济宁市市中区2012年恶性肿瘤发病和死亡分析

Analysis of malignant tumors incidence and mortality of Jining central district in 2012

目的探讨济宁市市中区2012年恶性肿瘤的发病和死亡特征。方法按照全国肿瘤登记中心制定的审核方法和评价标准,对济宁市市中区报告的2012年恶性肿瘤发病和死亡资料进行评估,计算性别、年龄别发病率和死亡率等指标,并采用2000年全国普查人口结构和Segi’s世界人口结构对发病率和死亡率进行标化。结果 2012年济宁市市中区肿瘤登记报告数据死亡发病比（M/I）为0.39,病理诊断比例MV（%）为46.81%。全区恶性肿瘤发病率为230.61/10万,中国人口标准化（中标）发病率为175.11/10万,世界人口标准化（世标）发病率为171.19/10万,累积发病率（0~74岁）为20.04%;死亡率为90.95/10万,中标死亡率为66.13/10万,世标死亡率为66.41/10万,累积死亡率（0~74岁）为7.39%。恶性肿瘤的发病率和死亡率在0~39岁年龄段均处于较低水平,〉40岁开始快速升高。肺癌、女性乳腺癌、结直肠癌、胃癌、肝癌、食管癌、白血病、淋巴瘤、甲状腺癌和肾癌位居全区恶性肿瘤发病率前10位,肺癌、肝癌、食管癌、胃癌、结直肠癌、胰腺癌、白血病、淋巴瘤、乳腺癌和膀胱癌位居全区恶性肿瘤死亡率前10位。结论济宁市市中区2012年肿瘤登记报告数据的完整性和准确性较差,肺癌和消化系统癌症是威胁济宁市市中区居民健康的主要恶性肿瘤,〉40岁人群是恶性肿瘤的高危人群,女性乳腺癌和甲状腺癌高发应引起重视。

OBJECTIVE To explore the characteristics of malignant tumor incidence and mortality of Jining Central district in 2012. METHODS On basis of the procedure of evaluation and criteria of data quality from National Center for Cancer Registry （NCCR）,the data of malignant tumor of Jining Central District in 2012 was checked and evaluated. Inci- dence and mortality were calculated stratified by gender and age group. Chinese population census in 2000 and Segi＇s pop- ulation were used for age-standardized incidence/mortality rates. RESULTS The mortality to incidence（M/I） ratio of da- ta of malignant tumor of Jining Central District in 2012 was 0. 39 with percentage of morphologically verified caces （MV % ） 46.81 %. The crude incidence was 230.61/10s , age-standardized incidence by Chinese standard population（ASR China） and by world standard population（ASR Word） were 175. 11/105 and 171：19/105 with the cumulative incidence rate（0--74 age years old） of 20.04%. The crude mortality was 90.95/105 ,age-standardized mortality by Chinese standard population（ASR China） and by world standard population（ASR Word） were 66.13/105 and 66.41/105 with the cumula- tive mortality rate（0--74 age years old） of 7.39%. Incidence and mortality rate were relatively low at the age of 0--39 years, and dramatically increased after 40 years old. Lung cancer, female breast cancer, colorectal cancer, gastric cancer,liv er cancer, esophageal cancer,leukemia and lymphoma were the most common cancers. Lung cancer, liver cancer, esophageal cancer, gastric cancer, colorectal cancer, pancreatic cancer, leukemia, lymphoma were major cause for cancer deaths. CON- CLUSIONS The quality of data of malignant tumor of Jining Central District in 2012 is poor. Lung cancer and digestive cancer were the main threats to the health of our citizens. People more than 40 years old were at high-risk of malignant tumors. In addition,we should pay attention to female＇s high incidence of breast cancer and thyroid cancer, make preven- tion measures accordingly and strengthen the screening and early detection work.