| 李爱娟,欧孟言,许燕君,等.2017年广东省肿瘤登记地区女性乳腺癌流行特征及2013—2017年变化趋势[J].中国肿瘤,2024,33(1):62-67. |
| 2017年广东省肿瘤登记地区女性乳腺癌流行特征及2013—2017年变化趋势 |
| Incidence and Mortality of Female Breast Cancer in Guangdong Cancer Registration Areas in 2017 and the Trends from 2013 to 2017 |
| 投稿时间：2022-12-12 |
| DOI：10.11735/j.issn.1004-0242.2024.01.A009 |
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| 中文关键词: 女性 乳腺癌 流行情况 广东 |
| 英文关键词:female breast cancer epidemiology Guangdong |
| 基金项目: |
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| 摘要点击次数: 203 |
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| 中文摘要: |
| 摘 要：［目的］ 分析2017年广东省女性乳腺癌的流行状况及2013—2017年期间广东省女性乳腺癌的变化趋势。［方法］ 利用广东省2013—2017年肿瘤登记地区乳腺癌发病和死亡数据，根据城乡和年龄组分层计算女性乳腺癌粗发病（死亡）率、中标率、世标率、35~64岁截缩率、0~74岁累积率等指标，并采用Joinpoint模型分析其变化趋势。［结果］ 2017年广东省肿瘤登记地区女性乳腺癌粗发病率为51.32/10万，中标发病率为39.82/10万，世标发病率为37.14/10万，35~64岁截缩发病率为94.38/10万，0~74岁累积发病率为3.98%。城市和农村地区的女性乳腺癌中标发病率分别为43.18/10万和31.45/10万。同期，广东省肿瘤登记地区女性乳腺癌粗死亡率为10.27/10万，中标死亡率为7.37/10万，世标死亡率为7.17/10万，35~64岁截缩死亡率为16.00/10万，0~74岁累积死亡率为0.81%。城市和农村地区的女性乳腺癌中标死亡率分别为7.52/10万和6.98/10万。2017年女性乳腺癌发病在60~64岁组达到顶峰，死亡在85岁及以上组达最高峰。2013—2017年期间，广东省肿瘤登记地区女性乳腺癌发病率和死亡率变化趋势均无统计学意义（发病率：APC=0.70%，P=0.38；死亡率：APC=1.71%，P=0.44）。［结论］ 2017年广东省肿瘤登记地区女性乳腺癌发病率、死亡率均高于全国平均水平，并一直保持较高的水平，防控形势仍然很严峻，城市地区的发病率和死亡率均明显高于农村地区。应重点关注城市地区、中老年女性群体的乳腺癌三级预防，降低其发病率及死亡率。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the incidence and mortality rates of female breast cancer in Guangdong cancer registration areas in 2017 and its trend of changes from 2013 to 2017. ［Methods］ The incidence and mortality data of breast cancer in cancer registration areas of Guangdong Province from 2013 to 2017 were collected. The crude incidence and mortality rates， age-standardized incidence and mortality rates by Chinese standard population in 2000 (ASIRC， ASMRC) and Segi’s population (ASIRW， ASMRW) ， truncated rate (35~64 years old)， cumulative rate (0~74 years old) of female breast cancer were calculated by the areas (urban and rural) and age groups； and the Joinpoint model was used to analyze its change trend. ［Results］ In 2017， the crude incidence rate of female breast cancer in Guangdong was 51.32/105. The ASIRC and ASIRW were 39.82/105 and 37.14/105， respectively. The truncated incidence (35~64 years old) was 94.38/105. The cumulative incidence rate (0~74 years old) was 3.98%. The ASIRC in urban and rural areas was 43.18/105 and 31.45/105， respectively. During the same period， the crude mortality rate of female breast cancer in Guangdong was 10.27/105. The ASMRC and ASMRW were 7.37/105 and 7.17/105， respectively. The truncated mortality (35~64 years old) was 16.00/105. The cumulative mortality rate (0~74 years old) was 0.81%. The ASMRC in urban and rural areas was 7.52/105 and 6.98/105， respectively. The incidence of female breast cancer reached the peak at 60~64 years old and the mortality reached the peak at 85+ years old in 2017. From 2013 to 2017， there was no significant change in the incidence and mortality rates of female breast cancer in Guangdong cancer registration areas (incidence rate： APC=0.70%， P=0.38； mortality rate： APC=1.71%， P=0.44). ［Conclusion］ The incidence and mortality rates of female breast cancer in Guangdong cancer registration areas were higher than those of the national average. The incidence and mortality rates in urban areas were significantly higher than those in rural areas. This suggests that more efforts should be made for prevention of breast cancer in urban areas and middle-aged and elderly women to reduce its incidence and mortality. |
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