浙江省肿瘤登记地区2011年恶性肿瘤发病与死亡分析  

An Analysis of Cancer Incidence and Mortality from Zhejiang Cancer Registries in 2011

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

机构地区：[1]浙江省癌症中心,浙江省肿瘤防治办公室,浙江省肿瘤医院,浙江杭州310022

出　　处：《中国肿瘤》2015年第3期170-180,共11页China Cancer

摘　　要：[目的]描述和分析2011年浙江省肿瘤登记地区恶性肿瘤发病与死亡情况。，[方法]收集浙江省8个肿瘤登记处上报的2011年肿瘤登记数据。2011年浙江省8个肿瘤登记处合计覆盖人口11060990人（男性5542816人．女性5518174人），占2011年浙江省平均人口的23．21％。计算发病和死亡粗率、标化率、累积率（0～74岁）等指标，并按城乡、性别分层，计算各层年龄别恶性肿瘤发病率、死产率以及前10位恶性肿瘤顺位和构成。采用1982年中国人口年龄构成和Segi’S世界人口年龄构成作为标准人口计算年龄标准化率。『结果]2011年共报告恶性肿瘤新发病例35863例，死亡病例20432例．病理诊断比例为75．08％，死亡／发病比为0．56，只有死亡证明书比例为0．93％。浙江省肿瘤登记地区恶性肿瘤发病率为324．23／10万（男性361．44／10万，女性286．85／10万），中标发病率为155．69／10万，世标发病率为198-36／10万，累积率（0—74岁）为22．66％。城市地区发病率均高于农村地区。恶性肿瘤死亡率为184．72／10万（男性238．58／10万，女性130．62／10万），中标死亡率为77．38／10万，世标死亡率为104．21／10万，累积率（0～74岁）为11．91％。城市地区死亡率低于农村地区。恶性肿瘤发病前10位依次为肺癌、胃癌、结直肠癌、肝癌、乳腺癌、甲状腺癌、食管癌、胰腺癌、宫颈癌和脑肿瘤，占全部恶性肿瘤发病的75．61％。恶性肿瘤死亡第1位为肺癌，其次肝癌、胃癌、结直肠癌、食管癌、胰腺癌。前10位恶性肿瘤占全部恶性肿瘤死亡的87．29％。[结论]肺癌、消化系统恶性肿瘤和女性乳腺癌是威胁浙江省居民健康的主要恶性肿瘤。浙江省甲状腺癌发病增长速度较怏．是肿瘤防榨面临的新问题．[Purpose] To investigate the cancer incidence and mortality in Zhejiang cancer registra- tion areas in 2011. [Methodsl There were 8 registries＇ data qualified and accepted for cancer reg- istry in 2011. The 8 cancer registries covered a total of 11 060 990 population （5 542 816 in male and 5 518 174 in female） , accounting for 23.21% of Zhejiang population in 2011. Incidence and mortality stratified by areas（urban/rural）, gender and age group were analyzed. The top 10 common cancers in different groups ,proportion and cumulative rate were also calculated. Age-standardized rates were adjusted by Chinese standard population in 1982 and Segi＇s population. [Results] The total cancer new cases and deaths were 35 863 and 20 432, respectively, with mortality to in- cidence ratio of 0.56. The morphology verified cases （MV%） accounted for 75.08%,and 0.93% of incident cases were identified by death certification only （DCO%）. The cancer crude incidence in registration areas was 324.23/105 （361.44/105 in male and 286.85/105 in female）. Age-standardized incidence adjusted by Chinese standard population was 155.69/105,and 198.36/105 by world stan- dard population. The cumulative incidence（0-74 age years old） was 22.66%. Both of crude and ad- justed incidence in urban areas were higher than that in rural areas. The cancer crude mortality was 184.72/105 （238.58/105 in male, 130.62/105 in female）. Age-standardized mortality adjusted by Chinese standard population was 77.38/105,and 104.21/105 by world standard population. The cu- mulative mortality（0-74 age years old） was 11.91%. Age-adjusted mortality in urban areas was low- er than that in rural areas. The top l0 cancer incidences were lung cancer,stomach cancer,col- orectal cancer,liver cancer, breast cancer, thyroid cancer, esophagal cancer, pancreas cancer, cervi- cal cancer and brain tumor,accounting for 75.61% of all cancer incidences in registration areas. Lung cancer was the leading cause of cancer deaths,followed by liver cancer, gastr

关 键 词：肿瘤登记 恶性肿瘤 发病率 死亡率 浙江 

分 类 号：R73-31[医药卫生—肿瘤]