| 李琰琰,赵 腾,马恒敏.2002~2013年山东省肥城市恶性肿瘤的发病与死亡分析[J].中国肿瘤,2018,27(4):261-266. |
| 2002~2013年山东省肥城市恶性肿瘤的发病与死亡分析 |
| Analysis of Cancer Incidence and Mortality in Feicheng from 2002~2013 |
| 投稿时间：2018-01-22 |
| DOI：10.11735/j.issn.1004-0242.2018.04.A004 |
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| 中文关键词: 肿瘤登记 恶性肿瘤 发病率 死亡率 山东 |
| 英文关键词:cancer registry neoplasms incidence mortality Shandong |
| 基金项目:国家自然科学基金项目（8157120974） |
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| 中文摘要: |
| 摘 要：［目的］ 分析2002~2013年山东省肥城市恶性肿瘤的发病和死亡情况，为肥城市恶性肿瘤的防治提供基础数据。［方法］ 利用肥城市肿瘤登记处2002~2013年恶性肿瘤登记报告系统中的病例资料，计算发病率、死亡率和标化率等指标，利用Joinpoint软件估计发病率和死亡率的平均年度变化百分比。［结果］ 2002~2013年肥城市肿瘤登记处共登记报告的恶性肿瘤新发病例26 550例，死亡20 741例。其中，男性恶性肿瘤发病率为359.93/10万，女性恶性肿瘤发病率为211.42/10万，男女比例为1.65∶1；合计标化发病率、男女性标化死亡率均呈明显上升趋势（P<0.001）；男性恶性肿瘤死亡率为294.63/10万，女性恶性肿瘤死亡率为152.12/10万，男女比例为1.88∶1。合计标化死亡率、男女性标化死亡率均无明显变化趋势（P>0.05）。发病前10位恶性肿瘤分别为食管癌、胃癌、肺癌、肝癌、女性乳腺癌、结直肠癌、其他不明部位肿瘤、白血病、脑及中枢神经系统、胰腺癌，占全部恶性肿瘤的89.66%；死亡前10位恶性肿瘤分别为食管癌、胃癌、肺癌、肝癌、结直肠癌、女性乳腺癌、其他不明部位肿瘤、白血病、脑及神经系统、胰腺癌，占全部恶性肿瘤的92.31%。［结论］ 2002~2013年肥城市恶性肿瘤发病率呈明显上升趋势，死亡率变化趋势不明显；食管癌、胃癌、肺癌、肝癌、女性乳腺癌、结直肠癌等是肥城市发病率、死亡率较高的恶性肿瘤，应作为肥城市恶性肿瘤防治的主要癌种。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the incidence and mortality from 2002 to 2013 in Feicheng．［Methods］ Data on cancer incidence and mortality from 2002 to 2013 in Feicheng Cancer Registry database were analyzed. Incidence and mortality rates were calculated. Joinpoint regression was performed to obtain the average annual percentage changes in two rates. ［Results］ A total of 26 550 new cancer cases and 20 741 cancer deaths were reported in Feicheng Cancer Registry during 2002 to 2013. The crude incidence rate of males was 359.93/105，while the rate of females was 211.42/105，and the male to female ratio was 1.65 to 1. The overall standardized incidence rate increased from 2002 to 2013，the standardized rates of both males and females showed a clear upward trend (All P<0.001). The crude mortality rates of males and females were 294.63/105 and 152.12/105 respectively. The male to female ratio was 1.88 to 1. There were no statistically trend changes in the standardized mortality rates(P＞0.05). The top ten incidence rate of malignant tumors were esophageal cancer，gastric cancer，lung cancer，liver cancer，female breast cancer，colorectal cancer，unspecified cancer，leukemia，tumors of central nervous system and pancreatic cancer，accounting for 89.66% of all malignant tumors. The top ten mortality rate of malignant tumors were esophageal cancer，gastric cancer，lung cancer，liver cancer，colorectal cancer，female breast cancer，unspecified cancer，leukemia，tumors of central nervous system and pancreatic cancer，accounting for 92.31% of all malignant tumors. ［Conclusion］ The incidence rate of cancer in Feicheng shows a significant increase between 2002 and 2013，and the mortality rate has no significant trend changes. The incidences and mortality rates of esophageal cancer，gastric cancer，lung cancer，liver cancer，breast cancer and colorectal cancer are high，the monitoring and control should be focused on these cancers. |
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