| 文洪梅,成会荣,王建宁.2011年云南省肿瘤登记地区恶性肿瘤的发病与死亡[J].中国肿瘤,2016,25(8):579-588. |
| 2011年云南省肿瘤登记地区恶性肿瘤的发病与死亡 |
| Report of Cancer Incidence and Mortality in Yunnan Cancer Registration Areas，2011 |
| 投稿时间：2015-11-09 |
| DOI：10.11735/j.issn.1004-0242.2016.08.A001 |
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| 中文关键词: 肿瘤登记 恶性肿瘤 发病率 死亡率 云南 |
| 英文关键词:cancer registry tumor incidence mortality Yunnan |
| 基金项目: |
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| 中文摘要: |
| 摘 要：［目的］ 评估云南省2011年恶性肿瘤发病与死亡情况。［方法］ 按照国家癌症中心制定的审核方法和评价标准对云南省6 个肿瘤登记处上报的2011 年肿瘤登记数据进行整理和评估，共3个登记处的数据符合标准作为汇总数据，按地区、性别、年龄别、肿瘤别发病率和死亡率分层，然后结合2011 年全省人口数据，估计全省恶性肿瘤合计和主要肿瘤的发病、死亡情况。中国2000 年全国人口普查的人口结构和Segi’s 世界人口结构作为标准计算年龄标准化率。［结果］ 2011年纳入分析的3个登记处覆盖人口共1 477 507人，占全省2011年人口数的3.21%。病理诊断比例（MV%）为73.85%，只有死亡证明书比例（DCO%）为1.19%，死亡发病比（M/I）为0.61。 据估计，2011 年新发恶性肿瘤病例约71 247 例，死亡病例43 041 例。全省恶性肿瘤发病率为155.59/10万（男性157.48/10万，女性152.32/10 万），中标率为177.53/10 万，世标率为140.39/10 万，累积率为16.33%。红塔区发病率为201.60/10 万，中标发病率为187.80/10 万；个旧市发病率为195.32/10 万，中标发病率为167.98/10 万；腾冲县发病率为161.80/10 万，中标发病率为176.19/10 万。全省恶性肿瘤死亡率为93.62/10 万（男性111.22/10 万，女性74.68/10 万），中标死亡率为107.22/10 万，世标死亡率为84.71/10 万，累积死亡率（0~74 岁）为10.12%；红塔区死亡率为122.98/10 万，中标死亡率为112.37/10 万；个旧市死亡率为114.70/10 万，中标死亡率为96.21/10 万；腾冲县死亡率为100.42/10 万，中标死亡率为109.21/10 万。肺癌、结直肠癌、肝癌、胃癌和女性宫颈癌是云南省主要恶性肿瘤，约占全部新发病例的56%。肺癌、肝癌、结直肠癌、胃癌和脑瘤是主要的肿瘤死因，约占全部肿瘤死亡病例的63%。［结论］ 2011年云南省肿瘤登记地区主要恶性肿瘤为肺癌、肝癌、结直肠癌、胃癌、女性宫颈癌和脑瘤。 |
| 英文摘要: |
| Abstract：［Purpose］ To estimate the cancer incidence and mortality in Yunnan province in 2011.［Methods］ Based on the methods and criteria of data quality control made by NCCR，3 registries，data qualified from 6 submitted registries after data clearance and assessment as pooled data. The data was stratified by area，gender，age group and cancer site，incidence and mortality were calculated combined with population of Yunnan province in 2011. Chinese population census in 2000 and Segi’s population were used for age-standardized incidence/mortality rates.［Results］ All 3 cancer registries covered a total of 1 477 507 population，which accounted for 3.21% of whole population of Yunnan province in 2011. The morphology verified cases(MV%) accounted for 73.85%，and 1.19% of incident cases were identified through death certifications only(DCO%) with mortality to incidence ratio (MI ratio) of 0.61. It was estimated that new cancer cases and cancer deaths were 71 247 and 43 041 in 2011，respectively. The incidence in Yunnan province was 155.59/105(male 157.48/105，female 152.32/105)，age-standardized incidence by Chinese standard population(ASR China) and by world standard population (ASR world) were 177.53/105 and 140.39/105 with the cumulative incidence (0~74 age years old) of 16.33%. The cancer incidence and ASR China were 201.60/105 and 187.80/105 in Hongta district，195.32/105 and 167.78/105 in Gejiu county，whereas 161.80/105 and 176.19/105 in Tengchong county. The mortality in Yunnan province was 93.62/105(male 111.22/105，female 74.68/105)，age-standardized mortality by Chinese standard population (ASR China) and by world standard population (ASR world) were 107.22/105 and 84.71/105 with the cumulative mortality (0~74 age years old) of 10.12%. The crude cancer mortality and ASR China were 122.98/105 and 112.37/105 in Hongta district，114.70/105 and 96.21/105 in Gejiu county，and 100.42/105 and 109.21/105 in Tengchong county. Cancers of lung，colon-rectum，liver，stomach and female cervix were the most common cancers，accounting for about 56% of all cancer new cases. Lung cancer，liver cancer，colon-rectum cancer，stomach cancer and brain tumor were the leading causes of cancer death，accounted for about 59% of all cancer deaths.［Conclusions］The most common cancers were lung cancer，liver cancer，colon-rectum cancer，stomach cancer，female cervix cancer and brain tumor in Yunnan province. |
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