2016年云南省肿瘤登记地区恶性肿瘤的发病和死亡分析

Analysis of cancer incidence and mortality in Yunnan cancer registry,2016

目的分析2016年云南省肿瘤登记地区恶性肿瘤发病与死亡情况。方法收集云南省24个肿瘤登记处上报的2016年恶性肿瘤发病、死亡及人口资料,对数据进行审核和汇总。计算恶性肿瘤发病和死亡的粗率、标化率、累积率(0~74岁)和前10位恶性肿瘤构成,并按地区(城市/农村)、性别和年龄进行分层分析。结果2016年云南省肿瘤登记地区恶性肿瘤发病粗率为212.97/10万,中标率为153.45/10万,世标率为149.38/10万,累积率(0~74岁)为16.97%。男性发病率(227.23/10万)高于女性(198.27/10万),城市发病率(224.56/10万)高于农村(202.01/10万)。发病前5位的恶性肿瘤依次为肺癌、乳腺癌、结直肠癌、肝癌和宫颈癌。恶性肿瘤死亡粗率为127.26/10万,中标率为86.67/10万,世标率为85.64/10万,累积率(0~74岁)为9.85%。男性死亡率(157.09/10万)高于女性(96.41/10万),农村标化死亡率(中标率86.01/10万,世标率84.94/10万)与城市差别不大(中标率87.55/10万,世标率86.63/10万)。死亡前5位的恶性肿瘤依次为肺癌、肝癌、结直肠癌、胃癌和乳腺癌。结论云南省恶性肿瘤发病和死亡处于较低水平,全面推进和进一步规范全省肿瘤随访登记工作,扩大重点癌症的早期筛查和早期治疗将是云南省癌症防控重点。

Objective The aim of this study was to analyze the incidence and death of malignant tumors in Yunnan cancer registry in 2016.Methods The 2016 data of the incidence,death and population of malignant tumors reported by 24 tumor registries in Yunnan province were collected,reviewed and summarized.The crude rate,age-standardized rate,cumulative rate(0-74 years old)and the composition of the top 10 incidence and death of malignant tumors were calculated.These data were conducted stratified analysis by region(urban/rural),gender and age.Results In 2016,the crude incidence of malignant tumors in the tumor registration area of Yunnan province was 212.97/100,000,age-standardized incidence rates adjusted by Chinese standard population(ASIRC)and by World standard population(ASIRW)were 153.45/100,000 and 149.38/100,000,respectively,and the cumulative rate(0~74 years old)was 16.97%.The incidence in men(227.23/100,000)was higher than that in women(198.27/100,000),and the incidence in urban areas(224.56/100,000)was higher than that in rural areas(202.01/100,000).The top 5 malignant tumors were lung cancer,breast cancer,colorectal cancer,liver cancer and cervix cancer in order.The crude mortality of malignant tumors was 127.26/100,000,age-standardized incidence rates adjusted by Chinese standard population(ASMRC)and by World standard population(ASMRW)were 86.67/100,000 and 85.64/100,000,respectively,and the cumulative rate(0~74 years old)was 9.85%.The male mortality(157.19/100,000)was higher than that of females(96.41/100,000),and the rural standardized mortality(ASMRC for 86.01/100,000 and ASMRW for 84.94/100,000)was not different from that of the city(ASMRC for 87.55/100,000 and ASMRW for 86.63/100,000)in age-standardized mortality.The dead of top 5 malignant tumors was lung cancer,liver cancer,colorectal cancer,stomach cancer and breast cancer.Conclusion The incidence and death of malignant tumors in Yunnan province are at a relatively low level.The comprehensive promotion and further standardization of tumor follow-up registration in the province,and the expansion of early screening and early treatment of key cancers will be the focus of cancer prevention and control in Yunnan province.