2012-2016年湖北省女性乳腺癌发病与死亡情况分析

Analysis of female breast cancer morbidity and mortality in Hubei Province from 2012 to 2016

目的分析2012-2016年湖北省肿瘤登记点数据,了解湖北省女性乳腺癌的发病与死亡情况。方法根据湖北省肿瘤登记点收集的相关登记资料,统计分析2012-01-01-2016-12-31湖北省女性乳腺癌的发病率与死亡率,及其与年龄、城乡等因素相关的流行病学特征。结果2012-2016年湖北省女性乳腺癌发病率为42.5/10万,城市女性乳腺癌发病率为53.4/10万,农村女性乳腺癌发病率为31.7/10万。全省女性乳腺癌死亡率为9.49/10万,城市女性乳腺癌死亡率为11.79/10万,农村女性乳腺癌死亡率为7.23/10万。城市女性乳腺癌发病及死亡比农村高。女性乳腺癌发病率在20岁以后不断上升,45~60岁处于发病高峰期。女性乳腺癌的发病及死亡率总体呈下降趋势,占女性全部恶性肿瘤的比例在逐年减小,但农村发病率及死亡率总体呈上升趋势。另外,城乡之间乳腺癌的发病及死亡率之间的差异总体在逐年减小。此外,分析数据可见城市发病率在高峰期后依旧处于较高水平,但死亡集中在75岁以后,而农村发病率在45~55岁高峰期前后起伏明显,死亡率在25岁以后的各个年龄段均较高,波动不大。结论2012-2016年湖北省女性乳腺癌发病率和死亡率存在趋势变化,且湖北省女性乳腺癌发病率及死亡率在年龄及城乡上存在差异。

Objective Analyzing the data of tumor registration sites in Hubei Province from 2012 to 2016 to understand the incidence and mortality of female breast cancer in Hubei Province.Methods According to the relevant registration data collected from tumor registration sites in Hubei Province from January 1,2012 to December 31,2016,the incidence and mortality rates of female breast cancer and the epidemiological characteristics related to age,urban and rural factors were statistically analyzed.Results From 2012 to 2016,the incidence of female breast cancer in Hubei Province was 42.5/10~5,53.4/10~5 in urban area and 31.7/10~5 in rural area and the mortality rate of female breast cancer in Hubei Province was 9.49/10~5,11.79/10~5 in urban area and 7.23/10~5 in rural area.The incidence and mortality of female breast cancer in urban were higher than those in rural areas.The incidence of female breast cancer kept increasing after the age of 20,and the incidence peak at the age of 45-60.The incidence and mortality rate of female breast cancer were generally decreasing,and the proportion of female malignant tumors was decreasing year by year,but the incidence and mortality rate in rural areas were generally increasing.In addition,the overall difference between urban and rural areas was decreasing year by year.Furthermore,the data showed that the urban incidence rate was still at a high level after the peak,but the death rate was concentrated on people who were more than 75 years old,while the rural incidence rate fluctuates significantly before and after the peak of 45-55 years old,and the mortality rate was high in all ages after 25 years old,with little fluctuation.Conclusions There is a trend change in the incidence rate and mortality of female breast cancer in Hubei Province from 2012 to 2016,and the incidence rate and mortality of female breast cancer in Hubei Province are different in age and urban and rural areas.