Conversely, the proportion of patients who received surgical therapy decreased gradually from 83.3-100% to 47.7-52.6% throughout the studied time period.
Conclusions: The incidence of PLC has increased in recent decades. The 5-year CSS of PCL increased continuously, while the rate of surgical resection decreased steadily. These changes in survival trends and therapy strategies indicate that PCL can be well-managed with newer therapeutic reagents.