河南省2010～2013年恶性肿瘤发病与死亡分析

Incidence and Mortality of Cancer in Henan Province from 2010 to 2013

目的:描述2010~2013年河南省肿瘤登记地区恶性肿瘤发病与死亡情况。方法:收集2010~2013年河南省肿瘤登记报告系统(18个市县)上报的恶性肿瘤发病与死亡资料,计算恶性肿瘤发病与死亡的粗率、累积率(0~74岁)、年龄别率以及前10位恶性肿瘤的发病与死亡顺位和构成。结果:2010~2013年河南省肿瘤登记地区新发病例142 957例,死亡病例93 355例,总计人口57 869 361人。恶性肿瘤粗发病率为247.03/10万,中标率209.29/10万,世标率207.65/10万,累积率(0~74岁)为24.35%。恶性肿瘤死亡率为161.32/10万,中标率133.88/10万,世标率133.85/10万,累积率(0~74岁)为15.31%。城市地区发病率和死亡率均低于农村。发病前5位的是肺癌、胃癌、食管癌、肝癌、乳腺癌,约占全部恶性肿瘤的69.07%;死亡前5位的恶性肿瘤是肺癌、胃癌、食管癌、肝癌、结直肠癌,约占全部恶性肿瘤的77.82%。结论:河南省肺癌、消化系统恶性肿瘤和乳腺癌是主要癌种,其中食管癌和胃癌的发病与死亡率均远高于全国平均水平。

Objective： To describe the incidence and mortality of cancer registered in Henan province from 2010 to2013. Methods： The statistics of incidence and mortality of cancer were reported from 18 cancer registries in Henan province. The crude rate,age-standardized rate,cumulative rate（ 0 ～ 74 years old）,age-specific rate of incidence/mortality as well as the constitution of top 10 common cancers were then calculated and analyzed. Results： There were 142 957 new incidence cases,93 355 death cases and 57 869 361 population in registries in Henan province from 2010 to 2013. The crude incidence was 247. 03//100 000,age-standardized incidence rates（ ASIR） by Chinese standard population was 209. 29/100 000 and ASR by world was 207. 65/100 000,with the cumulative incidence rate（ 0 ～ 74 age years old） as 24. 35%.The crude mortality was 161. 32/100 000,age-standardized mortality rates by Chinese standard population（ ASMRC） and by world standard population（ ASMRW） were 133. 88/100 000 and 133. 85/100 000 with the cumulative mortality rate（ 0～ 74 age years old） as 15. 31%. The cancer incidence and mortality were lower in urban areas than those in rural areas.Lung cancer,stomach cancer,esophagus cancer,liver cancer and female breast cancer were the most common cancers,accounted for 69. 07% of all cancer cases. Lung cancer,stomach cancer,esophagus cancer,liver cancer and colorectal cancer,the top 5 major causes of cancer death,accounted for 77. 82% of all cancer deaths. Conclusion： The most common cancers in Henan province were lung cancer,digestive cancer and female breast cancer. The incidence and mortality of esophageal cancer and stomach cancer in Henan province were much higher than that in China.