2010～2013年天津市儿童恶性肿瘤发病与死亡分析

Incidence and Mortality of Childhood Malignant Tumor in Tianjin,2010～2013

[目的]分析2010~2013年天津市儿童恶性肿瘤发病与死亡情况。[方法]对2010~2013年天津市儿童恶性肿瘤数据进行分析,计算不同年龄组和性别的发病/死亡率、中国人口标化率、世界人口标化率。[结果]2010~2013年,天津市儿童恶性肿瘤发病率为11.35/10万(男性12.40/10万,女性10.18/10万),中标率10.80/10万,世标率11.11/10万;死亡率为4.56/10万(男性4.48/10万,女性4.64/10万),中标率4.30/10万,世标率4.46/10万。发病率前3位依次白血病、脑和神经系统恶性肿瘤、淋巴瘤;死亡率前3位为白血病、脑和神经系统、骨恶性肿瘤。[结论]天津市儿童恶性肿瘤发病和死亡趋势平稳,白血病、脑和神经系统恶性肿瘤、淋巴瘤对儿童生命健康造成严重威胁,天津市应重视儿童恶性肿瘤综合防治体系的建设,重点关注产前检查、早期诊断及环境因素的防控。

[Purpose] To analysis the incidence and mortality of childhood malignant tumor in Tianjin,2010-2013. [Methods]The incidence/mortality rate and age-standardized rates （ASR） of childhood malignant tumor in Tianjin from 2010 to 2013 were analyzed,which were stratified by areas,gender and age groups. [Results]From 2010 to 2013 ,the crude incidence rate of childhood malignant tumor in Tianjin was 11.35/105 （males 12.40/105,females 10.18/105）,and ASR by Chinese standard population and world population were 10.80/105 and 11.11/105,respeetively. The crude mortality rate was 4.56/105 （males 4.48/105,females 4.64/105）,and ASR by Chinese standard population and world population were 4.30/10s and 4.46/105,respectively.The top 3 malignant tumors in incidence were leukemia,malignant tumor of brain and central nervous system,lymphoma. The top 3 malignant tumors in mortality were leukemia,malignant tumor of brain and central ner- vous system, bone tumor. [Conclusion] The epidemic of childhood malignant tumor in Tianjin showed a stable trend. Leukemia,malignant tumor of brain and central nervous system and lym- phoma are serious threats to the health of children in Tianjin. Comprehensive prevention and con- trol system of childhood cancer should be perfected persistently,and prenatal examination,early diagnosis, environmental factors should be also taken seriously in Tianjin.