In Europe, the squamous cell carcinoma is the most frequent non-small
cell lung cancer (NSCLC) subtype and until now, no increase in inciden
ce of lung adenocarcinoma (ADC) has been described (except in the Neth
erlands), in contrast to North America where ADC predominates. Our aim
was to compare the percentage of ADC in Montreal (MTL), Canada, with
that in Strasbourg (STBG), France. We prospectively identified patient
s with NSCLC in MTL and in STBG over an 8-month period and described t
he distribution of NSCLC by sex, age, subtype and smoking history. A t
otal of 172 patients in MTL and 166 in STBG were identified. The male/
female ratio was significantly different in STBG (12:1) and in MTL (2:
1). The percentage of ADC was significantly higher in MTL (40%) than i
n STBG (30%). This difference is partly due to the higher number of wo
men with NSCLC in Montreal combined with the predominance of ADC in wo
men. The proportion of ADC decreased with age in STBG, but was similar
in each age category in MTL. In STBG, most women with NSCLC had never
smoked (69%), in contrast to MTL where only 16% of women had never sm
oked. In conclusion, ADC is more frequent in MTL than in STBG. This is
partly due to the higher number of women with NSCLC in MTL combined w
ith the predominance of ADC in women. The greatest proportion of ADC s
ubtype in the youngest cohorts of men in STBG suggests that ADC may be
on the rise in this city. (C) 1997 Elsevier Science Ireland Ltd.