| 夏 亮,孟瑞琳,许燕君.2013年广东省肿瘤登记地区恶性肿瘤发病与死亡分析[J].中国肿瘤,2017,26(11):829-837. |
| 2013年广东省肿瘤登记地区恶性肿瘤发病与死亡分析 |
| Cancer Incidence and Mortality in Cancer Registration Areas of Guangdong Province，2013 |
| 投稿时间：2017-04-17 |
| DOI：10.11735/j.issn.1004-0242.2017.11.A001 |
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| 中文关键词: 肿瘤登记 恶性肿瘤 发病率 死亡率 广东 |
| 英文关键词:cancer registration malignant tumor incidence mortality Guangdong |
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| 中文摘要: |
| 摘 要：［目的］分析2013年广东省肿瘤登记地区恶性肿瘤发病与死亡情况。［方法］收集广东省10个肿瘤登记地区2013年恶性肿瘤发病、死亡以及人口资料，经过严格质控与筛选，纳入8个肿瘤登记地区恶性肿瘤发病与死亡资料，按照地区、性别、年龄分层，计算恶性肿瘤发病与死亡粗率、标化率、累积率（0～74 岁）、年龄别率、地区别率以及前10位恶性肿瘤发病与死亡顺位和构成等，其中分别采用2000 年全国普查标准人口年龄构成、Segi’s世界标准人口年龄构成计算标化率。［结果］ 2013年广东省肿瘤登记地区粗发病率为260.28/10万，中标发病率为212.96/10万，世标发病率为207.11/10万，城市地区恶性肿瘤发病率高于农村地区，恶性肿瘤年龄别发病率在40岁以前处于较低水平，然后快速上升，在80～84岁达到发病高峰，主要恶性肿瘤发病顺位依次为女性乳腺癌、肺癌、结直肠癌、肝癌、甲状腺癌，前10位恶性肿瘤占全部恶性肿瘤发病的72.20%；2013年广东省肿瘤登记地区恶性肿瘤粗死亡率为152.81/10万，中标死亡率为104.56/10万，世标死亡率为103.24/10万，城市地区恶性肿瘤死亡率高于农村地区，恶性肿瘤年龄别死亡率在0～44岁处于较低水平，45岁以后年龄别死亡率快速增加，在85～岁年龄组达到高峰，男性各年龄组死亡率均高于女性，主要恶性肿瘤死亡顺位依次为肺癌、肝癌、结直肠癌、女性乳腺癌和胃癌，前10位恶性肿瘤占全部恶性肿瘤死亡的79.87%。［结论］ 广东省恶性肿瘤发病水平位居全国前列，女性乳腺癌、肺癌、结直肠癌、肝癌、男性鼻咽癌是需要重点防治的癌种。另外甲状腺癌发病的快速提升，尤其是城市地区、女性群体，需要予以重视。应大力推进癌症早诊早治，实现重点癌症早期诊断、早期治疗，降低癌症死亡率、提高癌症患者生存质量。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze cancer incidence and mortality in Guangdong province，2013. ［Methods］ Cancer registration data from 8 out of 10 population-based cancer registration areas based on stringent quality criteria were collected. The data were stratified further by region，gender and age，the crude incidence and mortality rate，age-standardized rate，cumulative rate，age-specific rate，incidence and mortality rank and proportion were analyzed. Chinese population based on 2000 census and world Segi’s population were used to calculate age-standardized incidence and mortality rate. ［Results］ The crude cancer incidence rate was 260.28/105 in Guangdong cancer registration areas，with China and world age-standardize rate of 212.96/105 and 207.11/105 ，respectively. Moreover，urban areas had higher incidence than rural areas. The cancer incidence went up sharply after age of 40 and finally reached the peak at 80～84 year age group. Female breast cancer was the most common cancer，followed by lung cancer，colorectum cancer，stomach cancer and thyroid cancer. The ten leading sites of cancer accounted for 72.20% of total incident cancers. The crude mortality rate was 152.81/105 in cancer registration areas，with China and world age-standardized mortality rate being 104.56/105 and 103.24/105，respectively. The mortality rate in urban areas was higher than that in rural areas. Cancer mortality went up after 44 years of age，then rose rapidly and reached the peak in the age group of ≥85. Lung cancer was the most common cause of death，followed by liver cancer，colorectal cancer，female breast cancer and stomach cancer，and the ten leading cancers accounted for 79.87% of total cancer deaths. ［Conclusion］ Guangdong province ranks higher in cancer incidence as compared to other provinces. Female breast cancer，lung cancer，colorectal cancer，liver cancer and male nasopharyngeal cancer should be priorities in the prevention and control. Thyroid cancer in particular for urban females，with rapidly rising incidence，should be also paid great attention. Population-based early detection and treatment programs should be carried forward further to reduce cancer death. |
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