OBJECTIVE: Our goal was to use population-based data to determine the diffe
rence in 5-year survival in women diagnosed with cervical cancer between th
ose aged 18-34 years and those aged 40-60 years.
STUDY DESIGN: The SEER (Surveillance, Epidemiology, and End Results) public
-use database, 1973-1994, was used for this investigation. Only subjects wi
th cervical carcinoma diagnosed between 1988 and 1990 were included. Subjec
ts were stratified on age at diagnosis (<35 years or 40-60 years), clinical
stager histologic type, race-ethnicity, and grade.
RESULTS: Two thousand cases of invasive cervical cancer were identified. Th
e younger subgroup of pa patients was diagnosed with earlier-stage disease
more frequently than the older group (P=.0001). When adjustments were made
for nan-cervical cancer causes of death, there was no difference in 5-year
survival between the 2 cohorts. African American women had a poorer 5-year
CONCLUSION: There was no overall difference in survival between the 2 cohor
ts when appropriate adjustments were made for cause of death and for stage,
histologic type, and grade of disease.