| 周薇薇,郑荣寿,邓 颖.2013年四川省肿瘤登记地区恶性肿瘤发病和死亡分析[J].中国肿瘤,2018,27(7):489-496. |
| 2013年四川省肿瘤登记地区恶性肿瘤发病和死亡分析 |
| Cancer Incidence and Mortality in Sichuan Cancer Registries，2013 |
| 投稿时间：2017-12-23 |
| DOI：10.11735/j.issn.1004-0242.2018.07.A002 |
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| 中文关键词: 肿瘤登记 恶性肿瘤 发病率 死亡率 四川 |
| 英文关键词:cancer registry cancer incidence mortality Sichuan |
| 基金项目: |
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| 中文摘要: |
| 摘 要：［目的］分析2013年四川省肿瘤登记地区恶性肿瘤发病与死亡状况。［方法］收集2013年四川省17个肿瘤登记处报告的肿瘤登记数据，经过审核、评价后，15个肿瘤登记处数据符合质量要求，分别计算不同地区、性别、年龄别恶性肿瘤发病率、死亡率、标化率、累积率（0~74 岁）及前10 位恶性肿瘤发病与死亡顺位等，人口年龄标化率采用2000 年中国标准人口年龄构成和Segi’s 世界标准人口年龄构成计算。［结果］ 2013 年四川省肿瘤登记地区恶性肿瘤发病率为277.38/10万（男性334.15/10万，女性218.48/10万；城市地区279.57/10万，农村地区276.36/10万），中标率为195.26/10万，世标率为191.91/10万，累积率（0～74岁）为22.62%；恶性肿瘤发病在0～39岁处于较低水平，40岁以后快速升高，80～84岁年龄组达到高峰；发病顺位前10位依次为肺癌、肝癌、结直肠癌、胃癌、食管癌、女性乳腺癌、胰腺癌、脑和中枢神经系统肿瘤、白血病和宫颈癌，约占全部恶性肿瘤发病的79.88%。恶性肿瘤死亡率为180.44/10万（男性232.74/10万，女性126.18/10万；城市地区160.14/10万，农村地区189.80/10万），中标率为124.07/10万，世标率为122.99/10万，累积率（0～74岁）为14.34%；恶性肿瘤死亡在0～44岁处于较低水平，45岁以后快速升高，在85+岁年龄组达到高峰；死亡顺位前10位依次为肺癌、肝癌、食管癌、胃癌、结直肠癌、胰腺癌、脑和中枢神经系统肿瘤、女性乳腺癌、白血病和淋巴瘤，约占全部恶性肿瘤死亡的85.50%。女性宫颈癌发病率为12.26/10万，位于女性恶性肿瘤发病顺位第7位；死亡率为3.67/10万，位于女性恶性肿瘤死亡顺位第9位。［结论］ 肺癌、肝癌、结直肠癌、胃癌、食管癌和女性乳腺癌是四川省需重点防治的恶性肿瘤，特别关注中老年人群；宫颈癌防治应同步进行。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the cancer incidence and mortality in Sichuan cancer registries in 2013. ［Methods］ The qualified cancer data from 15 registries of total 17 cancer registries in Sichuan province were analyzed. Crude rate，age-standardized rate，age-specific rate，cumulative rate (0～74 years old)，rank and proportions of 10 common cancers were calculated by areas (urban/rural)，gender and age groups. Age-standardized incidence/mortality rates were calculated using the Chinese population census in 2000 and Segi’s world population. ［Results］ The crude cancer incidence rate in Sichuan cancer registries was 277.38/105(334.15/105 for males，218.48/105 for females；279.57/105 for urban areas，276.36/105 for rural areas)，age-standardized incidence rates by Chinese standard population (ASIRC) and by world standard population (ASIRW) were 195.26/105 and 191.91/105 with the cumulative incidence rate of 22.62%. Cancer incidence among population with 0~39 years remained low，however，it increased rapidly after 40 years of age and reached the peak at the age group of 80~84 years. Cancers of lung，liver，colorectum，stomach，esophagus，female breast，pancreas，brain and central nerves system，leukemia and cervix were the top 10 incident cancers accounting for 79.88% of all new cancer cases. The cancer crude mortality rate in Sichuan cancer registries was 180.44/105(232.74/105 for males，126.18/105 for females；160.14/105 for urban areas，189.80/105 for rural areas)，age-standardized mortality rates by Chinese standard population (ASMRC) and by world standard population (ASMRW) were 124.07/105 and 122.99/105 with the cumulative mortality rate of 14.34%. Cancer mortality among population with 0~44 years of age remained low，however，it increased rapidly after 45 years and reached the peak at the age group of 85+ years. Cancers of lung，liver，esophagus，stomach，colorectum，pancreas，brain and central nerves system，female breast，leukemia and lymphoma were the top 10 cancer mortality accounting for 85.50% of all cancer deaths. The crude incidence rate of cervix cancer ranked the 7th in all female incident cancers (12.26/105)，while its crude mortality rate ranked the 9th in all female cancer deaths (3.67/105). ［Conclusion］ Lung cancer，liver cancer，colorectal cancer，stomach cancer，esophageal cancer and female breast cancer are the major cancers that should be concentrated on in cancer prevention and control，especially for the middle-aged and elderly population. Besides，the prevention and control of cervix cancer also should be concentrated. |
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