| 文洪梅,陈 杨,王建宁.2013年云南省肿瘤登记地区恶性肿瘤发病与死亡分析[J].中国肿瘤,2018,27(1):23-30. |
| 2013年云南省肿瘤登记地区恶性肿瘤发病与死亡分析 |
| Cancer Incidence and Mortality in Cancer Registration Areas of Yunnan Province，2013 |
| 投稿时间：2017-05-08 |
| DOI：10.11735/j.issn.1004-0242.2018.01.A003 |
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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 malignant tumor incidence mortality Yunnan |
| 基金项目: |
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| 中文摘要: |
| 摘 要：［目的］ 描述云南省2013年肿瘤登记地区恶性肿瘤发病与死亡情况，为云南省癌症防治工作提供基础信息。［方法］ 按照肿瘤登记质量控制标准，对云南省11个肿瘤登记处报告的2013年数据进行系统评估。对符合质量要求的5个登记处数据进行汇总统计，分城乡、性别、年龄及癌症部位分别计算发病率和死亡率。［结果］ 2013年纳入分析的5个登记处覆盖人口共2 141 576人，占全省2013年人口数的4.52%。病理诊断比例（MV%）为64.51%，只有死亡医学证明书比例（DCO%）为1.49%，死亡发病比（M/I）为0.61。全省肿瘤登记地区恶性肿瘤发病率为213.16/10万（城市241.45/10万，农村190.92/10 万），中标率为156.30/10 万，世标率为151.05/10 万，累积率（0～74岁）为16.97%。全省肿瘤登记地区恶性肿瘤死亡率为131.07/10 万（城市148.52/10 万，农村117.35/10 万），中标死亡率为91.21/10 万，世标死亡率为89.57/10 万，累积率（0～74岁）为10.11%。肺癌、女性乳腺癌、结直肠癌、宫颈癌、肝癌、胃癌、子宫体癌、前列腺癌、脑瘤和卵巢癌是云南省主要恶性肿瘤，约占全部新发病例的67.86%。肺癌、肝癌、结直肠癌、胃癌、女性乳腺癌、宫颈癌、胰腺癌、白血病、脑瘤及胆囊癌是云南省主要恶性肿瘤死因，约占全部肿瘤死亡病例的78.55%。［结论］ 应加强对肺癌、肝癌、结直肠癌、胃癌、宫颈癌、女性乳腺癌等主要恶性肿瘤的防控。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the cancer incidence and mortality in Yunnan cancer registration areas in 2013. ［Methods］ Data submitted from 11 registries were evaluated according to cancer registration quality control standards. The qualified data of 5 registries was stratified by areas，gender，age groups and cancer sites，and the incidence and mortality were calculated.［Results］ The 5 cancer registration areas covered a population of 2 141 576，accounting for 3.21% of whole population of Yunnan province in 2013. The morphology-verified cancer cases（MV%） accounted for 64.51%，while 1.49% of the incident cases were identified only through death certification records（DCO%）. The crude incidence of cancer was 213.16/105（urban 241.45/105，rural 190.92/105），the age-standardized incidence rates of cancer by Chinese standard population and by world standard population were 156.30/105 and 151.05/105，with the cumulative incidence rate（0～74 years） of 16.97%. The crude mortality was 131.07/105（urban 148.52/105，rural 117.35/105），the age-standardized mortality rates of cancer by Chinese standard population and by world standard population were 91.21/105 and 89.57/105，with the cumulative mortality rate（0～74 years） of 10.11%. The mortality to incidence ratio was 0.61. The most common sites of cancers were lung，female breast，colon and rectum，cervix，liver，stomach，uterus，prostate，brain and ovary，which accounted for 67.86% of all the cancer cases. Lung cancer，liver cancer，colorectal cancer，stomach cancer，female breast cancer，cervix cancer，pancreas cancer，leukemia，brain tumor and gallbladder cancer were the leading causes of cancer death，accounting for 78.55% of all cancer deaths. ［Conclusion］ Prevention and control of the most common cancers such as lung cancer，liver cancer，colorectal cancer，stomach cancer，cervix cancer and female breast cancer should be strengthened in Yunnan province. |
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