2009年浙江省恶性肿瘤发病与死亡情况分析  

Incidence and mortality of cancer in Zhejiang province in 2009

作　　者：李辉章[1] 毛伟敏[1] 汪祥辉[1] 余传定[1] 杜灵彬[2] 

机构地区：[1]浙江省肿瘤医院浙江省肿瘤防治办公室,杭州310022 [2]浙江大学公共卫生学院

出　　处：《中华预防医学杂志》2013年第7期592-596,共5页Chinese Journal of Preventive Medicine

摘　　要：目的分析2009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2009年浙汀省6个肿瘤登记地区上报的肿瘤发病与死亡资料，共报告恶性肿瘤新发病例30613例，恶性肿瘤死亡病例16920例。6个地区共计覆盖人口9560699名。计算恶性肿瘤发病与死亡的粗率、累积率（0～74岁）、截缩率（35～64岁）、年龄别率以及前10位恶性肿瘤发病与死亡顺位和构成等。采用1982年中国标准人口构成和Segi’s世界人口构成分别计算中国和世界人口年龄标化发病率和死亡率（以下简称中标率和世标率）。结果2009年浙江省6个肿瘤登记地区恶性肿瘤粗发病率为320．20／10万，中标率为161．99／10万，世标率为207．92／10万，累积发病率为23．83％，截缩率为346．87／10万；恶性肿瘤粗死亡率为176．97／10万，中标率为79．17／10万，世标率为107．02／10万，累积死亡膏墨为23．83％，截缩死亡率为139．75／10万。恶性肿瘤发病率在0～34岁人群处于较低水平，从35～39岁组（116．46／10万，954例）后上升明显，45～49岁（272．97／10万，2388例）后上升急剧，80-84岁组（1564．36／10万，2272例）达到高峰，死亡率从40～44岁组（48．06／10万，424例）后上升明显，80～84岁组（1392．23／10万，2022例）达到高峰。发病前10位的恶性肿瘤依次为肺癌、胃癌、结直肠癌、肝癌、乳腺癌、食管癌、甲状腺癌、胰腺癌、宫颈癌和淋巴瘤，占全部发病的74．37％（22763／30613）；死亡前10位的肿瘤依次是肺癌、肝癌、胃癌、结直肠癌、食管癌、胰腺癌、白血病、淋巴瘤、脑肿瘤和乳腺癌，占全部死亡的87．75％（14848／16920）。结论2009年浙江省肿瘤登记地区恶性肿瘤发病率和死亡率均有所上升。肺癌、消化系统恶性肿瘤和乳腺癌仍然是浙江省肿瘤防治工作的重点，甲状腺癌发病率的升高不容忽视。Objective To investigate the incidence and mortality of cancer registered in Zhejiang province in 2009. Methods The statistics of incidence and mortality of cancer were collected from 6 population-based cancer registries in Zhejiang province, including 30 613 new incidence cases and 16 920 death cases reported in 2009. The 6 cancer registries covered population at 9 560 699 in all. The crude rate, age-standardized rate, cumulative rate （0 -74 years old）, cut rate （35 -64 years old）, age-specific rate of incidence/mortality as well as the constitution of top l0 common cancers were then calculated and analyzed. The age-standardized rate was calculated and adjusted by the Chinese standard population in 1982 as well as the Segi＇s world standard population. Results The crude incidence of cancer was 320. 20/100 000. Age-standardized incidence by Chinese standard population and by world standard population were separately 161.99/100 000 and 207.92/100 000,the cumulative rate was 23.83% and the cut rate was 346.87/100 000. Meanwhile, the crude mortality rate was 176.97/100 000, and the age-standardized mortality by Chinese standard population and by world standard population were 79. 17/100 000,107.02/100 000,respectively; and the cumulative mortality rate was 12. 23% and cut rate was 139.75/100 000. Age-specific incidence among 0 -34 years old population remained low; however,theincidence among 35 -39 age group increased obviously （116. 46/100 000,954 cases）. The incidence among 45 -49 age group elevated even more sharply （272. 97/100 000,2388 cases） and finally reached the peak among 80 -84 age group （ 1564. 36/100 000,2272 cases）. Age-specific mortality arose among 40 - 44 age group （48.06/100 000,424 cases） and reached its peak among 80 -84 age group （1392. 23/100 000, 2022 cases ） as well. The most common types of cancer were lung cancer, gastric cancer, colorectal cancer,liver cancer,breast cancer, esophageal cancer, thyroid cancer, pancreatic cancer, cervical cancer and lymphoma, whic

关 键 词：肿瘤 发病率 死亡率 

分 类 号：R73[医药卫生—肿瘤]