| 姜春晓,沈永洲,张志浩.2003~2015年浙江省海宁市居民癌症发病率及生存率分析[J].中国肿瘤,2018,27(4):267-272. |
| 2003~2015年浙江省海宁市居民癌症发病率及生存率分析 |
| Analysis of Incidence and Survival Rate of Cancer Among Residents in Haining City from 2003 to 2015 |
| 投稿时间：2017-09-22 |
| DOI：10.11735/j.issn.1004-0242.2018.04.A005 |
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| 中文关键词: 恶性肿瘤 发病率 流行特征 生存率 浙江 |
| 英文关键词:cancer incidence rate epidemic characteristics survival Zhejiang |
| 基金项目:国家肿瘤随访登记项目(卫办疾控发【2010】149号) |
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| 中文摘要: |
| 摘 要：［目的］ 了解浙江省海宁市各类癌症的发病和生存情况，为制定癌症防控策略与措施、评价癌症诊治效果提供科学依据。［方法］ 应用海宁市肿瘤登记系统报告病例和随访资料，统计分析2003~2015年各类癌症的发病率、中国人口标化发病率、性别和年龄特征、年均变化百分比（APC）等指标；采用寿命表法计算各类主要癌症的生存率，并将2010年与2003年两个不同时间点的5年生存率作比较。 ［结果］ 2003~2015年海宁市癌症发病21 185例，发病率为248.37/10万，中标率121.52/10万；平均发病年龄62.72岁，其中，男性发病11 617例，发病率为275.85/10万，中标率137.45/10万，平均发病年龄为64.73岁；女性发病9568例，发病率为221.57/10万，中标率为110.26/10万，平均发病年龄为60.21岁；男女性比值为1.24∶1。发病率前5位依次为肺癌、结直肠癌、肝癌、胃癌、乳腺癌，占全部癌症的57.50%。年度癌症变化增长率（APC）为3.55%，其中，男性为2.18%，女性为5.17%。全部癌症5年生存率为44.06%，其中，最高是甲状腺癌（96.98%），最低是胰腺癌（13.33%）。从两个不同时间点5年生存率比较看，结直肠癌和胃癌提升幅度最大。［结论］ 近10多年来，海宁市癌症发病率呈明显上升态势，加强对重点癌症特别是肺癌、消化系统癌症及女性乳腺癌的防控工作尤为重要。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the incidence and survival rate of cancer in Haining city. ［Methods］ Cancer data were collected from Haining cancer registration system，the crude incidence rate，Chinese standard population incidence rate（ASR China），sex and age characteristics and the annual average change percentage（APC） index were calculated. The life table method was used to calculate the survival rate of major cancers. The 5-years survival rates were compared between 2003 and 2010. ［Results］ The incidence cases were 21 185 in Haining 2003~2015 with an incidence rate of 248.37/105 and ASR China of 121.52/105；the average age of new cases was 62.72 years. There were 11 617 new male cases with an incidence rate of 275.85/105 and ASR China of 137.45/105；the average age of new male cases was 64.73 years. There were 9568 new female cases with an incidence rate of 221.57/105 and ASR China of 110.26/105；the average age of new female cases was 60.21 years. The ratio of male and female was 1.24∶1. The top five cancers with high incidence were lung cancer，colorectal cancer，liver cancer，gastric cancer and female breast cancer，accounting for 57.50% of all cancers. The APC was 3.55%（2.18% for males，5.17% for females）. The five-year survival rate of all cancer was 44.06% with the highest of thyroid cancer（96.98%）and the lowest of pancreatic cancer（13.33%）. Compared to 2003 the 5 years survival rates of colorectal cancer and stomach cancer in 2010 were increased most. ［Conclusion］ Over the past 10 years，the incidence of cancer in Haining has shown a marked upward trend，and it is particularly important to strengthen the prevention and control of key cancers，especially lung cancer，digestive system cancer and female breast cancer. |
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