2014年山西省肿瘤登记地区恶性肿瘤发病与死亡分析

Analysis of cancer incidence and mortality in registration areas of Shanxi Province in 2014

目的探讨2014年山西省肿瘤登记地区恶性肿瘤发病与死亡情况。方法收集2014年全省12个肿瘤登记地区的数据资料,分析不同地区、不同年龄和性别的恶性肿瘤发病率与死亡率特点,同时与全国数据进行比较。结果2014年山西省肿瘤登记地区新发恶性肿瘤11703例(男性6559例,女性5144例),发病率为221.21/10万,中国人口标化发病率为163.91/10万,世界人口标化发病率为163.25/10万;城市地区发病率、中国人口标化发病率分别为247.02/10万、171.35/10万,农村地区分别为205.98/10万、159.03/10万。男性常见恶性肿瘤发病以胃癌、肺癌、食管癌、肝癌、结直肠癌为主,女性以乳腺癌、子宫颈癌、肺癌、食管癌、胃癌为主。恶性肿瘤死亡病例7283例(男性4548例,女性2735例),恶性肿瘤死亡率为137.66/10万,中国人口标化死亡率为99.67/10万,世界人口标化死亡率为100.11/10万;城市地区死亡率、中国人口标化死亡率分别为141.03/10万、92.84/10万,农村地区分别为135.68/10万、103.69/10万。男性常见恶性肿瘤死亡以肺癌、胃癌、肝癌、食管癌、结直肠癌为主,女性以肺癌、胃癌、肝癌、食管癌、子宫颈癌为主。结论山西省肿瘤登记地区恶性肿瘤发病与死亡均以肺癌、上消化道恶性肿瘤和女性子宫颈癌为主,胃癌、子宫颈癌的发病率较高。

Objective To explore the cancer incidence and mortality in registration areas of Shanxi Province in 2014.Methods The data of 12 cancer registration areas of Shanxi Province in 2014 were taken to analyze the characteristics of cancer incidence and mortality for patients with different age and gender in different areas.And then the results were compared with the malignant cancer incidence and mortality in the nationwide.Results There were 11703 new cases,including 6559 males and 5144 females in registration areas of Shanxi Province in 2014,and the incidence rate was 221.21/105,while the age-standardized incidence rate of Chinese population and world population was 163.91/105 and 163.25/105,respectively.The cancer incidence rate in urban areas was 247.02/105 and the age-standardized incidence rate of Chinese population was 171.35/105.In rural areas,the cancer incidence rate was 205.98/105 and the age-standardized incidence rate of Chinese population was 159.03/105.The common cancer sites were stomach,lung,esophagus,liver and colorectum for males.And breast,cervix,lung,esophagus,stomach were the common cancer sites for females.There were 7283 malignant death cases,including 4548 males and 2735 females.The crude cancer mortality rate was 137.66/105,and the age-standardized mortality rate of Chinese population was 99.67/105 and world population was 100.11/105.The crude cancer mortality rate in urban areas was 141.03/105 and the age-standardized incidence rate of Chinese population was 92.84/105.In rural areas,the crude cancer mortality rate was 135.68/105 and the age-standardized mortality rate of Chinese population was 103.69/105.Male common malignant tumor deaths included lung cancer,gastric cancer,liver cancer,esophageal cancer and colorectal cancer,while lung,stomach,liver,esophagus and cervix were the common cancer death sites for females.Conclusions The incidence and mortality of malignant tumors in registration areas in Shanxi Province are mainly lung cancer,upper gastrointestinal cancer and cervix uteri cancer.The incidence rates of stomach cancer and cervical cancer are high.