2003—2013年广东省中山市主要癌症净生存率分析

Net Survival of Major Cancers in Zhongshan City of Guangdong Province from 2003 to 2013

[目的]评价中山市癌症防治效果。[方法]收集整理2003—20013年诊断、户籍为广东省中山市的主要癌症的生存资料,统计分析其净生存率。[结果]2003—2013年期间,中山市共有符合研究条件的18种主要癌症患者26046例,不同癌症5年标化净生存率明显不同。2010—2013年主要癌症5年标化净生存率位于11.7%~74.5%,女性乳腺癌最高,食管癌最低,女性乳腺癌、宫颈癌、结肠癌、儿童急性淋巴母细胞性白血病、直肠癌和前列腺癌的5年标化净生存率>50%,成人淋巴性恶性肿瘤和脑肿瘤,卵巢癌和儿童脑肿瘤的5年标化净生存率位于30%~50%之间,食管、胰腺、肝、肺和胃癌与成人髓样恶性肿瘤的5年标化净生存率<30%。多数癌症的5年标化净生存率比1995—1999年明显上升。[结论]2010—2013年中山市多数主要癌症生存率位于全球CONCORD-3参与地区的中低或较低水平,提示中山市应采取措施以提高其人群癌症生存率。

[Purpose]To analyze the net survival of major cancers in Zhongshan City of Guangdong Province.[Methods]The survival data of major cancers among registered residents in Zhongshan City during 2003—2013 were collected.The net survival rates were calculated and analyzed.[Results]During 2003—2013,there were 26046 cases of major cancers reported in Zhongshan City.The 5-year age-standardized net survival rates(ASNSRs)varied between 11.7%~74.5%with the highest for female breast cancer and the lowest for esophageal cancer.The net survivals of female breast cancer,cervical cancer,colon cancer,child acute lymphoid leukemia,rectal cancer and prostate cancer were higher than 50%;the net survivals of esophageal cancer,pancreas cancer,liver cancer,lung cancer,gastric cancer and adult myeloid cell leukemia were lower than30%;and the net survivals of adult lymphoid leukemia,adult brain tumors,ovarian cancer and child brain tumors were between 30%~50%.The 5-year ASNSRs of most major cancers during2003—2013 were increased significantly,compared to 1995—1999.[Conclusion]The net survivals of most major cancer in Zhongshan City during 2010—2013 were at the middle-low or low levels among worldwide registration regions of CONCORD-3 project,indicating that the cancer control and prevention in Zhongshan City should be further enhanced.