| 姚开颜,马万里,马新源.1987~2011年嘉善县大肠癌发病分析[J].中国肿瘤,2014,23(2):87-91. |
| 1987~2011年嘉善县大肠癌发病分析 |
| An Analysis of Colorectal Cancer Incidence in Jiashan County，Zhejiang Province，1987～2011 |
| 投稿时间：2013-10-24 |
| DOI：10.11735/j.issn.1004-0242.2014.02.A002 |
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| 中文关键词: 结直肠癌 发病率 筛查 嘉善 |
| 英文关键词:colorectal cancer incidence screening Jiashan |
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| 中文摘要: |
| 摘 要：［目的］分析嘉善县1987~2011年大肠癌的发病特征及变化趋势。［方法］对嘉善县肿瘤登记处1987年1月1日至2011年12月31日期间大肠癌发病资料进行统计分析。计算粗发病率、中国人口标化发病率（中标率）和世界人口标化发病率（世标率）。［结果］ 1987~2011年新发大肠癌3013例，粗发病率31.99/10万，中标率17.19/10万，世标率22.59/10万，35~64岁截缩率35.03/10万，0~64岁累积率1.39%，0~74岁累积率2.78%。大肠癌粗率的PC和APC分别为109.88%和3.08%（直肠癌37.73%和1.47%，结肠癌266.67%和5.05%），世标率的PC和APC分别为16.81%和0.37%（直肠癌-22.38%和-1.07%，结肠癌99.73%和2.19%）。大肠癌发病率从45～岁年龄组开始上升。1987~2001年直肠癌、结肠癌的新发病例分别占56.67%和43.33%，2002~2011年则分别占45.55%和54.45%。［结论］ 嘉善县大肠癌的发病率呈上升趋势，其中以结肠癌的发病上升为主。建议大肠癌筛查的起始年龄为45岁。 |
| 英文摘要: |
| Abstract:［Purpose］ To analyze the characteristics and change tendency of colorectal cancer in Jiashan from 1987 to 2011.［Methods］ The cancer data from Jan 1，1987 to Dec 15，2011 in Jiashan Cancer Registry were analyzed. The crude incidence，age-standardized incidence by Chinese and world standard population (ASR China and ASR world) were calculated respectively. ［Results］ From 1987 to 2011，the total new cases with colorectal cancer were 3013. The crude incidence was 31.99/105，ASR China and ASR world were 17.19/105 and 22.59/105 with the truncated incidence rate in 35~64 years old was 35.03/105，cumulative incidence rate in age from 0~64 and age from 0~74 was 1.39% and 2.78% respectively. PC and APC of crude incidence were 109.88% and 3.08% respectively (rectal cancer were 37.73% and 1.47%；colon cancer were 266.67% and 5.05%），and the PC and APC of ASR world were 16.81% and 0.37% respectively（rectal cancer were -22.38% and -1.07%；colon cancer were 99.73% and 2.19%）. The incidence increased rapidly over 45 years old. The new incidence cases of rectal and colon cancer accounted for 56.67% and 43.33% of the total from 1987 to 2001，and accounted for 45.55% and 54.45% from 2002 to 2011. ［Conclusions］ The incidence of colorectal cancer increase steadily in Jiashan during 1987 to 2011，it is dominated by colon cancer. Screening for colorectal cancer should start at age 45 years. |
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