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中国癌症防治杂志

中国癌症防治杂志 ›› 2017, Vol. 9 ›› Issue (2): 104-110.doi: 10.3969/j.issn.1674-5671.2017.02.05

• 癌情监测 • 上一篇    下一篇

2013年广西肿瘤登记地区鼻咽癌发病和死亡分析

  

  1. 广西医科大学附属肿瘤医院；广西壮族自治区癌症中心；广西壮族自治区肿瘤防治研究办公室；广西肿瘤登记中心
  • 出版日期:2017-04-25 发布日期:2017-06-12
  • 通讯作者: 葛莲英 gxzlfb@163.com；余家华 1417510919@qq.com
  • 基金资助:

    科技部科技惠民计划资助项目（2013GS450101）；广西科学研究与技术开发计划资助项目（桂科攻14124003-4）；广西自然科学基金资助项目（2016GXNSFAA380022）；广西壮族自治区卫生和计划生育委员会自筹经费科研课题资助项目（Z2015623）

Nasopharyngeal cancer incidence and mortality in Guangxi in 2013

  • Online:2017-04-25 Published:2017-06-12

PDF (PC)

709

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被引次数

3

摘要：

目的 根据2016年广西肿瘤登记地区上报的鼻咽癌登记资料，评估2013年广西鼻咽癌的发病和死亡情况。方法 根据全国肿瘤登记中心制定的审核方法和评价标准，对全区8个肿瘤登记地区上报的2013年肿瘤登记数据进行评价，其中6个登记地区的数据符合入选标准。将入选的6个登记地区的发病、死亡和人口数据进行汇总，按地区（城乡）、性别、年龄别和地域分层，评估广西鼻咽癌发病、死亡情况。人口标准化率计算根据全国2000年人口普查的人口结构和Segi's世界人口结构。结果 入选的6个肿瘤登记地区（其中地级以上城市2个，县及县级市4个）覆盖人口5 196 871人，其中城市1 933 143人，农村3 263 728人；鼻咽癌病理学诊断比例（MV%）为66.72%，只有死亡医学证明书比例（DCO%）为1.40%，死亡/发病比（M/I）为0.47。共报告新发鼻咽癌病例643例，死亡病例303例；粗发病率为12.37 /10 万（男性16.96/10万，女性7.41/10 万），中标发病率为11.16/10 万，世标发病率为10.49/10 万，累积发病率（0~74 岁）为1.13%。城市地区粗发病率为9.10/10 万，中标发病率为7.52/10 万；农村地区粗发病率为14.31/10 万，中标发病率为13.67/10 万。鼻咽癌粗死亡率为5.83 /10 万（男性8.37/10万，女性3.08/10 万），中标死亡率为5.16/10 万，世标死亡率为5.01/10 万，累积死亡率（0~74 岁）为0.56%；城市地区粗死亡率为4.09/10 万，中标死亡率为3.35/10 万；农村地区粗死亡率为6.86/10 万，中标死亡率为6.39/10 万。结论 2013年广西肿瘤登记地区鼻咽癌发病和死亡均高于全国平均水平，无论是发病或死亡均存在明显的年龄、性别、城乡和地域差异，30岁以后各年龄组是高发阶段，男性高于女性，农村高于城市，东部地区高于中南部和中北部地区，30岁以上男性是重点防治人群。

关键词: 肿瘤登记, 鼻咽癌, 发病率, 死亡率, 广西

Abstract:

Objective To estimate incidence of nasopharyngeal cancer （NPC） and related mortality in 2013 based on analysis of selected population-based cancer registries in Guangxi. Methods Methods and data quality control criteria recommended by the National Central Cancer Registry were used to evaluate cancer data from 2013 from 8 population-based cancer registries in Guangxi，and data from 6 registries meeting quality criteria were included in the analysis. These data were stratified by rural/urban area，gender，age and region to estimate（NPC） incidence and mortality. Segi population data and the national census population in 2000 were used to calculate age-standardized rates. Results Data from the 2 urban areas and 4 rural areas covered a population of 5，196，871 （1，933，143 in urban areas，3，263，728 in rural areas）. Of all reported cases of NPC，66.72% were morphology-verified，while 1.40% were identified through death certificate only（DCO%）. The mortality to incidence ratio（M/I ratio） was 0.47. In 2013，643 new cases of NPC were reported，and 303 NPC-related deaths were recorded. The following incidences were calculated： crude，12.37/10　5 （male 16.96/10　5，female 7.41/10　5）； cumulative （0-74 years old），1.13%；age-standardized by Chinese standard population （ASR China），11.16/10　5；and age-standardized by world standard population （ASR world），10.49/10　5. Cancer incidence and ASR China were 4.09/10　5 and 3.35/10　5 in urban areas； the corresponding values in rural areas were 6.86/10　5 and 6.39/10　5. Conclusions Incidence of NPC and NPC-related mortality in Guangxi in 2013 were higher than the national averages. Incidence and mortality varied significantly with rural/urban area，gender，age and region. Nasopharyngeal cancer incidence increases rapidly beyond 30 years of age，and incidence and mortality are higher among males than females，higher in rural than urban areas and higher in eastern regions than in southern or north central regions. Efforts at NPC prevention and control are strongly needed in Guangxi，and these efforts should target men over 30 in particular.

Key words: Cancer registry, Nasopharyngeal cancer, Incidence, Mortality, Guangxi