2011年河南省恶性肿瘤发病和死亡分析

Analysis of cancer incidence and mortality in Henan province,2011

目的分析2011年河南省肿瘤登记地区恶性肿瘤发病和死亡情况。方法按照全国肿瘤登记中心制定的审核方法和评价标准,对河南省16个肿瘤登记处上报的2011年肿瘤登记数据进行评估,按地区（城乡）、性别、年龄别分层,计算恶性肿瘤发病率、死亡率、累积率（0~74岁）、前10位恶性肿瘤顺位和构成。采用2000年中国标准人口构成和Segi’s世界人口构成为标准计算年龄标准化率。结果 2011年河南省肿瘤登记地区恶性肿瘤新发病例34 208例,肿瘤死亡病例22 185例。河南省恶性肿瘤发病率为246.12/10万（男性为262.09/10万,女性为229.13/10万）,中标发病率为206.82/10万,世标发病率为205.51/10,累积率为24.15%。城市地区发病率为237.31/10万,中标发病率为193.03/10万;农村地区发病率为247.78/10万,中标发病率为209.90/10万。河南省恶性肿瘤死亡率为159.62/10万（男性为188.93/10万,女性为128.43/10万）,中标死亡率为129.76/10万,世标死亡率为129.95/10万,累积率为15.34%。城市地区死亡率为143.35/10万,中标死亡率为113.76/10万;农村地区死亡率为162.68/10万,中标死亡率为133.03/10万。肺癌、食管癌、乳腺癌、胃癌、肝癌、结直肠癌、子宫颈癌、子宫体癌、脑神经系统癌症和卵巢癌是河南省主要的恶性肿瘤,约占全部新发病例的83.88%。肺癌、食管癌、胃癌、肝癌、乳腺癌、结直肠癌、子宫颈癌、脑神经系统癌症、子宫体癌和卵巢癌是主要的恶性肿瘤死因,约占全部肿瘤死亡病例的87.04%。结论河南省恶性肿瘤标准化发病率和死亡率高于全国同期水平,恶性肿瘤以肺癌、乳腺癌和消化系统肿瘤为主。应根据我省的实际情况有重点地开展恶性肿瘤的防治工作。

Objective To analyze the cancer incidence and mortality of Henan province in 2011. Methods On basis of the criteria of data quality from the National Central Cancer Registry（ NCCR）,the data from 16 cancer registrations were checked and evaluated in 2011. The incidence,mortality,cumulative rate（ 0 ~ 74 years old）,10 most common cancers and proportion were calculated and stratified by area（ urban / rural）,gender,age. Chinese population census in 2000 and Segi＇s population were used for age-standardized incidence / mortality rates. Results There were 34 208 cases of new diagnosed cancer and22 185 death cases registered in Henan province in 2011. The crude incidence was 246. 12 /10^5（ 262. 09 /10^5 in male,229. 13 /10^5 in female）,age-standardized incidence by Chinese standard population（ ASR China） and by world standard population（ ASR word） were 206. 82 /10^5 and 205. 51 /10^5 with the cumulative incidence rate（ 0 ~ 74 years old） of 24. 15%. The cancer incidence and ASR China were 237. 31 /10^5 and 193. 03 /10^5 in urban areas,whereas in rural areas,they were 247. 78 /10^5and209. 90 / 10^5 respectively. The crude mortality was 159. 62 /10^5（ 188. 93 /10^5 in male,128. 43 /10^5 in female）,age-standardized mortality by Chinese standard population（ ASR China） and by world standard population（ ASR word） were 129. 76 /10^5and129. 95 /10^5 with the cumulative mortality rate（ 0 ~ 74 years old） of 15. 34%. The cancer mortality and ASR China were143. 35 /10^5 and 113. 76 /10^5 in urban areas,whereas in rural areas,they were 162. 68 /10^5 and 133. 03 /10^5 respectively. Lung cancer,esophageal cancer,female breast cancer,gastric cancer,liver cancer,colorectal cancer,cervical cancer,uterus cancer,brain cancer and ovarian cancer were the most common cancer in Henan,accounting for about 83. 88% of all cancer new cases.Lung cancer,esophageal cancer,gastric cancer,liver cancer,female breast cancer,colorectal cancer,cervical cancer,brain cancer,uterus cancer and ovarian cancer were the leading causes of cancer deaths,accounting for about 87. 04% of all cancer deaths. Conclusion The age-standardized incidence and mortality were higher than the national level. The common cancers in Henan were lung cancer,female breast cancer and digestive system cancers. The strategy of cancer prevention and control in Henan should be implemented based on the practical situation.