文洪梅,任思颖,王建宁.云南省肿瘤登记地区2012年恶性肿瘤发病与死亡分析[J].中国肿瘤,2016,25(12):950-956.
云南省肿瘤登记地区2012年恶性肿瘤发病与死亡分析
Incidence and Mortality of Cancers in Yunnan Provincial Cancer Registry in 2012
投稿时间:2015-12-07  
DOI:10.11735/j.issn.1004-0242.2016.12.A003
中文关键词:  恶性肿瘤  发病率  死亡率  云南
英文关键词:malignant tumor  incidence  mortality  Yunnan
基金项目:
作者单位
文洪梅 云南省疾病预防控制中心 
任思颖 云南省疾病预防控制中心 
王建宁 个旧市肿瘤防治工作领导小组办公室 
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中文摘要:
      摘 要:[目的] 评估2012年云南省肿瘤登记地区恶性肿瘤发病与死亡。[方法] 收集2012年云南省3个肿瘤登记地区上报的恶性肿瘤发病与死亡资料,计算恶性肿瘤发病率、死亡率、前10位恶性肿瘤顺位、构成比、累积率;采用2000年中国标准人口构成和Segi’s世界人口构成分别计算中国和世界人口年龄标化发病/死亡率(中标率和世标率)。[结果] 2012年云南省3个肿瘤登记地区共覆盖人口1 483 539人(其中城市429 953人,农村1 053 586人),恶性肿瘤新发病例2861例,死亡病例1775例。恶性肿瘤病理诊断比例为73.53%,只有死亡证明书比例为3.10%,死亡发病比为0.62。全部恶性肿瘤发病率为192.85/10万(男性200.71/10万,女性184.82/10万),中标率为184.60/10万,世标率为144.61/10万,累积率(0~74岁)为16.41%。城市地区发病率(211.88/10万)高于农村地区(185.05/10万)。全部恶性肿瘤死亡率为119.65/10万(男性142.39/10万,女性96.43/10万),中标率为113.65/10万,世标率为88.79/10万,累积率(0~74岁)为10.14%。城市地区死亡率(125.36/10万)高于农村地区(117.31/10万)。肺癌、结直肠癌、肝癌、宫颈癌、女性乳腺癌是云南省常见的恶性肿瘤,占全部新发病例的53.27%。肺癌、肝癌、结直肠癌、胃癌、乳腺癌是威胁云南省居民生命健康的主要恶性肿瘤,占死亡病例的61.75%。[结论] 2012年云南省肿瘤登记地区主要恶性肿瘤为肺癌、肝癌、胃癌、结直肠癌、宫颈癌和女性乳腺癌。
英文摘要:
      Abstract:[Purpose] To estimate the cancer incidence and mortality in Yunnan cancer registry areas in 2012. [Methods] Data were collected from 3 population-based cancer registries systems in Yunnan province. Incidence and mortality rates stratified by areas(urban/rural),gender,age group and cancer site were analyzed. The top 10 common cancers in different groups,proportions and cumulative rates were calculated. The Chinese population census in the year 2000 and Segi’s populations were used for age-standardized incidence/mortality rates. [Results] In the 3 cancer registries,a total of 1 483 539 population(429 953 in urban and 1 053 586 in rural areas) were covered,data was used for the analysis. The total new cancer incidence cases and deaths were 2861 and 1775,respectively. All the morphologically verified cancer cases(MV%) accounted for 73.53% while 3.10% of the incidence cases were identified only through death certification records(DCO%). The mortality to incidence ratio was 0.62. The crude incidence in Yunnan cancer registration areas was 192.85/105(200.71/105 in male and 184.82/105 in female). The age-standardized incidence rates by Chinese standard population(ASIRC)and by world standard population(ASIRW) was 184.60/105 and 144.61/105 respectively,with the cumulative incidence rates(0~74 age years old) of 16.41% . The cancer incidence in rural areas(211.88/105) was higher than that in urban areas(185.05/105). The crude mortality in Yunnan cancer registration areas was 119.65/105(142.39/105 in male,96.43/105 in female),with age-standardized mortality rates by Chinese standard population(ASMRC)and by world standard population(ASMRW) of 113.65/105 and 88.79/105 respectively. The cumulative mortality rate(0~74 age years old)was 10.14% . The cancer mortality in rural areas(125.36/105) was higher than that in urban area(117.31/105). The most common sites of cancers were lung,colorectal,liver,cervix and female breast cancer,which accounted for 53.27% of all the cancer cases. Lung cancer,liver cancer,colorectal cancer,stomach cancer and breast cancer were the major causes,which accounted for 61.75% of all the cancer deaths. [Conclusion] The most commonly cancers were lung cancer,liver cancer,colorectal cancer,cervix cancer and female breast cancer in Yunnan province.
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