某核电站30 km以内防城港市辖区居民恶性肿瘤发病情况分析

Analysis on the incidence of malignant tumors in residents of Fangchenggang municipal district within 30km of a nuclear power plant

目的调查红沙核电站运行前防城港市辖区30 km以内居民恶性肿瘤发病资料,为核电正常运行或核电事故健康影响评价提供基础资料。方法收集核电站30 km半径范围内恶性肿瘤发病资料。结果 2014~2015年监测范围内共报告恶性肿瘤发病1 186例,年均报告发病率为183.26/10万,标化率为149.21/10万。男性前10位恶性肿瘤为肝癌、肺癌、胃癌、结直肠癌、食道癌、前列腺癌、鼻咽癌、恶性淋巴瘤、骨的恶性肿瘤和脑肿瘤;女性前10位恶性肿瘤为宫颈癌、乳腺癌、肺癌、结直肠癌、肝癌、胃癌、脑肿瘤、鼻咽癌、骨的恶性肿瘤和恶性淋巴瘤。结论监测范围内恶性肿瘤标化发病率低于全国西部地区的标化发病率,恶性肿瘤发病以肺、肝脏、子宫颈和消化系统癌症为主,与广西历年肿瘤监测、报告结果一致。

Objective To investigate the incidence of malignant tumors in residents within 30 km of Fangchenggang city before operation of Hongsha Nuclear Power,and to provide basic data for normal operation of nuclear power or health impact assessment of nuclear power accidents.Methods The incidence data of malignant tumors within a radius of 30 km from the nuclear power plant were collected.Results A total of 1,186 cases of malignant tumor in women were reported in the monitoring from 2014 to 2015, with an annual reported incidence of 1,832.6/100,000 and a standardized rate of 1,492.1/100,000.The top 10 malignant tumors in men were liver cancer,lung cancer, gastric cancer, colorectal cancer, sophageal cancer, prostate cancer, nasopharyngeal, malignant lymphoma, bone malignant tumor and brain tumor.The top 10 malignant tumor in women were cervical cancer, breast cancer, lung cancer, colorectal cancer, liver cancer, gastric cancer, brain tumor, nasopharyngeal, bone malignant tumor and malignant lymphoma.Conclusion The standardized incidence rate of malignant tumors within the monitoring is lower than that western.Cancer of lung, liver, cervix and digestive system are the main malignant tumors, which is consistent with the results of tumor monitoring and reporting in Guangxi over the years.