| 文洪梅,秦明芳,陈 杨.2014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(11):813-823. |
| 2014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 of Yunnan Cancer Registration Areas in 2014 |
| 投稿时间：2018-05-24 |
| DOI：10.11735/j.issn.1004-0242.2018.11.A001 |
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| 中文关键词: 恶性肿瘤 肿瘤登记 发病率 死亡率 云南 |
| 英文关键词:malignant tumor cancer registry incidence mortality Yunnan |
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| 中文摘要: |
| 摘 要：［目的］分析2014年云南省肿瘤登记地区恶性肿瘤发病与死亡情况。［方法］收集云南省10个肿瘤登记处上报的2014年恶性肿瘤发病、死亡及人口资料，对数据进行审核和汇总。计算恶性肿瘤发病和死亡的粗率、标化率、累积率（0～74岁）和前10位恶性肿瘤构成，并按地区（城市/农村）、性别和年龄进行分层分析。［结果］ 2014年云南省肿瘤登记地区登记人口5 035 546人（城市3 666 346人，农村1 369 200人）。恶性肿瘤发病粗率为213.90/10万，中标率为152.12/10万，世标率为147.59/10万，累积率为16.80%。男性发病率高于女性，城市发病率高于农村。恶性肿瘤发病率在40岁后迅速升高，在75～79岁达到高峰。发病率居前5位的恶性肿瘤依次为肺癌、女性乳腺癌、结直肠癌、宫颈癌和肝癌。儿童组（0～14岁）常见的恶性肿瘤是白血病和脑及神经系统肿瘤，青壮年组（15～44岁）常见的恶性肿瘤是女性乳腺癌和肺癌，中年组（45～64岁）常见的恶性肿瘤是肺癌和女性乳腺癌，老年组（65岁及以上）常见的恶性肿瘤是肺癌和结直肠癌。恶性肿瘤死亡粗率为127.49/10万，中标率为84.42/10万，世标率为83.21/10万，累积率为9.56%。男性死亡率高于女性，农村标化死亡率高于城市。恶性肿瘤死亡率在45岁后迅速升高，在80～84岁达到高峰。死亡率居前5位的恶性肿瘤依次为肺癌、肝癌、结直肠癌、胃癌和女性乳腺癌。白血病、脑及神经系统肿瘤是儿童组（0～14岁）最常见的恶性肿瘤死亡原因，肺癌和肝癌是青壮年组（15～44岁）、中年组（45～64岁）和老年组（65岁及以上）最常见的恶性肿瘤死亡原因。［结论］云南省恶性肿瘤发病和死亡水平低于全国水平，不同地区、不同性别和年龄别人群癌谱不同。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the cancer incidence and mortality in Yunnan cancer registration areas in 2014.［Methods］Registration data from 10 cancer registries of Yunnan province in 2014 were collected and data quality was evaluated according to the criteria of quality control. The crude rates，age-standardized rates，cumulative rates and the proportion of top 10 cancers were calculated. Incidence and mortality stratified by areas(urban/rural)，genders and age groups were also analyzed. ［Results］ The cancer registries covered a population of 5 035 546(3 666 346 in urban and 1 369 200 in rural). The crude cancer incidence in Yunnan cancer registration areas was 213.90/105. Age-standardized incidence rates adjusted by Chinese standard population(ASIRC) and by world standard population(ASIRW) were 152.12/105 and 147.59/105，respectively. The cumulative incidence rate(0～74 years) was 16.80%. Males had higher incidence than females，and the incidence in urban areas was higher than that in rural areas. Cancer incidence increased rapidly after the age of 40 and reached the peak at the age group of 75～79 years. The top five common cancer types were lung cancer，female breast cancer，colorectal cancer，cervix cancer and liver cancer. The top two common cancers in age group of 0～14 were leukemia and brain & central nervous system tumor. The top two common cancers in age group of 15～44 were female breast cancer and lung cancer. The top two common cancers in age group of 45～64 were lung cancer and female breast cancer. The top two common cancers in age group of ≥65 were lung cancer and colorectal cancer. The crude cancer mortality was 127.49/105. Age-standardized mortality rates adjusted by Chinese standard population(ASMRC) and by world standard population(ASMRW) were 84.42/105 and 83.21/105，respectively. The cumulative mortality rate(0～74 years) was 9.56%. Males had higher mortality than females，and the age-standardized mortality rates in urban areas were higher than those in rural areas. Cancer mortality increased rapidly after the age of 45 and reached the peak at the age group of 80～84 years. Lung cancer was the leading cause of cancer death，followed by liver cancer，colorectal cancer，stomach cancer and female breast cancer. Leukemia and brain tumor/central nervous system tumor were the top two common causes of cancer death in age group of 0～14. The top two common causes of cancer death in age group of 15～44 years were female breast cancer and lung cancer. The top two common causes of cancer death both in age group of 45～64 and in age group of ≥65 were lung cancer and liver cancer. ［Conclusion］ The cancer incidence and mortality of Yunnan cancer registration areas are lower than those of the national level，and the different regions，genders and age groups have different cancer profiles. |
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