| 王悠清,李辉章,龚巍.2015年浙江省肿瘤登记地区恶性肿瘤发病与死亡分析[J].中国肿瘤,2019,28(1):12-22. |
| 2015年浙江省肿瘤登记地区恶性肿瘤发病与死亡分析 |
| Analysis of Cancer Incidence and Mortality in Zhejiang Cancer Registries，2015 |
| 投稿时间：2018-11-30 |
| DOI：10.11735/j.issn.1004-0242.2019.01.A002 |
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| 中文关键词: 肿瘤登记 恶性肿瘤 发病率 死亡率 浙江 |
| 英文关键词:cancer registration malignant tumor incidence mortality Zhejiang |
| 基金项目:浙江省医药卫生科技计划项目（2018251644） |
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| 中文摘要: |
| 摘 要：［目的］ 描述和分析2015年浙江省肿瘤登记地区恶性肿瘤发病与死亡情况。［方法］收集2015年浙江省14个肿瘤登记处上报的恶性肿瘤发病与死亡资料，按城乡、性别分层，分别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、前10位恶性肿瘤发病与死亡顺位和构成、各年龄段前5位恶性肿瘤发病与死亡等。并采用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年龄标准化率。［结果］2015年浙江省14个肿瘤登记地区覆盖人口14 114 404人，约占全省户籍人口的29.00%。共报告恶性肿瘤新发病例52 023例，死亡病例27 036例。病理学诊断比例（MV%）为77.69%，死亡/发病比（M/I）为0.52，只有死亡医学证明书比例（DCO%）为1.08%。全省恶性肿瘤粗发病率为368.58/10万，中标率为220.79/10万，世标率为211.56/10万，男性发病率高于女性。恶性肿瘤发病在45岁以后快速上升，在80~84岁年龄组达到高峰。发病前10位恶性肿瘤依次为肺癌、女性乳腺癌、甲状腺癌、结直肠癌、胃癌、肝癌、前列腺癌、宫颈癌、食管癌和子宫体癌。全省恶性肿瘤粗死亡率为191.55/10万，中标率为97.71/10万，世标率为96.60/10万，男性死亡率高于女性，农村地区死亡率高于城市地区。恶性肿瘤死亡在45岁以后快速上升，在85+岁年龄组达到高峰。死亡前10位恶性肿瘤依次为肺癌、肝癌、胃癌、结直肠癌、胰腺癌、食管癌、女性乳腺癌、前列腺癌、淋巴瘤和白血病。［结论］肺癌、女性乳腺癌、甲状腺癌、结直肠癌、前列腺癌、肝癌和胃癌仍是浙江省肿瘤防治的重点疾病，同时应根据城乡差异，有针对性开展肿瘤防治工作。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the cancer incidence and mortality in Zhejiang cancer registries in 2015. ［Methods］ The data were collected from 14 population-based cancer registries in Zhejiang province. Cancer incidence and mortality rates stratified by gender and regions were analyzed. Crude rate，age-standardized rate，age-specific and region-specific rates and cumulative rates were calculated. The proportion of 10 common cancers in different groups and the incidence and mortality of the top 5 cancers of different age groups were also calculated. Chinese population census in 2000 and Segi’s population were used for calculating age-standardized incidence or mortality. ［Results］ The 14 cancer registries covered a population of 14 114 404 people，accounting for 29.00% of Zhejiang population. The total reported cancer cases and deaths were 52 023 and 27 036 in 2015，respectively. The morphology verified cases(MV%) accounted for 77.69%，and 1.08% of incident cases were identified through death certifications only(DCO%) with mortality to incidence ratio(M/I ratio) of 0.52. The crude incidence rate in Zhejiang cancer registration areas was 368.58/105；the age-standardized incidence rates by Chinese standard population(ASIRC) and by world standard population(ASIRW) were 220.79/105 and 211.56/105，respectively. The incidence in males was higher than that in females. Cancer incidence increased rapidly after the age of 45 years and reached the peak at the age group of 80~84 years. The top 10 incidence rates of cancers were，in order，lung cancer，female breast cancer，thyroid cancer，colorectal cancer，stomach cancer，liver cancer，pancreas cancer，cervical cancer，esophageal cancer and cancer of the corpus uteri. The crude mortality rate in Zhejiang cancer registration areas was 191.55/105；the age-standardized mor tality rates by Chinese standard population(ASMRC) and by world standard population(ASMRW) were 97.71/105 and 96.60/105，respectively. The mortality in males was higher than that in females，and the mortality in rural areas was higher than that in urban areas. Cancer mortality increased rapidly after the age of 45 years and reached the peak at the age group of 85+ years. The top 10 mortality rates of cancers were，in order，lung cancer，liver cancer，stomach cancer，colorectal cancer，pancreatic cancer，esophageal cancer，female breast cancer，prostate cancer，lymphoma and leukemia. ［Conclusion］ Lung cancer，female breast cancer，thyroid cancer，colorectal cancer，prostate cancer，liver cancer and stomach cancer were the most common cancers in Zhejiang province in 2015. Effective prevention and control measures should be carried out according to the different characteristics of cancers in urban and ural areas. |
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