2013年湖南省肿瘤登记地区肺癌发病与死亡特征

Incidence and Mortality of Lung cancer in Hunan Cancer Registration Areas,2013

[目的]分析2013年湖南省肿瘤登记地区肺癌发病、死亡情况。[方法]计算2013年湖南省肿瘤登记地区肺癌发病率、死亡率、0-74岁累积率等指标,标化率采用2000年全国人口普查的标准人口和Segi’s世界标准人口构成为标准进行计算。[结果]2013年湖南省肿瘤登记地区共收集肺癌新发病例3359例,肺癌死亡病例2479例。病理诊断率56.77%,只有死亡医学证明书比例0.24%,死亡/发病比为0.74,均符合要求。全省肺癌发病率50.16/10万,中标发病率为34.36/10万,世标发病率34.31/10万,0-74岁累积率为4.17%。城市地区居民肺癌的发病率是53.73/10万,中标发病率为37.12/10万,农村地区居民肺癌的发病率49.03/10万,中标发病率为33.65/10万,城区居民肺癌发病率高于农村。男性肺癌发病率72.08/10万,中标发病率为50.50/10万,女性肺癌发病率为26.79/10万,中标发病率为18.04/10万,男性肺癌发病率高于女性,肿瘤发病顺位中肺癌在男性和女性中均居首位。全省居民肺癌死亡率为37.02/10万,中标死亡率为24.61/10万,世标死亡率24.72/10万,0-74岁累积率为2.96%。城市地区居民肺癌死亡率是47.23/10万,中标死亡率是31.84/10万,农村地区居民肺癌死亡率是33.77/10万,中标死亡率是22.57/10万,城市居民肺癌死亡率比农村居民高。男性肺癌死亡率是53.85/10万,中标死亡率是37.01/10万,女性肺癌死亡率是19.07/10万,中标死亡率是12.20/10万,男性高于女性,肿瘤死亡顺位中肺癌在男性和女性中均居第1位。[结论]肺癌是威胁湖南省居民健康的最常见的恶性肿瘤,应作为湖南省居民癌症防治的重点。

[Purpose] To analyze the incidence and mortality of lung cancer in Hunan cancer registration areas. [Methods] The incidence/mortality of lung cancer in Hunan cancer registration areas were stratified by areas,gender,age groups,the cumulative incidence/mortality rates（0 -74 years old） were also calculated. The Chinese population census in 2000 and Segi＇s world population were used for calculating the age-standardized cancer incidence/mortality rates. [Results] The total new lung cancer cases and lung cancer deaths were 3359 and 2479 in 2013,respectively. The morphology verified cases（MV%） for lung cancer was 56.77% and 0.24% of incident cases were identified through death certifications only（DCO%）,with a mortality to incidence ratio of 0.74. The lung cancer incidence in Hunan province was 50.16/10^5,the age-standardized incidence rates by Chinese standard population（ASIRC） and by world standard population（ASIRW） were 34.36/10^5 and 34.31/10^5,respectively with the cumulative incidence rate（0-74 years old） of 4.17%.The lung cancer incidence in urban areas was 53.73/10^5,the ASIRC was 37.12/10^5;and those in rural areas were 49.03/10^5 and 33.65/10^5,respectively. The lung cancer incidence in males was 72.08.16/10^5,the ASIRC was 50.50/10^5;and those for females were 26.79/10^5 and 18.04/10^5,respectively. Lung cancer was the most common incident cancer both in males and in females. The lung cancer mortality in Hunan cancer registries in 2013 was 37.02/10^5,the age-standardized mortality rates by Chinese standard population（ASMRC） and by world standard population（ASMRW） were 24.61/10^5 and 24.72/10^5,respectively,and the cumulative mortality rate（0-74 years old） was 2.96%. The lung cancer mortality in urban areas was 47.23/10^5,the ASMRC was 31.84/10^5;and those in rural areas were 33.77/10^5 and 22.57/10^5,respectively. The lung cancer mortality in males was 53.85/10^5,the ASMRC was 37.01/10^5;and those for females were 19.07/10^5 and 12.20/10^5,respectively. Lung cancer was the most common cause of cancer death both in males and in females. [Conclusion]Lung cancer is the most common cancer,which is seriously threatening people＇s health. It should be the priority of the cancer prevention and control strategy in Hunan province.