朱松林,廖先珍,许可葵.2012年湖南省肿瘤登记地区恶性肿瘤发病与死亡分析[J].中国肿瘤,2017,26(1):25-32.
2012年湖南省肿瘤登记地区恶性肿瘤发病与死亡分析
Report of Cancer Incidence and Mortality in Hunan Cancer Registries,2012
投稿时间:2016-06-02  
DOI:10.11735/j.issn.1004-0242.2017.01.A004
中文关键词:  肿瘤登记  恶性肿瘤  发病率  死亡率  湖南
英文关键词:cancer registry  malignant tumor  incidence  mortality  Hunan
基金项目:湖南省卫生计生委科研基金(C2015-055)
作者单位
朱松林 湖南省肿瘤医院湖南省肿瘤防治研究办公室 
廖先珍 湖南省肿瘤医院湖南省肿瘤防治研究办公室 
许可葵 湖南省肿瘤医院湖南省肿瘤防治研究办公室 
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中文摘要:
      摘 要:[目的] 分析2012年湖南省肿瘤登记地区恶性肿瘤发病与死亡情况。[方法] 收集2012年湖南省6个肿瘤登记地区上报的肿瘤发病与死亡资料。对数据进行审核和评估后,按城乡、性别分层,分别计算恶性肿瘤的粗发病率和粗死亡率、中标率、世标率、年龄别率、累积率以及前10位恶性肿瘤发病和死亡顺位和构成。中标率和世标率分别采用2000年中国标准人口年龄构成和Segi’s世界标准人口年龄构成为标准进行计算。[结果] 2012年湖南省肿瘤登记地区恶性肿瘤发病率为193.92/10万,中标率为150.92/10万,世标率为147.67/10万,累积率(0~74岁)为17.03%;死亡率为126.43/10万,中标率为96.28/10万,世标率为94.49/10万,累积率(0~74岁)为11.01%。年龄别发病率在0~39岁间处于较低水平,40岁以后快速上升,在75~79岁年龄组时达到高峰;年龄别死亡率在0~44岁间处于较低水平,45岁以后快速上升,在75~79岁年龄组时达到高峰。恶性肿瘤发病第1位为肺癌,发病率为46.73/10万,其次为肝癌、乳腺癌、宫颈癌和结直肠癌等,前10位恶性肿瘤占全部恶性肿瘤发病的78.54%;死亡第1位为肺癌,死亡率为37.03/10万,其次为肝癌、胃癌、结直肠癌和乳腺癌等,前10位恶性肿瘤占全部恶性肿瘤死亡的84.06%。[结论] 湖南省需重点防治的恶性肿瘤仍然是肺癌、肝癌、胃癌、结直肠癌、乳腺癌和宫颈癌,特色高发的鼻咽癌和男性口腔癌也应引起足够的重视,病因预防和早诊早治应加大推进。
英文摘要:
      Abstract:[Purpose] To investigate the cancer incidence and mortality in Hunan cancer registries in 2012.[Methods] The new cases and deaths data were collected from 6 population-based cancer registries of Hunan province. After data were checked and evaluated,stratified analysis by residence and gender was used to calculate crude rate,age-standardized rate,age-specific rate,cumulative rate,rank and proportions of 10 common cancers. Chinese population census in 2000 and Segi’s population were used for calculating age-standardized rate. [Results] The crude incidence in Hunan cancer registration area was 193.92/105,age-standardized incidence by Chinese standard population and by world standard population were 150.92/105 and 147.67/105,with the cumulative incidence(0~74 years old) of 17.03%. The crude mortality in Hunan cancer registration area was 126.43/105,age-standardized mortality by Chinese standard population and by world standard population were 96.28/105 and 94.49/105,with the cumulative mortality(0~74 years old) of 11.01%. Age-specific incidence among 0~39 years old population remained low,however it increased rapidly after 40 years old and reached the peak at the age group of 75~79 years old. Age-specific mortality among 0~44 years old population remained low,but it increased rapidly after 45 years old and reached the peak at the age group of 75~79 years old. The first common type of new cancers was lung cancer with incidence of 37.03/105,followed by liver cancer,gastric cancer,colorectal cancer,breast cancer,and so on. The 10 most common cancers accounted for 78.54% of all new cancers. Lung cancer was also the most common type of cancer deaths with mortality of 37.03/105. The other common cancer deaths were liver cancer,gastric cancer,colorectal cancer and breast cancer and so on. The 10 most common cancer deaths accounted for 84.06% of all cancer deaths.[Conclusions] Lung cancer,liver cancer,gastric cancer,colorectal cancer,breast cancer and cervical cancer were still the main objects of cancer prevention and control in Hunan province. Characteristics of high incidence of nasopharyngeal carcinoma and male oral cancer should be focused on. Causal prophylaxis,early detection and treatment need to advance more.
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