机构地区:[1]湖南省肿瘤医院湖南省肿瘤防治研究办公室,湖南长沙410013
出 处:《中国肿瘤》2017年第1期25-32,共8页China Cancer
基 金:湖南省卫生计生委科研基金(C2015-055)
摘 要:[目的]分析2012年湖南省肿瘤登记地区恶性肿瘤发病与死亡情况。[方法]收集2012年湖南省6个肿瘤登记地区上报的肿瘤发病与死亡资料。对数据进行审核和评估后,按城乡、性别分层,分别计算恶性肿瘤的粗发病率和粗死亡率、中标率、世标率、年龄别率、累积率以及前10位恶性肿瘤发病和死亡顺位和构成。中标率和世标率分别采用2000年中国标准人口年龄构成和Segi’s世界标准人口年龄构成为标准进行计算。[结果]2012年湖南省肿瘤登记地区恶性肿瘤发病率为193.92/10万,中标率为150.92/10万,世标率为147.67/10万,累积率(0~74岁)为17.03%;死亡率为126.43/10万,中标率为96.28/10万,世标率为94.49/10万,累积率(0~74岁)为11.01%。年龄别发病率在0~39岁间处于较低水平,40岁以后快速上升,在75~79岁年龄组时达到高峰;年龄别死亡率在0~44岁间处于较低水平,45岁以后快速上升,在75~79岁年龄组时达到高峰。恶性肿瘤发病第1位为肺癌,发病率为46.73/10万,其次为肝癌、乳腺癌、宫颈癌和结直肠癌等,前10位恶性肿瘤占全部恶性肿瘤发病的78.54%;死亡第1位为肺癌,死亡率为37.03/10万,其次为肝癌、胃癌、结直肠癌和乳腺癌等,前10位恶性肿瘤占全部恶性肿瘤死亡的84.06%。[结论]湖南省需重点防治的恶性肿瘤仍然是肺癌、肝癌、胃癌、结直肠癌、乳腺癌和宫颈癌,特色高发的鼻咽癌和男性口腔癌也应引起足够的重视,病因预防和早诊早治应加大推进。[Purpose] To investigate the cancer incidence and mortality in Hunan cancer registries in 2012.[Methods] The new cases and deaths data were collected from 6 population-based cancer registries of Hunan province. After data were checked and evaluated,stratified analysis by residence and gender was used to calculate crude rate,age-standardized rate,age-specific rate,cumulative rate,rank and proportions of 10 common cancers. Chinese population census in 2000 and Segi's population were used for calculating age-standardized rate. [Results] The crude incidence in Hunan cancer registration area was 193.92/105,age-standardized incidence by Chinese standard population and by world standard population were 150.92/105 and 147.67/105,with the cumulative incidence(0-74 years old) of 17.03%. The crude mortality in Hunan cancer registration area was126.43/105,age-standardized mortality by Chinese standard population and by world standard population were 96.28/105 and 94.49/105,with the cumulative mortality(0 -74 years old) of 11.01%.Age-specific incidence among 0-39 years old population remained low,however it increased rapidly after 40 years old and reached the peak at the age group of 75-79 years old. Age-specific mortality among 0 -44 years old population remained low,but it increased rapidly after 45 years old and reached the peak at the age group of 75-79 years old. The first common type of new cancers was lung cancer with incidence of 37.03/105,followed by liver cancer,gastric cancer,colorectal cancer,breast cancer,and so on. The 10 most common cancers accounted for 78.54% of all new cancers.Lung cancer was also the most common type of cancer deaths with mortality of 37.03/105. The other common cancer deaths were liver cancer,gastric cancer,colorectal cancer and breast cancer and so on. The 10 most common cancer deaths accounted for 84.06% of all cancer deaths. [Conclusions] Lung cancer,liver cancer,gastric cancer,colorectal cancer,breast cancer and cervical cancer were still the main objects of cancer prevention
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