2014年云南省个旧市恶性肿瘤发病与死亡分析

Analysis of Cancer Incidence and Mortality in Gejiu City of Yunnan Province,2014

[目的]分析云南省个旧市2014年恶性肿瘤的发病和死亡情况,为个旧市癌症防治工作提供科学依据。[方法]评估个旧市2014年恶性肿瘤登记数据质量,计算恶性肿瘤发病（死亡）率、年龄别发病（死亡）率、标化发病（死亡）率、截缩发病（死亡）率及累积发病（死亡）率等指标。[结果]个旧市2014年登记数据的病理学诊断比例（MV%）为63.49%,只有死亡医学证明书比例（DCO%）为1.47%,死亡发病比（M/I）为0.60。2014年个旧市恶性肿瘤粗发病率为225.30/10万,中标率为147.20/10万,世标率为141.43/10万,截缩率为259.03/10万,累积发病率（0-74岁）为16.22%。2014年个旧市恶性肿瘤粗死亡率为134.62/10万,中标率为80.74/10万,世标率为78.58/10万,截缩率为112.82/10万,累积死亡率（0-74岁）为8.88%。发病前10位的恶性肿瘤依次为肺癌、结直肠癌、肝癌、女性乳腺癌、脑肿瘤、膀胱癌、胆囊癌、胃癌、宫颈癌和淋巴瘤,占全部恶性肿瘤发病的72.90%。死亡前10位的恶性肿瘤依次为肺癌、结直肠癌、肝癌、胆囊癌、胃癌、脑肿瘤、淋巴瘤、白血病、卵巢癌和胰腺癌,占全部恶性肿瘤死亡的74.00%。[结论 ]个旧市恶性肿瘤发病率和死亡率低于全国平均水平,肺癌、消化系统恶性肿瘤和女性乳腺癌是威胁个旧市居民的主要恶性肿瘤,应进一步加强肿瘤的防治工作和流行病学调查。

[Purpose] To analyze the incidence and mortality of cancer in Gejiu City in 2014.[Methods] The data quality of Gejiu City malignant tumor registration in 2014 was evaluated. The crude incidence/mortality rates,age-specified incidence/mortality rates,age-standardized incidence/mortality rates,the truncated age-standardized incidence/mortality rates,and cumulative incidence/mortality rates were calculated. [Results] The morphology verified cases（MV%） accounted for63.49% and 1.47% of incident cases were identified through death certifications only（DCO%） with a mortality to incidence ratio（M/I）of 0.60.The crude incidence rate of malignant tumor in Gejiu city in 2014 was 225.30/10^5,the age-standardized incidence rate by Chinese population is 147.20/10^5 and by world population was 141.43/10^5. The truncated age-standardized incidence rate by world population was 259.03/10^5,and the accumulative incidence rate was 16.22%. The mortality rate of malignant tumor in Gejiu city in 2014 was 134.62/10^5,the age-standardized mortality rate by Chinese population was 80.74/10^5 and by world population was 78.58/10^5. The truncated age-standardized mortality rate by world population was 112.82/10^5,and the accumulative mortality rate was 8.88%.The top ten common cancer types were lung cancer,colorectal cancer,liver cancer,female breast cancer,brain tumor,bladder cancer,gallbladder cancer,gastric cancer,cervical cancer and lymphoma,accounting for 72.90% of all cancer cases.Lung cancer,colorectal cancer,liver cancer,gallbladder cancer,gastric cancer,brain tumor,lymphoma,leukemia,ovary cancer and pancreatic cancer were the most common cancer deaths,accounted for 74.00% of all cancer deaths.[Conclusion] The incidence rate and mortality rate of malignant tumor in Gejiu is lower than the national average level. Lung cancer,malignant tumor in the digestive system and female breast cancer are the major cancer burden in residents in Gejiu. Prevention and control and epidemiological investigation of these cancers mentioned above should be strengthened.