2014年福建省肿瘤登记地区恶性肿瘤发病和死亡情况分析

Analysis of cancer incidence and mortality in Fujian cancer registries, 2014

目的:分析2014年福建省肿瘤登记地区恶性肿瘤发病与死亡状况,为肿瘤防治提供科学依据。方法:根据全国肿瘤登记中心制定的数据审核和评价方法,对福建省12个肿瘤登记处上报的2014年数据进行评价,将符合要求的9个登记处数据合并分析。计算发病和死亡粗率、标化率、累积率(0~74岁),分析主要恶性肿瘤发病与死亡顺位。中国人口标化率(中标率)根据2000年中国标准人口构成计算,世界人口标化率(世标率)依照Segi's标准人口构成计算。结果:2014年9个肿瘤登记处(城市4个,农村5个)覆盖人口5 192 590人(城市2 673 166人,农村2 519 424人)。组织学诊断比例(MV%)为73.32%,死亡/发病比(M/I)为0.69,仅有死亡医学证明书病例比例(DCO%)为0.25%。福建省恶性肿瘤发病率为254.13/10万(其中男性306.37/10万,女性200.62/10万),中标率为196.12/10万,世标率为191.96/10万,累积率(0~74岁)为22.83%。其中城市地区发病率为277.46/10万,中标率为215.86/10万;农村地区发病率为229.38/10万,中标率为175.89/10万。福建省恶性肿瘤死亡率为175.71/10万(其中男性235.47/10万,女性114.50/10万),中标率为130.13/10万,世标率为128.61/10万,累积率(0~74岁)为15.04%。其中城市地区死亡率为185.62/10万,中标率为137.88/10万;农村地区死亡率为165.20/10万,中标率为122.82/10万。肺癌、肝癌、胃癌、乳腺癌和结直肠癌居恶性肿瘤发病前5位,肺癌、肝癌、胃癌、食管癌和结直肠癌居恶性肿瘤死亡前5位。结论:消化系统肿瘤、肺癌、乳腺癌是福建省最主要的恶性肿瘤,应作为肿瘤防治的重点,积极推广筛查工作,降低居民的肿瘤疾病负担。

Objective:To analyze the cancer incidence and mortality in Fujian in 2014 and provide a scientific basis for tumor prevention.Methods:In accordance with the methods and criteria of data quality control made by National Central Cancer Registry(NCCR),data from 9 registries were distinguished from those of 12 submitted registries in Fujian after assessment,merging and analysis of the data.The crude rate,standard rate,cumulative rates(0-74 years old)and proportion of leading cancers were calculated.The China 2000 Population Census data and Segi's standard population were used for calculating age-standardized rates.Results:The population from 9 cancer registries(4 in urban and 5 in rural areas)was 5,192,590(2,673,166 in urban and 2,519,424 in rural areas).The morphology-verified cases accounted for 73.32%;0.25%of incident cases were identified through death certifications only,and the mortality to incidence ratio was 0.69.In 2014,the cancer incidence rate was 254.13/105(306.37/105 in men and 200.62/105 in women).The agestandardized incidence by the Chinese standard population(ASIRC)and by the world standard population were 196.12/105 and 191.96/105,respectively,while the cumulative incidence(0-74 years old)was 22.83%.The cancer incidence and ASIRC were 277.46/105 and 215.86/105 in urban areas,respectively,whereas in rural areas,they were 229.38/105 and 175.89/105,respectively.The cancer mortality was 175.71/105(235.47/105 in men and 114.50/105 in women).The age-standardized mortality by the Chinese standard population(ASMRC)and by the world standard population were 130.13/105 and 128.61/105,respectively,and the cumulative mortality rate(0-74 years old)was 15.04%.The cancer mortality and ASMRC were 185.62/105 and 137.88/105 in urban areas,respectively,whereas in rural areas,they were 165.20/105 and 122.82/105,respectively.Lung cancer had the highest incidence followed by liver,gastric,breast,and colorectal cancer.Moreover,lung cancer had the higher mortality rate followed by liver,gastric,esophageal,and colorectal cancer.Conclusions:Digestive system neoplasms,lung cancer,and breast cancer were the most common cancers in Fujian.Active screening should be the focus of cancer prevention to reduce the burden of cancer.