2014年安徽省肿瘤登记地区恶性肿瘤发病与死亡分析

Report analysis of cancer incidence and mortality in registration arcas of Anhui province,2014

目的分析安徽省肿瘤登记地区2014年恶性肿瘤的发病和死亡情况。方法对2014年上报的24个肿瘤登记处数据进行审核,其中20个肿瘤登记处数据被纳入分析,按照地区、性别维度分析恶性肿瘤发病与死亡水平,前10位恶性肿瘤顺位、构成比,采用2000年中国标准人口和Segi's世界人口对恶性肿瘤年龄别发病率和死亡率进行标化。结果安徽省20个登记处共覆盖登记人口19 135 013人,报告的恶性肿瘤新发病例51 736例,死亡病例32 089例,死亡发病比为0.62。安徽省20个肿瘤登记地区居民恶性肿瘤发病率为270.37/10万,其中男性319.70/10万,女性218.40/10万,累积率(0~74岁)为23.74%;恶性肿瘤死亡率为167.70/10万,其中男性215.99/10万,女性116.82/10万,累积率(0~74岁)为13.76%。肺癌、胃癌、食管癌、女性乳腺癌、肝癌、结直肠癌、宫颈癌、前列腺癌、脑瘤和子宫体癌是安徽省发病较多的恶性肿瘤,约占全部新发病例的78.00%。肺癌、胃癌、肝癌、食管癌、结直肠癌、女性乳腺癌、胰腺癌、宫颈癌、脑瘤和白血病是主要的肿瘤死因,约占全部肿瘤死亡病例的86.00%。结论肺癌、胃癌、食管癌、肝癌以及女性乳腺癌是安徽省主要发病和死亡恶性肿瘤,要重点加强这几类主要恶性肿瘤的早期预防和控制,减少因肿瘤发病与死亡带来的疾病负担。

Objective To analyze the cancer incidence and mortality in Anhui province. Methods 20 registries＇ data qualified from 24 submitted registries after data assessment as pooled data. Cancer incidence and mortality were stratified by gender and regions. Crude rate,age-standardized rate,age-specific and region-specific rate,cumulative rate and truncated rate were calculated. The proportion of 10 common cancers in different groups were calculated. Population census of China in 2000 and world Segi＇s population were used for age-standardized incidence/mortality calculation. Results All 20 cancer registries covered a total of 19 135 013 population. 51 736 new cancer cases and 32 089 cancer deaths were reported,respectively. The mortality to incidence ratio was 0. 62. The crude incidence rate in Anhui cancer registration areas was 270. 37/105（ males 319. 70/105,females 218. 40/105）,and the cumulative incidence rate（ aged 0-74 years old） was 23. 74%. The cancer mortality in Anhui cancer registration areas was 167. 70/105（215. 99/105 in male and 116. 82/105 in female）,and the cumulative mortality rate（ aged 0-74 years old） was 13. 76%. Cancers of lung,stomach,sophagus,breast,liver,colon and rectum,cervix,prostate,brain and uterus were the most common cancers,accounting for about 78% of all cancer cases in urban and rural areas. Lung cancer,stomach cancer,liver cancer,esophageal cancer,colorectal cancer,breast cancer,pancreatic cancer,cervix,brain cancer and leukemia were the most fatal cancer deaths,accounted for about 86% of all cancer deaths. Conclusion Lung cancer,stomach cancer,esophageal cancer,liver cancer and breast cancer were the main cancers in Anhui province. Prevention and control measures should be implemented on these cancers to reduce the burden from the incidence andmortality of the cancer.