济南市2011-2015年食管癌流行特征分析  

Epidemiological characteristics of esophagus cancer in Jinan from 2011 to 2015

作　　者：刘盈君[1] 刘守钦[1] 王家林[2] 张军[1] 龚继勇[2] 

机构地区：[1]济南市疾病预防控制中心慢性与非传染性疾病防治所,山东济南250021 [2]山东大学附属山东省肿瘤医院科教部,山东济南250117

出　　处：《中华肿瘤防治杂志》2017年第3期147-150,共4页Chinese Journal of Cancer Prevention and Treatment

基　　金：山东省医药卫生科技发展计划(2014WS0210)

摘　　要：目的食管癌是一种常见的恶性肿瘤,山东省的食管癌发病率较高,明确食管癌的流行特征对食管癌早期预防和治疗具有重要的意义。本研究通过分析济南市2011-2015年食管癌发病情况及变化趋势,为济南市食管癌的防治提供科学依据。方法利用2011-2015年济南市肿瘤报告系统的发病资料和济南市人口资料,计算食管癌不同年度和年龄组的粗发病率及中国人口结构标化发病率(中标发病率)。计算食管癌亚部位发病构成及病理类型分布。结果 2011-2015年济南市户籍人口食管癌发病病例共9 248例,其中男7 212例,女2 036例。2011-2015年男女总的食管癌平均发病率为30.097/10万,中标率为22.055/10万;男性食管癌平均发病率为47.093/10万,中标率为34.692/10万;女性食管癌平均发病率为13.209/10万,中标率为9.291/10万。男女总的食管癌中标发病率从2011-2013年逐年上升,2013年发病率最高,为23.945/10万,随后发病率开始下降,2015年发病率为22.233/10万。在男性和女性中,均是75~79岁年龄组发病率最高,发病率分别为209.028/10万和82.064/10万。食管癌亚部位分布以食管中段为主,共3 335例,占全部发病的36.06%。食管癌病理类型分布中,鳞癌共4 385例,占47.42%;腺癌共1 904例,占20.59%。结论近5年食管癌发病率仍较高,2011-2013年食管癌中标发病率逐年上升,随后发病率开始下降,75~79岁年龄组发病率最高,应针对重点人群继续加强食管癌防治工作。OBJECTIVE Esophagus cancer is a common malignant tumor with a high incidence in Shandong province.It is significant for early prevention and treatment to identify the epidemiological characteristics of esophagus cancer.This study will analyze the incidence and trends of esophagus cancer in Jinan from 2011 to 2015to provide scientific basis for prevention and treatment of esophagus cancer.METHODS The incidence data ranged from 2011 to 2015from cancer registries of Jinan was used to calculate the crude incidence and Chinese age-adjusted incidence rate of different year and age groups.The composition and pathological type distribution of esophagus cancer were calculated.RESULTS A total of9 248 cases were diagnosed as esophagus cancer in population of Jinan registered residence during 2011-2015,among those7 212 cases were male and 2036 cases were female.The average incidence of esophagus cancer in both males and females from 2011 to 2015was 30.097/100 000,Chinese age-adjusted incidence rate was 22.055/100 000,while the average incidence of esophagus cancer in males from 2011 to 2015 was 47.093/100 000,Chinese age-adjusted incidence rate was34.692/100 000,and the average incidence of esophagus cancer in femals from 2011 to 2015was 13.209/100 000,Chinese age-adjusted incidence rate was 9.291/100 000.The total Chinese age-adjusted incidence rate of esophagus cancer increased from 2011 to 2013,which was the highest in 2013 with the incidence of 23.945/100 000,then decreased from2014 to 2015and the incidence in 2015 was 22.233/100 000.The incidence was the highest in 75-79 age group among both males and females,which was 209.028/100 000 and 82.064/100 000,respectively.Totally 3335 cases of esophagus cancer occurred at middle segment accounting for 36.06% of total cases.Totally 4 385 esophageal squamous carcinoma cases accounted for 47.42% of the pathological type distribution of esophagus cancer and 1 904 adenocarcinoma of esophagus cases accounted for 20.59%.CONCLUSIONS The incidence of esophagus cancer is still high in

关 键 词：济南 食管癌 发病率 流行病学 

分 类 号：R735.1[医药卫生—肿瘤]