2010-2014年浙江省胰腺癌发病和死亡分析  

Analysis of incidence and mortality of pancreas cancer in Zhejiang, 2010-2014

作　　者：陈捷 李辉章 陈茜[1] 谢海斌[1] 杜灵彬 CHEN Jie;LI Hui-zhang;CHEN Xi;XIE Hai-bin;DU Ling-bin(Department of Chronic Disease,Wenzhou Lucheng District Centers for Disease Control and Prevention,Wenzhou 325000,China;Institute of Cancer Research and Basic Medical Sciences,Chinese Academy of Sciences/Cancer Hospital of University of Chinese Academy of Sciences/Zhejiang Cancer Hospital,Hangzhou 310022,China)

机构地区：[1]温州市鹿城区疾病预防控制中心慢病科,浙江温州325000 [2]中国科学院肿瘤与基础医学研究所/中国科学院大学附属肿瘤医院/浙江省肿瘤医院,浙江杭州310022

出　　处：《中华肿瘤防治杂志》2021年第22期1720-1724,共5页Chinese Journal of Cancer Prevention and Treatment

摘　　要：目的分析浙江省2010-2014年胰腺癌发病与死亡情况,为胰腺癌防控提供基础信息。方法收集浙江省14个肿瘤登记点2010-2014年上报登记数据,对入选的数据进行地区、性别和年龄分层,结合全省人口数,计算性别、年龄别和地区发病(死亡)率,标化发病(死亡)率,累积发病(死亡)率(0~74岁)。中国人口标化率和世界人口标化率分别采用2000年中国标准人口年龄构成和世界标准人口(Segi’s)构成。结果2010-2014年胰腺癌发病5873例(男3357例,女2516例),粗发病率为10.03/10万(男11.45/10万,女8.60/10万),占所有新发癌症病例的2.97%,在所有新发癌症中排名第8位,中标率5.48/10万,世标率5.42/10万,累计率(0~74岁)0.65%。2010-2014年浙江省肿瘤登记地区死亡5511例,男3108例,女2403例,粗死亡率9.41/10万(男10.60/10万,女8.21/10万),中标率5.02/10万,世标率4.97/10万,累计率(0~74岁)0.58%,癌症死亡第6位,占所有癌症死亡的5.07%。胰腺癌死亡率城市高于农村,男性高于女性。胰腺癌死亡率趋势为逐年上升。结论浙江省肿瘤登记地区胰腺癌发病与死亡率分别位居恶性肿瘤第8位与第6位,男性发病率与死亡率均多于女性,应进一步重视胰腺癌防制工作,提高居民防病意识。Objective To analyze the incidence and mortality of pancreatic cancer which is difficult to treat and has a high mortality in Zhejiang cancer registries from 2010 to 2014. Methods Based on the data from 14 registries of Zhejiang which were qualified and accepted by cancer registry from 2010 to 2014,incidence and mortality stratified by areas(urban/rural),sex, age-group were analyzed. Chinese population structure in 2000 and Segi’s world standardized population were used for calculating age-standardized rates(ASR). Results 2010-2014, there were 5 873 new cases diagnosed as pancreas cancer in Zhejiang cancer registration areas(3 357 males and 2 516 females), accounting for 2.97% of all new cancer cases, and ranked at 8 among all new cancer. Its crude incidence rate was 10.03 per 100 000(5.48 per 100 000 for ASR China and 5.42 per 100 000 for ASR world). Totally 5 511 cases died of pancreas cancer from 2010 to 2014(3 108 males and 2 403 females), with the crude mortality of 9.41 per 100 000(5.02 per 100 000 for ASR China and 4.97 per 100 000 for ASR world),accounting for 5.07% of all cancer deaths, and ranked at 6 among all cancer deaths. The mortality of pancreas cancer in male, urban were higher than those in female, rural. The incidence of pancreas cancer shows an increasing trend. The cumulative rates of incidence and mortality from age 0 to 74 years were 0.65% and 0.58%,respectively. Conclusion Pancreatic cancer is one of the fatal cancers, which the incidence and mortality rate ranked eighth and sixth respectively in Zhejiang cancer registries and more frequently in men. More measure should be taked to control pancreas cancer.

关 键 词：胰腺癌 肿瘤登记 发病率 死亡率 流行特征 浙江 

分 类 号：R735.9[医药卫生—肿瘤]