2003—2012年上海市头颈部恶性肿瘤发病特征分析  

The patterns of head and neck cancer incidence in Shanghai from 2003 to 2012

作　　者：吴春晓[1] 鲍萍萍[1] 黄哲宙[1] 张敏璐[1] 顾凯[1] 向詠梅[1] 彭鹏[1] 龚杨明[1] 郑莹[1,2] 仲伟鉴[1] WU Chunxiao;BAO Pingping;HUANG Zhezhou;ZHANG Minlu;GU Kai;XIANG Yongmei;PENG Peng;GONG Yangming;ZHENG Ying;ZHONG Weijian(Department of Cancer Control and Prevention, Branch ofNoncommunicable Diseases and Injury, Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336, China)

机构地区：[1]上海市疾病预防控制中心,慢性非传染病和伤害防治所肿瘤防治科,上海200336 [2]复旦大学附属肿瘤医院

出　　处：《中国癌症杂志》2017年第6期406-414,共9页China Oncology

基　　金：上海市第四轮公共卫生三年行动计划慢病重点学科项目(15GWZK0801)

摘　　要：背景与目的:全球范围内头颈部恶性肿瘤发病较为常见。该研究描述了2003—2012年上海市头颈部恶性肿瘤的主要发病特征及其变化,为探寻病因学研究线索,制定和评估相关癌症预防、研究与控制的规划和措施提供依据。方法:根据上海市恶性肿瘤患者报告登记系统收集的唇、口腔和咽的恶性肿瘤发病资料,描述2003—2012年的发病概况、性别和年龄分布;对诊断依据、病理类型及诊断时期别等诊断特征进行具体描述,并分析前后5年的变化。结果:2003—2012年,上海全市年均新诊断头颈部恶性肿瘤患者1 105例,占所有部位恶性肿瘤的2.08%,发病率为8.01/10万,标化发病率为4.45/10万,鼻咽癌患者数最多,占50.81%。男性发病率和标化发病率均大于女性。病理诊断比例达到85.77%,病理组织学类型以鳞癌为主,占57.58%。鼻咽癌标化发病率呈现下降趋势。结论:近10年上海头颈部恶性肿瘤发病率较低,男性比女性多发,病理组织学类型以鳞癌为主。鼻咽癌患者约占一半,且发病集中的年龄较年轻,诊断时期别相对较晚。Background and purpose:Head and neck cancer is common worldwide.This article aimed to describe the patterns of incidence of head and neck cancer and their changes in Shanghai from2003to2012,in order to provide reference for prevention programs,research and control strategies on cancer.Methods:The data of lip,oral cavity and pharynx cancer cases were collected by the Shanghai Cancer Registry.The distributions of Shanghai lip,oral cavity and pharynx cancer incidences from2003to2012were described.The patterns were described according to gender,age,basis of diagnosis,histological type,diagnostic stage in detail.We compared incidences of recent5years(from2008to2012)with those of previous5years(from2003to2007).Results:On average from2003to2012,1105new cases of head and neck cancer were diagnosed in Shanghai each year,with2.08%among the total cancer cases.The crude rate was8.01per100000and the age-standardized rate was4.45per100000.Nasopharyngeal cancer was the major subtype of the head and neck cancer,with50.81%among the total head and neck cases.The crude and age-standardized rates among males were higher than those among females.The histologically verified percentage was85.77%.The squamous carcinoma was the major histological type,with57.58%among the total cases.The age-standardized rate of nasopharyngeal cancer was in decline.Conclusion:The incidence of head and neck cancer was low in Shanghai during the past10years.Male cases were more than female cases.The major histological type was squamous carcinoma.Half of new cases were nasopharyngeal cancer which appeared to affect patients at a relatively young age.Patients with nasopharyngeal cancer were diagnosed at relatively advanced stages.

关 键 词：头颈部 唇、口腔和咽 鼻咽 癌症 发病 

分 类 号：R739.91[医药卫生—肿瘤]