2003-2007年中国肺癌发病与死亡分析

An Analysis of Lung Cancer Incidence and Mortality in China ,2003--2007

目的 根据全国2003-2007年肿瘤登记地区资料分析我国肺癌发病和死亡的分布特点及流行趋势.方法 利用2003-2007年全国32个肿瘤登记处肺癌的数据,分析不同地区,不同年龄肺癌发病和死亡率的特点.结果 2003-2007年全国肺癌发病率48.90/10万,占全部恶性肿瘤新发病例的18.39%,是我国最常见的恶性肿瘤;肺癌死亡率为43.48/10万,占恶性肿瘤死亡的25.30%,是我国首要的癌症死因.5年中肺癌的发病和死亡率逐年升高,但年龄结构调整后趋于平稳.结论 肺癌是影响我国居民健康的主要恶性肿瘤,由于受老龄化的影响,发病呈上升趋势.应进一步加强对肺癌的防治工作.

Objective Incidence and mortality data of lung cancer collected from population - based cancer registries were analyzed in Chinese registration areas from 2003 to 2007. Methods The analysis was based on the data obtained from 32 cancer registries in China. Incidence and mortality were calculated by cancer site, age, gender and area. Age - specific incidence and mortality trends of lung cancer in different areas were analyzed, and the data between China and other countries in the world obtained in the same period was compared. Results The incidence rate of lung cancer was 48.90 per 100,000 in 2003--2007 in China. Lung canc- er ,which accounted for 18.39% of the total cancer cases ,was the most common cancer in China. The mortality rate of lung cancer was 43.48 per 100,000 ,translating to 25.30% of all cancer death ,which was the leading cause of cancer death in China. The incidence and mortality rates in the 5 years kept increasing steadily while a plat level was present after adjusted by the standard population. Compared with 184 countries or areas worldwide ,the incidence and mortality rates of lung cancer in China were higher than the average level of the world,ranked the 30th among males and the 13th among females, respectively. In terms of the mortality rate, it was ranked the 55th for men and the 30th for women among 184 countries. Conclusion Lung cancer is the most important cancer threatening people＇s health in China. Population aging is the main factor,which contributes to the rising of the incidence rate. Urgent preven- tion and treatment of lung cancer is needed.