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中国癌症防治杂志 ›› 2019, Vol. 11 ›› Issue (1): 43-51.doi: 10.3969/j.issn.1674-5671.2019.01.08

• 癌情监测 • 上一篇    下一篇

2015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;广西癌症中心;广西壮族自治区肿瘤防治研究工作领导小组办公室
  • 出版日期:2019-02-25 发布日期:2019-03-28
  • 通讯作者: 余家华 E-mail:gxzlfb@163.com
  • 基金资助:
    国家自然科学基金项目(81860596);广西自然科学基金项目(2016GXNSFAA380022);广西卫生和计划生育委员会自筹经费科研课题(Z2015623;Z20180649)

Cancer incidence and mortality in cancer registries in Guangxi,2015

  • Online:2019-02-25 Published:2019-03-28

摘要: 目的 分析2015年广西肿瘤登记地区恶性肿瘤发病和死亡情况。方法 按照全国肿瘤登记中心制定的审核方法和评价标准,对广西26个县区上报的恶性肿瘤发病、死亡和人口数据进行汇总,按地区、性别、年龄进行分层,计算恶性肿瘤发病与死亡的粗率、标化率、累积率(0~74 岁)和前10位恶性肿瘤发病与死亡顺位及构成等。人口标准化率计算采用全国2000年人口普查人口结构和Segi's世界人口结构。结果 2015年纳入分析的26个县区(其中城区19个,县及县级市7个),覆盖人口9 414 305人(其中城市5 679 778人,农村3 734 527人),新发恶性肿瘤病例22 644例,死亡病例13 737例,恶性肿瘤发病率和死亡率分别为240.53/10 万(男性275.63/10万,女性202.99/10 万)和145.92/10 万(男性191.62/10万,女性97.05/10 万),中标发病率和死亡率分别为191.79/10 万和112.83/10 万,世标发病率和死亡率分别为186.76/10 万和110.91/10 万,累积(0~74 岁)发病率和死亡率分别为21.07%和12.52%。城市地区发病率和死亡率分别为254.16/10 万和146.47/10 万,中标发病率和死亡率分别为203.42/10 万和114.47/10万。农村地区发病率和死亡率分别为219.79/10 万和145.08/10 万,中标发病率和死亡率分别为175.86/10 万和111.80/10万。发病前10位恶性肿瘤依次为肺癌、肝癌、乳腺癌、结直肠癌、宫颈癌、胃癌、鼻咽癌、子宫体癌、前列腺癌和脑肿瘤,占全部新发病例的76.90%。死亡前10位恶性肿瘤依次为肝癌、肺癌、结直肠癌、胃癌、乳腺癌、鼻咽癌、宫颈癌、食管癌、前列腺癌和白血病,占全部恶性肿瘤死亡报告病例的82.32%。结论 2015年广西肿瘤登记地区常见发病与死亡恶性肿瘤为肝癌、肺癌、结直肠癌、胃癌、乳腺癌、鼻咽癌和宫颈癌,应将其作为防治工作的重点,同时前列腺癌和女性甲状腺癌发病率上升,亦要加强关注。

关键词: 肿瘤登记, 恶性肿瘤, 发病率, 死亡率, 广西

Abstract: Objective To analyze the cancer incidence and mortality in Guangxi cancer registration areas in 2015. Methods Data form 26 cancer registration areas were analyzed using methods and data quality control criteria of NCCR. Cancer incidence and mortality stratified by gender,area(urban and rural)and age group were analyzed. Crude rate,age-standardized rate(ASR),cumulative rate (0-74 years old) and truncated rate were calculated. The proportion and rates of 10 common cancers in different groups were also calculated.Age-standardized incidence and mortality rates were calculated using the Chinese population census in 2000 and Segi's population. Results Altogether,the 26 cancer registries(19 urban and 7 rural) covered a total of 9,414,305 people(5,679,778 in urban areas and 3,734,527 in rural areas). New cancer cases and cancer deaths were estimated to be,respectively,22,644 and 13,737. The incidence and mortality of malignant tumors were 240.53/105 (male 275.63/105,female 202.99/105) and 145.92/105(male 191.62/105,female 97.05/105). Age-standardized incidence and mortality adjusted by Chinese standard population were 191.79/105 and 112.83/105,and 186.76/105 and 110.91/105 by world standard population,respectively. The cumulative(0-74 years old) incidence and mortality were 21.07% and 12.52%,respectively. The incidence and mortality of malignant tumors in urban areas were 254.16/105 and 146.47/105,and age-standardized incidence and mortality adjusted by Chinese standard population were 203.42/105 and 114.47/105,while the incidence and mortality of malignant tumors in rural areas were 219.79/105 and 145.08/105,and age-standardized incidence and mortality adjusted by Chinese standard population were 175.86/105 and 111.80/105. The top 10 most frequent cancers were lung,liver,breast,colorectum,cervix,stomach,nasopharynx,uterus,prostate and brain tumor,accounting for about 76.90% of all cancer new cases. Cancers of liver,lung,colorectum,stomach,breast,nasopharynx,cervix,esophagus,prostate and leukemia were the leading causes of cancer death,ccounted for about 82.32% of all cancer deaths. Conclusions Cancers of liver,lung,colorectum,stomach,breast,nasopharynx and cervix are the common malignant tumors of incidence and mortality in Guangxi cancer registry areas,which should be the focus of prevention and treatment in Guangxi. In addition,we should pay more attention to prostate cancer and female thyroid cancer due to their rising incidence.

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

中图分类号: 

  • R73-31