| 夏 亮,许晓君,许燕君.2017年广东省珠江三角洲地区恶性肿瘤发病与死亡分析[J].中国肿瘤,2022,31(3):177-186. |
| 2017年广东省珠江三角洲地区恶性肿瘤发病与死亡分析 |
| Cancer Incidence and Mortality in the Pearl River Delta Area of Guangdong Province， 2017 |
| 投稿时间：2021-11-24 |
| DOI：10.11735/j.issn.1004-0242.2022.03.A003 |
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| 中文关键词: 肿瘤登记 恶性肿瘤 发病率 死亡率 珠江三角洲地区 广东 |
| 英文关键词:cancer registration malignant tumor incidence mortality Pearl River Delta Area Guangdong |
| 基金项目:广东省医学科学技术研究基金（A2018477） |
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| 中文摘要: |
| 摘 要：［目的］ 分析2017年广东省珠江三角洲地区恶性肿瘤发病与死亡情况。［方法］ 收集广东省珠江三角洲地区11个肿瘤登记地区2017年恶性肿瘤发病、死亡以及人口资料，按照地区、性别、年龄组分层，统计分析恶性肿瘤发病(死亡)率、发病(死亡)标化率、0～74岁累积率以及前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结构、Segi’s世界标准人口年龄结构进行标化率的计算。［结果］ 2017年广东省珠江三角洲地区恶性肿瘤粗发病率为297.41/10万，中标发病率为224.82/10万，世标发病率为217.56/10万，恶性肿瘤年龄别发病率在30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；2017年广东省珠江三角洲地区恶性肿瘤粗死亡率为160.12/10万，中标死亡率为102.37/10万，世标死亡率为101.63/10万，恶性肿瘤死亡率在0～40岁处于较低水平，40岁以后年龄别死亡率快速增加，在85+岁年龄组达到高峰;除0～1、1～4岁年龄组外，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、女性乳腺癌和鼻咽癌。［结论］ 珠江三角洲地区恶性肿瘤发病水平高于全国整体水平，接近全球发达国家与地区恶性肿瘤发病水平，其中肺癌、女性乳腺癌、结直肠癌、肝癌、男性鼻咽癌、宫颈癌是需要重点防治的癌种。应大力推进癌症早诊早治，提升临床诊疗水平、优化诊疗模式，提高恶性肿瘤患者生存率，降低死亡率。应加强恶性肿瘤相关危险因素与行为监测，倡导健康生活方式理念，降低人群恶性肿瘤发病风险。 |
| 英文摘要: |
| Abstract： ［Purpose］ To analyze cancer incidence and mortality in the Pearl River Delta Area of Guangdong Province， 2017. ［Methods］ Cancer data from 11 population-based cancer registration areas meeting quality criteria were collected. The crude and age-standardized rates of incidence and mortality， the cumulative rates， ranks of 10 common cancers with high incidence and morta-lity were calculated， and stratified by region， gender and age. China 2000 census population and world Segi’s population were used to calculate age-standardized rates. ［Results］ In 2017， the crude incidence rate was 297.41/105 in the Pearl River Delta area， and China age-standardized rate was 224.82/105 and world age-standardized rate was 217.56/105. The cancer incidence went up sharply after age of 30 years old and reached the peak at the age group of 80～84 years old. Female breast cancer was the most common cancer， followed by lung cancer， colorectal cancer， liver cancer and thyroid cancer. The crude mortality rate was 160.12/105， the China and world age-standardized mortality rates were 102.37/105 and 101.63/105， respectively. The cancer mortality rate kept constant at low levels before age 40， then went up rapidly and peaked at the age group of 85+ years old. Except in age groups of 0～1 and 1～4 years old， the mortality rate was higher in male than that in female. Lung cancer was the most frequent cause of cancer death， followed by liver cancer， colorectal cancer， female breast cancer and nasopharyngeal cancer. ［Conclusion］ Cancer incidence rate in the Pearl River Delta Area is higher than national average levels and close to those in advanced countries and regions. Lung cancer， female breast cancer， colorectal cancer， liver cancer， male nasopharyngeal and cervical cancer should be prioritized in the prevention and control. |
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