2012年内蒙古肿瘤登记地区恶性肿瘤发病与死亡分析

Report of Cancer Incidence and Mortality in Inner Mongolia,2012

[目的]评估内蒙古肿瘤登记地区2012年恶性肿瘤的发病与死亡情况。[方法]按照国家癌症中心制定的审核方法和评价标准对2012年5个登记处提交的数据进行整理,通过审核和评估,全部符合入选标准。按照地区(城乡)、性别以及年龄别、肿瘤别发病率和死亡率分层,估计恶性肿瘤合计和主要肿瘤的发病、死亡情况。将2000年全国普查人口和Segi’s标准人口结构作为标准计算标化率。[结果]2012年内蒙古5个肿瘤登记地区覆盖人口3 041 227人(其中城市地区为1 750 312人,农村地区为1 290 915人)。报告新发恶性肿瘤病例6683例,恶性肿瘤死亡病例4259例。病理学诊断比例为67.79%,只有死亡证明书比例为8.43%,死亡发病比为0.64。恶性肿瘤发病率219.75/10万(男性252.08/10万,女性186.04/10万),中标率173.69/10万,世标率170.84/10万,累积率(0~74岁)20.34%。城市地区发病率209.28/10万,中标率174.76/10万。农村地区发病率233.94/10万,中标率173.02/10万。恶性肿瘤死亡率140.04/10万(男性176.64/10万,女性101.89/10万),中标率111.73/10万,世标率110.56/10万,累积率(0~74岁)13.04%。城市地区恶性肿瘤死亡率131.06/10万,中标率111.02/10万。农村地区恶性肿瘤死亡率152.22/10万,中标率112.97/10万。2012年内蒙古自治区肿瘤登记地区前5位恶性肿瘤发病为肺癌、肝癌、女性乳腺癌、胃癌和结直肠癌。前10位恶性肿瘤占全部恶性肿瘤的80.13%。肺癌位列该地区恶性肿瘤死亡第1位,其次为肝癌、胃癌、食管癌、结直肠癌,前10位恶性肿瘤死亡占全部恶性肿瘤死亡病例的87.05%。[结论]肺癌、肝癌、胃癌、女性乳腺癌应作为内蒙古肿瘤登记地区癌症防治工作的重点。

[Purpose] To estimate the cancer incidence and mortality in Inner Mongolia in 2012.[Methods] On basis of the methods and criteria of data quality control made by NCCR,data submitted from 5 registries were checked and evaluated,and all registries＇ data qualified for cancer registry annual report. Descriptive analysis included of incidence and mortality stratified by areas（urban/rural）,gender,age group and cancer site. The top 10 common cancers in different groups,proportion and cumulative rate were also calculated. Chinese population census in 2000 and Segi＇s population were used for age-standardized incidence/mortality. [Results] All 5 cancer registries covered a total of 3 041 227 population（1 750 312 in urban areas and 1 290 915 in rural areas）.The estimates of new cancer cases and cancer deaths were 6683 and 4259 in 2012,respectively.The morphology verified cases（MV%） accounted for 67.79%,and 8.43% of incident cases were identified through death certifications only（DCO%） with mortality to incidence ratio（M/I ratio） of0.64. The crude incidence rate in Inner Mongolia cancer registration areas was 219.75/10^5（males252.08/10^5,females 186.04/10^5）,age-standardized incidence rates by Chinese standard population（ASIRC）and by world standard population were 173.69/105 and 170.84/10^5 with the cumulative incidence rate（0～74 years old） of 20.34%. The cancer incidence and ASIRC were 209.28/105and174.76/10^5 in urban areas,whereas in rural areas,they were 233.94/10^5 and 173.02/10^5,respectively. The cancer mortality was 140.04/105（males 176.64/10^5 and females 101.89/10^5）,age-standardized mortality by Chinese standard population（ASMRC） and by world standard population were111.73/10^5 and 110.56/10^5,and the cumulative incidence rate（0～74 years old） was 13.04%. The cancer mortality and ASMRC were 131.06/10^5 and 111.02/10^5 in urban areas,whereas in rural areas,they were 152.22/10^5 and 112.97/10^5 respectively. Lung cancer,liver cancer,female breast cancer,stomach cancer,colorectal cancer were the most common cancers,accounting for about 80.13% of all cancer new cases. Lung cancer,liver cancer,stomach cancer,oesophagus cancer,colorectal cancer were the leading causes of cancer death,accounted for about 87.05% of all cancer deaths.[Conclusions] Lung cancer,liver cancer,stomach cancer,female breast cancer should be the major issue in cancer prevention and control in these cancer registries of Inner Mongolia.