上海市普陀区2015年恶性肿瘤发病及死亡特征分析

Analysis on the Characteristics of Malignant Tumor Incidence and Death in Putuo District of Shanghai in 2015

目的分析上海市普陀区2015年恶性肿瘤发病及死亡情况,为肿瘤防治提供依据。方法根据上海市恶性肿瘤登记报告系统资料,分析普陀区主要恶性肿瘤的发病率、发病顺位、死亡率、死亡顺位。结果上海市普陀区2015年恶性肿瘤新发病例4,743例,粗发病率为530.75/105;世界标化发病率为229.35/105,其中男性为228.42/105,女性为231.43/105;女性发病率高于男性。男性发病率居前5位的肿瘤部位是:气管、支气管和肺,结肠直肠,胃,前列腺,肝脏;女性发病率居前5位的肿瘤部位是:乳腺,气管、支气管和肺,结肠直肠,甲状腺,胃。2015年上海市普陀区恶性肿瘤死亡人数2,580例,粗率为288.71/105,标率为93.58/105,其中男性标率为120.72/105,女性标率为68.58/105,男性大于女性。男性死亡前5位肿瘤部位依次为:气管、支气管和肺,结肠直肠,胃,肝脏,胰腺;女性死亡前5位肿瘤部位依次为:气管、支气管和肺,结肠直肠,乳腺,胃,胰腺;男女性恶性肿瘤死亡率最高的皆为肺癌。结论肺癌、结肠直肠癌、胃癌和女性乳腺癌是威胁普陀区居民健康的主要恶性肿瘤,仍是肿瘤防治工作的重点。普陀区目前肿瘤负担依然很严重,且区内年龄、性别间肿瘤负担差异明显,今后应根据实际情况制定肿瘤防控策略,积极控制危险因素,加强防治。

Objective To analyze the incidence and mortality of malignant tumors in Putuo District of Shanghai in 2015, and to provide evidence for the prevention and treatment of malignant tumors. Methods According to the data of malignant tumors registration and reporting system in Shanghai, the incidence, incidence order, mortality rate, and death order of major malignant tumors were analyzed. Results There were 4,743 new cases of malignant tumor in Putuo District of Shanghai in 2015. The crude incidence was 530.75/105. The world standardized incidence was 229.35/105, of which 228.42/105 was and 231.43/105 was female. The incidence of malignant tumors in females was higher than that in males. The top five tumors sites in male incidence were trachea/bronchus/lung, colon/rectum, stomach, prostate, and liver;the top five tumors sites in female incidence were breast, trachea/bronchus/lung, colon/rectum, thyroid, and stomach. In 2015, there were 2,580 cases of malignant tumor deaths in Putuo District, with a crude rate of 288.71/105 and a standardized rate of 93.58/105, of which the male standardized rate was 120.72/105 and the female standardized rate was 68.58/105, and that for males was higher than that for females. The top five tumors sites in male mortality were trachea/bronchus/lung, colon/rectum, stomach, liver, and pancreas;the top five tumors sites in female mortality were trachea/bronchus/lung, colon/rectum, breast, stomach, pancreas. Lung cancer had the highest mortality rates in male and female malignant tumors. Conclusion Lung cancer, colorectal cancer, gastric cancer, and female breast cancer are the main malignant tumors threatening the health of residents Putuo District, and they are still the focus of tumor prevention and treatment. At present, the burden of cancer in our region is still very serious, and there are obvious differences between age and sex. In the future, strategies for cancer prevention and control should been formulated according to the actual situation, to actively control risk factors and strengthen prevention and control.