2010-2019年苏州市相城区恶性肿瘤发病分析

Incidence of cancer in Xiangcheng District of Suzhou from 2010-2019

目的分析苏州市相城区2010-2019年恶性肿瘤发病特性和变化趋势,为相城区开展恶性肿瘤防控工作提供科学依据。方法收集2010-2019年相城区恶性肿瘤发病和人口资料,计算粗发病率、标化发病率、截缩率、累积率等指标。结果2010-2019年相城区恶性肿瘤粗发病率为412.68/10万,标化发病率为229.81/10万,10年间粗发病率年度变化百分比(annual percent change,APC)为3.40%,差异有统计学意义(P<0.05),标化发病率APC差异无统计学意义(P>0.05)。相城区恶性肿瘤在0~39岁年龄组发病率较低,随后快速增长,≥80岁年龄组达到高峰。10年来,相城区恶性肿瘤平均发病年龄由63.87岁下降至63.32岁,差异无统计学意义(APC=-0.10%,P>0.05)。发病顺位前5位是胃癌、肺癌、结直肠癌、食管癌、肝癌,占全部恶性肿瘤的60.96%。肺癌(APC=6.20%)、结直肠癌(APC=7.58%)发病呈上升趋势,变化有统计学意义(P<0.05);胃癌(APC=-2.49%)、食管癌(APC=-6.04%)发病呈下降趋势,变化有统计学意义(P<0.05);肝癌发病下降趋势不明显(APC=-2.44%,P>0.05)。结论2010-2019年相城区恶性肿瘤整体发病水平较高,应针对重点人群和高发癌种,采取有效的综合防控措施。

Objective To analyze the cancer incidence and trend in Xiangcheng District of Suzhou,and to provide scientific evidence for cancer prevention and control.Methods Incidence and population data were used to calculate the crude,the Chinese standard,the truncated,and the cumulative rates.Results From 2010-2019,the crude incidence of cancer was 412.68/105 and the age-standardized incidence was 229.81/105.The annual percent change(APC)of the crude incidence rate was 3.40%(P<0.05)during the 10-year study period and the APC of the standardized rate was not significantly different(P>0.05).The cancer incidence was low among residents 0-39 years of age,then rapidly increased and reached a peak in residents approximately 80 years of age.The average age of onset decreased from 63.87 years to 63.32 years(APC=-0.10%;P>0.05).Gastric,lung,colorectal,esophageal,and liver cancer were the most frequently occurring cancers,accounting for 60.96%of all malignant tumors.During the 10-year study period,the incidence of lung(APC=6.20%;P<0.05)and colorectal cancer(APC=7.58%;P<0.05)showed an upward trend,while gastric(APC=-2.49%;P<0.05)and esophageal cancer(APC=-6.04%;P<0.05)exhibited a downward trend;a liver cancer trend was not apparent(APC=-2.44%;P>0.05).Conclusions The incidence of cancer is high in Xiangcheng District from 2010-2019.Effective comprehensive cancer prevention and control measures should be implemented targeting high-risk populations.