2013年四川省肿瘤登记地区恶性肿瘤发病和死亡分析  

Cancer Incidence and Mortality in Sichuan Cancer Registries,2013

作　　者：周薇薇[1] 郑荣寿 邓颖[1] 胥馨尹[1] 曾晶[1] 陈晓芳[1] ZHOU Wei-wei;ZHENG Rong-shou;DENG Yingj;XU Xin-yin;ZENG Jing;CHEN Xiao-fang(Siehuan Center for Disease Control and Prevention,Chengdu 610041,China;National Cancer Center/National Clinical Research Center for Caneer/Caneer Hospital,Chinese Academy of Med- ical Sciences and Peking Union Medical College, Beijing 100021,China)

机构地区：[1]四川省疾病预防控制中心,四川成都610041 [2]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院,北京100021

出　　处：《中国肿瘤》2018年第7期489-496,共8页China Cancer

摘　　要：[目的]分析2013年四川省肿瘤登记地区恶性肿瘤发病与死亡状况。[方法]收集2013年四川省17个肿瘤登记处报告的肿瘤登记数据,经过审核、评价后,15个肿瘤登记处数据符合质量要求,分别计算不同地区、性别、年龄别恶性肿瘤发病率、死亡率、标化率、累积率（0～74岁）及前10位恶性肿瘤发病与死亡顺位等,人口年龄标化率采用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计算。[结果]2013年四川省肿瘤登记地区恶性肿瘤发病率为277.38/10万（男性334.15/10万,女性218.48/10万;城市地区279.57/10万,农村地区276.36/10万）,中标率为195.26/10万,世标率为191.91/10万,累积率（0～74岁）为22.62%;恶性肿瘤发病在0～39岁处于较低水平,40岁以后快速升高,80～84岁年龄组达到高峰;发病顺位前10位依次为肺癌、肝癌、结直肠癌、胃癌、食管癌、女性乳腺癌、胰腺癌、脑和中枢神经系统肿瘤、白血病和宫颈癌,约占全部恶性肿瘤发病的79.88%。恶性肿瘤死亡率为180.44/10万（男性232.74/10万,女性126.18/10万;城市地区160.14/10万,农村地区189.80/10万）,中标率为124.07/10万,世标率为122.99/10万,累积率（0～74岁）为14.34%;恶性肿瘤死亡在0～44岁处于较低水平,45岁以后快速升高,在85＋岁年龄组达到高峰;死亡顺位前10位依次为肺癌、肝癌、食管癌、胃癌、结直肠癌、胰腺癌、脑和中枢神经系统肿瘤、女性乳腺癌、白血病和淋巴瘤,约占全部恶性肿瘤死亡的85.50%。女性宫颈癌发病率为12.26/10万,位于女性恶性肿瘤发病顺位第7位;死亡率为3.67/10万,位于女性恶性肿瘤死亡顺位第9位。[结论]肺癌、肝癌、结直肠癌、胃癌、食管癌和女性乳腺癌是四川省需重点防治的恶性肿瘤,特别关注中老年人群;宫颈癌防治应同步进行。[Purpose] To analyze the cancer incidence and mortality in Sichuan cancer registries in 2013. [Methods] The qualified cancer data from 15 registries of total 17 cancer registries in Sichuan province were analyzed. Crude rate,age-standardized rate,age-specific rate,cumulative rate（0～74 years old）,rank and proportions of 10 common cancers were calculated by areas（urban/rural）,gender and age groups. Age-standardized incidence/mortality rates were calculated using the Chinese population census in 2000 and Segi＇s world population. [Results] The crude cancer incidence rate in Sichuan cancer registries was 277.38/10~5（334.15/10~5 for males,218.48/10~5 for females;279.57/10~5 for urban areas,276.36/10~5 for rural areas）,age-standardized incidence rates by Chinese standard population（ASIRC） and by world standard population（ASIRW） were 195.26/10~5 and 191.91/10~5 with the cumulative incidence rate of 22.62%. Cancer incidence among population with 0～39 years remained low,however,it increased rapidly after 40 years of age and reached the peak at the age group of 80 ～84 years. Cancers of lung,liver,colorectum,stomach,esophagus,female breast,pancreas,brain and central nerves system,leukemia and cervix were the top 10 incident cancers accounting for 79.88% of all new cancer cases. The cancer crude mortality rate in Sichuan cancer registries was 180.44/10~5（232.74/10~5 for males,126.18/10~5 for females;160.14/10~5 for urban areas,189.80/10~5 for rural areas）,age-standardized mortality rates by Chinese standard population（ASMRC） and by world standard population（ASMRW） were 124.07/10~5 and 122.99/10~5 with the cumulative mortality rate of 14.34%. Cancer mortality among population with 0～44 years of age remained low,however,it increased rapidly after 45 years and reached the peak at the age group of 85~＋ years. Cancers of lung,liver,esophagus,stomach,colorectum,pancreas,brain and central nerves system,female breast,leukemia and lymphoma were the top 10 cancer mortality accounting for 85.5

关 键 词：肿瘤登记 恶性肿瘤 发病率 死亡率 四川 

分 类 号：R73-31[医药卫生—肿瘤]