| 李秋林,葛莲英,余家华,等.广西壮族自治区肿瘤登记工作的发展历程与展望[J].中国肿瘤,2026,35(8):581-587. |
| 广西壮族自治区肿瘤登记工作的发展历程与展望 |
| Development and Future Directions of Cancer Registration in Guangxi Zhuang Autonomous Region |
| 投稿时间：2026-05-25 |
| DOI：10.11735/j.issn.1004-0242.2026.08.A001 |
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| 中文关键词: 肿瘤登记 恶性肿瘤 发展历程 广西 |
| 英文关键词:cancer registration neoplasm development history Guangxi |
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| 中文摘要: |
| 摘 要：广西壮族自治区肿瘤登记工作自20世纪60年代发展至今已走过60多年历程。经历了萌芽、起步、发展和逐步规范4个阶段，建立了以人群为基础，覆盖全区的肿瘤登记体系。全文系统回顾了广西肿瘤登记的发展历程与关键节点。截至2024年，广西已建立覆盖全区所有区县的“自治区-地级市-区县”三级肿瘤登记管理体系，数据质量逐年提升。2021年广西肿瘤登记地区覆盖人口达4 926.88万人，占全区常住人口的85.94%。柳州市、桂林市、梧州市和合浦县的登记数据被国际癌症研究署《五大洲癌症发病率》第12卷收录，标志着数据质量达到国际标准。展望未来，广西将重点突破肿瘤病例随访完整性不足、临床分期数据缺失等瓶颈，通过构建“医防协同”机制，推进肿瘤登记从“粗放统计”向“精准评价”转型，为健康广西建设提供决策支持。 |
| 英文摘要: |
| Abstract： The cancer registration system in Guangxi Zhuang Autonomous Region has undergone over 60 years of development since the 1960s， evolving through four distinct phases： an initiation phase， an expansion phase， a development phase， and a progressive standardization phase. This evolution has led to the establishment of a comprehensive， population-based cancer registration network covering the entire region. This article systematically reviews the historical development and key milestones of cancer registration in Guangxi. As of 2024， a three-tiered (autonomous region-prefecture-county) cancer registration management system has been established， covering all districts and counties， with steadily improving data quality. In 2021， the cancer registration areas in Guangxi covered a population of 49.27 million， accounting for 85.94% of the region’s permanent residents. Notably， data from the cities of Liuzhou， Guilin， Wuzhou and Hepu County have been successfully published in Volume Ⅻ of Cancer Incidence in Five Continents (CI5-Ⅻ) by the International Agency for Research on Cancer (IARC)， indicating that the data quality from Guangxi has met international standards and has gained global recognition. Analyses of the data reveal that the age-standardized incidence rates of liver cancer and nasopharyngeal cancer in Guangxi are approximately two and three times higher than the national averages， respectively. To further enhance its impact， Guangxi aims to address critical bottlenecks， such as incomplete patient follow-up and the lack of clinical staging data. To this end， Guangxi will establish a “medical-preventive integration” mechanism to transform cancer registration from a basic statistical collection into a precision evaluation tool， ultimately providing robust decision-making support for the “Healthy Guangxi” initiative. |
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