2013年河北省石家庄市恶性肿瘤发病和死亡分析

An Analysis of Cancer Incidence and Mortality in Shijiazhuang,2013

[目的]分析2013年石家庄肿瘤登记地区恶性肿瘤的发病和死亡情况。[方法]按照全国肿瘤登记中心制定的审核方法和评价标准,对石家庄肿瘤登记处报告的2013年肿瘤登记数据进行评估,按性别、年龄、肿瘤部位分别计算恶性肿瘤的发病率、死亡率、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标化率。[结果]2013年石家庄肿瘤登记地区为市内五区城市人群,覆盖人口为2 155 391人。恶性肿瘤新发病例5002例,死亡病例2803例。发病率为232.07/10万(男性258.22/10万,女性206.64/10万),中标发病率为157.03/10万,世标发病率为154.14/10万,累积率(0~74岁)为18.18%。死亡率为130.05/10万(男性164.87/10万,女性96.18/10万),中标死亡率为80.08/10万,世标死亡率为79.24/10万,累积率(0~74岁)为8.78%。肺癌、胃癌、乳腺癌、肝癌、结直肠癌是石家庄市的主要恶性肿瘤,占全部新发病例的57.30%。主要的恶性肿瘤死因是肺癌、肝癌、胃癌、食管癌、结直肠癌,占全部恶性肿瘤死亡病例的67.89%。[结论]石家庄市城市居民发病和死亡居首位的均是肺癌,应将其作为重点防治的癌种。男性恶性肿瘤的发病率与死亡率均高于女性,应对重点人群采取一定的干预措施。

[Purpose] To analyze the cancer incidence and mortality of Shijiazhuang in 2013. [Methodsl On basis of the methods and criteria of data quality from the National Central Cancer Registry（NCCR）,the data of 2013 from Shijiazhuang cancer registrations were checked and evaluated. The incidence,mortality and 10 most common cancers were calculated and stratified by gender,age and cancer site. Chinese population census in 2000 and Segi＇s population were used for age-standardized incidence/mortality rates. [ Results ] The five cancer registries in Shijiazhuang are all in urban which covered a total of 2 155 391 populations. There were about 5002 and 2803 for new cancer cases and cancer deaths in 2013 in Shijiazhuang registrations,respectively. The crude incidence was 232.07/10^5 （male 258.22/10^5, female 206.64/10^5）, age-standardized incidence by Chinese standard population （ASR China） and by world standard population （ASR world） were 157.03/10^5 and 154.14/10^5 with the cumulative incidence rate（0-74 years old） of 18.18%. The crude mortality was 130.05/105（male 164.87/10^5,female 96.18/10^5）, ASR China and ASR world were 80.08/ 10^5 and 79.24/10^5 with the cumulative mortality rate （0-74 years old） of 8.78%. Cancers of lung, stomach,breast,liver,colon and rectum were the most common cancers,accounting for about 57.30% of all cancer new cases. The most fatal cancer deaths were lung cancer,liver cancer,stomach cancer,esophageal cancer,colorectal cancer,accounting for about 67.89% of all cancer deaths. [Conclusions] Lung cancer topped the first place in both morbidity and mortality in Shijiazhuang urban,which suggested effective measures should be taken for its prevention. The incidence and mortality of cancer are both higher in men than those in women,so we should foeus on the key population.