2011—2018年广西桂林市恶性肿瘤发病与死亡分析

Cancer Incidence and Mortality in Guilin City,2010—2018

[目的]分析2011—2018年广西桂林市恶性肿瘤发病与死亡情况及变化趋势。[方法]收集桂林市2011—2018年恶性肿瘤发病、死亡以及人口资料,按照地区、性别、年龄分层,计算恶性肿瘤发病与死亡率、标化率、累积率(0~74岁)、截缩率(35~64岁)、年龄别率以及前10位恶性肿瘤发病与死亡顺位和构成等,其中分别采用2000年全国普查标准人口年龄构成、Segi’s世界标准人口年龄构成计算标化率。[结果] 2011—2018年桂林市恶性肿瘤发病率为267.92/10万,中标发病率为191.07/10万,世标发病率为185.42/10万,累积率(0~74岁)为20.85%,截缩率(35~64岁)为321.48/10万。年龄别发病率在40岁以后快速上升,在80~岁年龄组达到发病高峰,主要恶性肿瘤发病顺位依次为女性乳腺癌、肺癌、结直肠癌、肝癌、胃癌等,前10位恶性肿瘤占全部恶性肿瘤发病的74.10%;2011—2018年桂林市恶性肿瘤死亡率为153.89/10万,中标死亡率为106.17/10万,世标死亡率为104.44/10万,累积率(0~74岁)为11.74%,截缩率(35~64岁)为155.90/10万。年龄别死亡率在45岁以后快速增加,在80~岁年龄组达到高峰,男性各年龄组死亡率均高于女性,主要恶性肿瘤死亡顺位依次为肺癌、肝癌、结直肠癌、胃癌、女性乳腺癌等,前10位恶性肿瘤占全部恶性肿瘤死亡的78.55%。[结论]桂林市恶性肿瘤整体发病低于全省和全国水平,但单个癌种表现差异较大。肺癌、结直肠癌、肝癌、胃癌、女性乳腺癌是当前桂林市需重点防治的癌种。

[Purpose] To estimate the cancer incidence and mortality in Guilin City from 2011 to 2018.[Methods] On the basis of the method and criteria of data quality control from the National Central Cancer Registry,data on incidence and mortality in Guilin from 2011 to 2018 were evaluated. Stratified by gender and cancer site,the crude incidence/mortality rate,age specific incidence/mortality rate,cumulative incidence/mortality rate (0~74 years old) as well as the rank and the constitution of 10 leading cancers were calculated.The age standardized rate was calculated and adjusted by the Chinese population in 2000 and the world Segi’s standard population. [Results]In 2011—2018,the crude cancer incidence rate in Guilin was 267.92/10~5,age-standardized incidence rate by Chinese population and by world population were 191.07/10~5 and 185.42/10~5,the cumulative incidence rate (0~74 years old) was 20.85%.The cancer incidence went up sharply after age of 40 and reached the peak at 80~ age group. Breast cancer was the most common cancer,followed by lung cancer,colorectal cancer,liver cancer and cervix cancer. The 10 leading sites accounted for 74.10% of total incident cancers. The crude cancer mortality rate was 153.89/10~5,agestandardized mortality rate by Chinese population and by world population were 106.17/10~5 and 104.44/10~5,the cumulative mortality rate (0~74 years old) was 11.74%. Cancer mortality went up after 45 years of age,then rose rapidly and reached the peak at the 80~ age group. Lung cancer was the most common cause of cancer death,followed by liver cancer,colorectal cancer,stomach cancer and breast cancer,and the 10 leading cancers accounted for 78.55% of total cancer deaths.[Conclusion] The incidence rate of cancer in Guilin city from 2011 to 2018 is lower than that of Guangxi province and the national levels. Population-based early detection and treatment programs should be carried forward further to reduce cancer death.