深圳市宝安区2006-2011年恶性肿瘤发病趋势分析

Epidemic trend study of malignant tumors incidence from 2006 to 2011 in Baoan District of Shenzhen

目的:了解深圳市宝安区人群恶性肿瘤发病规律和特征。方法:按照国际癌症登记协会推荐的肿瘤登记方法,分析深圳市宝安区2006-2011年肿瘤发病登记资料。结果:深圳市宝安区2006-2011年肿瘤新发病例10 114例,其中男5 197例,女4 917例,性别比为1.06∶1,常住人口恶性肿瘤发病率为46.82/10万(男50.26/10万,女43.66/10万);男性平均发病年龄为(55.9±18.1)岁,女性平均发病年龄为(50.9±17.5)岁,男性发病年龄高于女性,t=14.275,P<0.01;2006-2011年恶性肿瘤标化率呈上升趋势,χ2=117.302,P<0.01;恶性肿瘤发病率随年龄增大呈上升趋势(χ2=92 873.04,P<0.01),<40岁发病率处于较低水平,之后快速升高,≥85岁年龄组最高;全人群恶性肿瘤发病率前5位依次为支气管和肺癌、肝和肝内胆管癌、乳腺癌、胃癌及宫颈癌;男性发病第1位恶性肿瘤为肝和肝内胆管癌,其次为支气管和肺癌、胃癌、鼻咽癌和结肠癌;女性发病第1位恶性肿瘤为乳腺癌,其次为宫颈癌、支气管和肺癌、甲状腺癌和胃癌。结论:深圳市宝安区近6年恶性肿瘤发病呈上升趋势,男性及中老年人是恶性肿瘤的高危人群,肺癌和肝癌是该区重点防治的恶性肿瘤,同时还要加强对女性的乳腺癌和宫颈癌的防治研究工作。此外,甲状腺癌的防控是该区肿瘤预防控制面临的新问题。

OBJECTIVE： To investigate the characteristics of cancer incidence in population through analysis of the cancer registries from Baoan District of Shenzhen. MRTHODS： All new cancer cases from Baoan District of Shenzhen cancer registries from 2006 to 2011 were analyzed by the method of cancer registry recommended by IARC. RESULTS： From 2006 to 2011,there were 10 114 new cancer cases（5 197 for male and 4 917 for female） in Baoan District of Shenzhen,and gender specific was 1.06 ： 1. The cancer incidence was 46.82/105 （male 50.26/105 ,female 43.66/10s）. The average age of onset for male was 55.9±18.1, which was older than that of female （50.9 ± 17.5, t= 14. 275, P〈0.01）. The cancer China age-standardized rate was increased from 2006 to 2011（~z ~ 117. 302,P〈0.01）. The trend incidence of malignant tumor was increased with age（~ ~ 92 873.04, P^0.01）. Incidence was relatively low at the age group of 0--40 years,and dramatic increased after 40 years old,and reached peak at the age of 85 yeas old. The common cancers ranked top 5 were lung cancer,liver cancer, breast cancer, stomach cancer and cervix cancer. For males, liver cancer was the com- monest cancer followed by cancers of lung, stomach, nasopharynx and colon. For females, breast cancer was the commo- nest cancer followed by cancers of cervix, lung, thyroid gland and stomach. CONCLUSIONS.. The cancer incidence in- creased from 2006 to 2011 in Baoan District of Shenzhen, males and middle-age and the elderly are the high risk crowd. The cancers of lung and liver are common cancers which harm health seriously and should be paid attention to prevention and control, while also strengthening female cancers of breast and cervix prevention and control research. In addition, thyroid gland cancer prevention and control is facing the new problem.