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中国癌症防治杂志

中国癌症防治杂志 ›› 2017, Vol. 9 ›› Issue (1): 30-39.doi: 10.3969/j.issn.1674-5671.2017.01.07

• 癌情监测 • 上一篇    下一篇

2013年广西肿瘤登记地区恶性肿瘤发病和死亡分析

  

  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:2017-02-25 发布日期:2017-03-24
  • 通讯作者: 葛莲英。E-mail：gxzlfb@163.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）

Cancer incidence and mortality in cancer registries in Guangxi，2013

  1. Affiliated Tumor Hospital of Guangxi Medical University;Guangxi Cancer Center;Guangxi Office for Cancer Prevention and Control;Guangxi Center Cancer Registry
  • Online:2017-02-25 Published:2017-03-24
  • Contact: Ge Lianying. E-mail：gxzlfb@163.com

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摘要：

目的 通过对广西肿瘤登记地区2013年恶性肿瘤登记资料进行分析，评估广西恶性肿瘤的发病和死亡情况。方法 按照全国肿瘤登记中心制定的审核方法和评价标准，选取2013年广西6个肿瘤登记地区上报的恶性肿瘤发病、死亡和人口数据进行汇总分析，按地区（城乡）、性别、年龄别、肿瘤别发病率和死亡率分层，分析广西恶性肿瘤和主要肿瘤的发病、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世界人口结构为标准。结果 2013年纳入分析的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）共覆盖人口5 196 871人，其中城市1 933 143人，农村3 263 728人；共报告恶性肿瘤新发病例12 563例，死亡病例7 908例；病理学诊断比例（MV%）为54.07%，只有死亡医学证明书比例（DCO%）为1.19%，死亡/发病比（M/I）为0.63。恶性肿瘤粗发病率为241.74 /10 万（其中男性273.44/10万，女性207.47/10 万），中国人口标化率（简称“中标率”）为212.55/10 万，世界人口标化率（简称“世标率”）为208.12/10万，累积发病率（0～74 岁）为23.16%。城市地区粗发病率为256.99/10 万，中标发病率为214.07/10 万；农村地区粗发病率为232.71/10 万，中标发病率为212.49/10 万。恶性肿瘤粗死亡率为152.17 /10 万（男性198.99/10万，女性101.53/10  万），中标死亡率为130.41/10 万，世标死亡率为129.18/10 万，累积死亡率（0～74 岁）为14.18%；城市地区粗死亡率为137.81/10 万，中标死亡率为113.51/10万；农村地区粗死亡率为160.68/10 万，中标死亡率为141.90/10万。发病前10位恶性肿瘤依次为肺癌、肝癌、结直肠癌、乳腺癌、胃癌、鼻咽癌、子宫颈癌、食管癌、脑瘤和白血病，占全部恶性肿瘤新发病例的79.15%。死亡前10位恶性肿瘤依次为肺癌、肝癌、结直肠癌、胃癌、食管癌、鼻咽癌、乳腺癌、脑瘤、白血病和淋巴瘤，占全部恶性肿瘤死亡病例的83.93%。结论 肺癌、肝癌、结直肠癌、乳腺癌、胃癌、鼻咽癌、食管癌和子宫颈癌是严重威胁广西居民生命与健康的主要恶性肿瘤，是广西恶性肿瘤防治的重点癌种。

关键词: 肿瘤登记, 恶性肿瘤, 发病率, 死亡率, 广西

Abstract:

Objective To analyze malignant tumor registration data in cancer registry areas in order to estimate cancer incidence and mortality in Guangxi in 2013. Methods Data from 6 registries were analyzed using methods and data quality control criteria of NCCR. Data were stratified by area（urban/rural），gender，age group and cancer site. Age-standardized incidence/mortality rates were calculated using the Chinese population census in 2000 and Segi's population. Results Altogether，the 6 cancer registries（2 urban，4 rural） covered a total of 5,196,871 people（1,933,143 in urban areas，3,263,728 in rural areas）. New cancer cases and cancer deaths were estimated to be，respectively，12,563 and 7,908. Morphology-verified cases （MV%） accounted for 54.07%，and 1.19% of incident cases were identified through death certifications only（DCO%）；the mortality to incidence ratio（M/I ratio） was 0.63. Crude incidence in Guangxi was 241.74/105（males，273.44/105；females，207.47/105），age-standardized incidence based on Chinese standard population （ASR China）was 212.55/105，and age-standardized incidence based on world standard population（ASR world） was 208.12/105. Cumulative incidence（0~74 age years old） was 23.16%. Cancer incidence and ASR China were 256.99/105 and 214.07/105 in urban areas；the corresponding values in rural areas were 232.71/105 and 212.49/105. Crude mortality in Guangxi was 152.17/105 （males，198.99/105；females，101.53/105），age-standardized mortality by Chinese standard population（ASR China） was 130.41/105 and age-standardized mortality by world standard population （ASR world） was 129.18/105. Cumulative mortality （0~74 age years old） was 14.18%. Cancer mortality and ASR China were 137.81/105 and113.51/105 in urban areas；the corresponding values in rural areas were 160.68/105 and 141.90/105. The top 10 most frequent cancers were lung，liver，colorectum，breast，stomach，nasopharynx，cervix，esophagus，brain tumor and leukemia；together，these cancers accounted for 79.15% of all new cancer cases. The most frequent causes of cancer-related death were cancers of lung，liver，colorectum，stomach，esophagus，nasopharynx，breast，brain tumor，leukemia and lymphoma；these accounted for about 83.93% of all cancer deaths. Conclusions Cancers of lung，liver，colorectum，breast，stomach，nasopharynx，cervix and esophagus are the major malignant tumors threatening the health of Guangxi residents. These cancers are the key targets of cancer prevention and control efforts in Guangxi.

Key words: Cancer registry, Malignant tumor, Incidence, Mortality, Guangxi