上海市恶性肿瘤登记资料的病理学诊断现状、回顾与比较研究  

A study on the morphological verification percentage of cancer cases collected by cancer registry in Shanghai:a current,retrospective and comparative exploration

作　　者：郑莹[1] 吴春晓[1] 鲍萍萍[1] 顾凯[1] 王春芳[1] 彭鹏[1] 龚杨明[1] 向詠梅[1] 黄哲宙[1] 金凡[1] 卢伟[1] 

机构地区：[1]上海市疾病预防控制中心,上海200336

出　　处：《诊断学理论与实践》2009年第3期281-286,共6页Journal of Diagnostics Concepts & Practice

摘　　要：目的:总结上海市恶性肿瘤登记资料中病理学诊断比例(MV%)的现况,以了解肿瘤登记质量的可靠性。方法:查阅上海市肿瘤登记报告系统收集的恶性肿瘤发病资料,对2003年至2005年上海全市恶性肿瘤MV%情况在性别、地区、常见瘤别等分布进行汇总,利用年度变化百分比(APC)模型对上海市区1973年至2005年男、女恶性肿瘤和常见瘤别MV%的时间趋势进行分析,并将结果与国际癌症研究中心公布的其他国家、地区肿瘤登记资料相比较。结果:2003年至2005年,上海新诊断135352例恶性肿瘤患者,MV%为62.18%。常见肿瘤中,肺癌MV%为44.47%,胃癌为71.76%,肝癌为17.43%,结肠癌为78.16%,直肠癌为79.75%,食管癌为59.66%,女性乳腺癌为90.92%。1973年至2005年间,所有部位肿瘤的总体MV%上升了57.48%(绝对值上升了24.00%)。但与世界主要登记处资料相比,上海恶性肿瘤MV%仍处于较低水平。结论:1973年至2005年间,上海肿瘤总体MV%明显上升,很大程度上反映了肿瘤诊断水平的持续提高。而与世界主要登记处资料相比,目前本市总体及各部位肿瘤MV%仍较低,主要由于国内外瘤谱差异、临床诊治规范性较差等导致。此外,肿瘤报告系统本身因素也会造成一定影响,但程度有限。Objective To describe the pattern and trend of morphological verification percentage （MV%） of cancer accur cases based on the data collected by cancer registry in Shanghai. Methods All the data of the cancer cases were collected by Shanghai Cancer Registry System. The distribution of MV% in gender of the cases, district of Shanghai area and type of tumor was described. Time trends of the MV% of all tumors and commonly seen in Shanghai urban district from 1973 to 2005 were presented by annual percent change （APC） analysis. Results The MV% was 62.18% for the 135 352 new cases diagnosed in 2003-2005 in Shanghai. Among the commonly seen cancers in Shanghai, MV% of the lung cancer was 44.47%, the stomach cancer was 71.76%, the liver cancer was 17.43%, the colon cancer was 78.16%, the rectal cancer was 79.75%, the esophagus cancer was 59.66%, and the female breast cancer was 90.92%. During the past 33 years, MV% of urban cases increased 57.48% （absolute value increased 24.00 %）. However, compared with the data collected by the 300 major cancer registries from abroad, the MV% in Shanghai was still low. Conclusions The rise of MV% in the past 33 years reflects the improvement of cancer diagnoses in Shanghai. However, the MV% of overall tumors and commonly seen tumors are still low, and this may be caused by the poor compliance to the clinical guideline of cancer diagnosis and treatment, and the differences of cancer spectrum between countries and urban districts. Mistakes in data collection and entry by cancer registration may also be one of the reasons, but only of minor degree.

关 键 词：恶性肿瘤 诊断 病理诊断比例 时间趋势 

分 类 号：R73-31[医药卫生—肿瘤]