加强癌症监测 助力癌症防控

Strengthen the cancer surveillance to promote cancer prevention and control in China

癌症是影响中国居民健康的主要慢性病之一。本文综述中国癌症监测及防治的阶段性进展．为今后中国癌症防治工作提供参考。通过对中国癌症的流行状况和趋势进行描述分析，结合目前防治工作的进展，总结在政策制订、防治网络建设、监测体系建立、癌症预防等领域取得的成绩和所面临的挑战，提出下一步工作建议。中国居民癌症负担总体呈上升趋势。2014年，中国新发癌症人数约380．4万．全国癌症标化发病率为190．63／10万，死于癌症人数约229．6万，癌症标化死亡率为106．98／10万。癌症防治体系已逐渐建立并完善，已在全国范围内开展人群癌症监测数据收集，数据质量不断提高，覆盖面不断增加。随着人口老龄化趋势加剧及不良生活方式的广泛存在，中国癌症负担不容忽视。未来几年，中国应该进～步加强国家癌症中心在癌症防治工作中的职能，采用综合化的癌症防控理念，以癌症监测数据为依据，助力癌症精准防控。

Cancer is a major chronic disease threatening the people＇s health in China. We reviewed the latest advances on cancer surveillance, prevention and control in our country, which may provide important clues for future cancer control. We used data from the National Central Cancer Registry, to describe and analyze the latest cancer statistics in China. We summarized updated informations on cancer control policies, conducting network, as well as programs in the country. We provided important suggestions on the future strategies of cancer prevention and control. The overall cancer burden in China has been increasing during the past decades. In 2014, there were about 3 804 000 new cancer cases and 2 296 000 cancer deaths in China. The age-standardized cancer incidence and mortality rates were 190.63/100 000 and 106.98/100 000, respectively. China has formed a comprehensive network on cancer prevention and control. Nationwide population-based cancer surveillance has been built up. The population coverage of cancer surveillance has been expanded, and the data quality has been improved. As the aging population is increasing and unhealthy life styles persist in our country, there will be an unnegligible cancer burden in China. Based on the comprehensive rationale of cancer control and prevention, National Cancer Center of China will perform its duty for future precise cancer control and prevention, based on cancer surveillance statistics.