我国皮肤癌的发病与死亡状况分析  

Incidence and mortality of skin cancer in China

作　　者：唐明秀 练娜 费双雪 杨瑶 TANG Mingxiu;LIAN Na;FEI Shuangxue;YANG Yao(Department of Dermatology,the Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University,Sichuan Luzhou,Sichuan 646000,China)

机构地区：[1]西南医科大学附属中医医院皮肤科,四川泸州646000

出　　处：《医药前沿》2023年第16期4-7,12,共5页Journal of Frontiers of Medicine

摘　　要：目的:分析我国皮肤癌的最新发病和死亡情况,为皮肤癌的防治提供科学依据。方法:根据国家癌症中心最新发布的全国肿瘤登记数据,对554个登记处上报的2017年有效肿瘤登记数据进行评估,分析全国皮肤肿瘤的发病率和病死率。中国人口标化率(中标率)采用2000年中国人口构成,世界人口标化率(世标率)采用Segi’s世界标准人口构成。结果:2017年,554个肿瘤登记地区覆盖人口为436336955人(男性221134960人,女性215201995人),占当年全国人口数的31.16%。2017年,全国肿瘤登记地区皮肤癌新发病例数13505例,粗发病率为3.10/10万,中标发病率为1.87/10万,世标发病率为1.84/10万,0~74岁累积发病率为0.20%。男性发病率为3.11/10万,中标发病率为1.98/10万;女性发病率为3.08/10万,中标发病率为1.77/10万。皮肤黑色素瘤发病率为0.51/10万,中标发病率为0.33/10万;非黑色素性皮肤癌(NMSC)发病率为2.59/10万,中标发病率为1.54/10万。全国肿瘤登记地区皮肤癌死亡病例数4963例,粗病死率为1.13/10万,中标病死率为0.64/10万,世标病死率为0.65/10万,0~74岁累积病死率为0.05%。男性病死率为1.27/10万,中标病死率为0.77/10万;女性病死率为1.00/10万,中标病死率为0.50/10万。皮肤黑色素瘤病死率为0.36/10万,中标病死率为0.23/10万。NMSC病死率为0.77/10万,中标病死率为0.41/10万。结论:我国皮肤癌的发病率和病死率总体较低,但存在性别和年龄差异,应针对性加强重点人群的预防和控制。Objective To analyze the latest incidence and mortality of skin cancer in China,and to provide scientific basis for the prevention and treatment of skin cancer.Methods According to the latest national cancer registration data released by the National Cancer Center,the effective tumor registration data reported by 554 registries in 2017 were evaluated,the incidence and mortality of skin melanoma across the country were analyzed.Chinese population census in 2000 and Segi’s population were used for age-standardized incidence/mortality rates.Results In 2017,the 554 tumor registration areas covered a population of 436336955(221134960 males and 215201995 females),accounted for 31.16%of the national population that year.The number of new cases of skin cancer were 13505 cases in China in 2017,with a crude incidence rate of 3.10/100000.The age-standardized incidence rates by China standard population(ASR China)and world standard population(ASR world)of skin cancer were 1.87/100000 and 1.84/100000,respectively.Cumulative incidence rate(0~74 years old)of skin cancer in China was 0.20%.The crude and ASR China incidence rates of males were 3.11/100000 and 1.98/100000,respectively,whereas those were 3.08/100000 and 1.77/100000 in females.The crude and ASR China incidence rates of skin melanoma were 0.51/100000 and 0.33/100000,respectively,whereas those were 2.59/100000 and 1.54/100000 of nonmelanoma skin cancer(NMSC).The deaths of skin cancer were 4963 cases in China in 2017,with a crude mortality rate of 1.13/100000.The ASR China and ASR world mortality rates were 0.64/100000 and 0.65/100000,respectively,with a cumulative mortality rate(0~74 years old)of 0.05%.The crude and ASR China mortality rates of males were 1.27/100000 and 0.77/100000,respectively,whereas those were 1.00/100000 and 0.50/100000 in females.The crude and ASR China mortality rates of skin melanoma was 0.36/100000 and 0.23/100000,respectively,whereas those were 0.77/100000 and 0.41/100000 of NMSC.Conclusion The incidence and mortality of skin cancer in Chi

关 键 词：皮肤癌 皮肤黑色素瘤 非黑色素性皮肤癌 发病率 病死率 

分 类 号：R739.5[医药卫生—肿瘤]