2016年四川省肿瘤登记地区恶性肿瘤发病和死亡情况分析

Cancer Incidence and Mortality in Registration Areas of Sichuan Province,2016

目的:分析2016年四川省肿瘤登记地区恶性肿瘤发病和死亡情况,为癌症防控提供参考依据。方法:分析2019年收集到质量合格的48个肿瘤登记处的2016年肿瘤登记数据,分别计算不同性别、年龄段、城乡的发病/死亡率,中国人口标准化率(简称:中标率)、世界人口标准化率(简称:世标率)、累积率和前10位恶性肿瘤发病/死亡顺位等指标。结果:2016年四川省肿瘤登记地区恶性肿瘤发病率为255.68/10万(男性306.55/10万,女性202.28/10万;城市地区249.18/10万,农村地区260.16/10万),中标发病率为164.90/10万,世标发病率为163.08/10万,累积率(0~74岁)为19.20%;发病前5位依次为肺癌、肝癌、食管癌、胃癌和结直肠癌;恶性肿瘤死亡率为172.95/10万(男性226.54/10万,女性116.71/10万;城市地区171.91/10万,农村173.67/10万),中标死亡率为107.56/10万,世标死亡率为107.36/10万,累积率(0~74岁)为12.44%;死亡前5位依次为肺癌、肝癌、食管癌、胃癌和结直肠癌。结论:四川省恶性肿瘤发病率略低于西部平均水平,低于全国;肺癌、肝癌、食管癌、胃癌和结直肠癌是全省的重点癌种,50岁以上人群是恶性肿瘤高发人群,应针对重点癌种和人群开展综合防治工作。

Objective:To analyze the incidence and mortality of cancer in registration areas of Sichuan Province in 2016,and provide evidence for cancer prevention and control.Methods:Data from 48 cancer registries were collected in 2019.Incidence/mortality were calculated by gender,age group and regions.Crude rates,age-standardized rates by Chinese standard population in 2000 and the Segi(world)population,cumulative rates(0~74 years old)and rank of cancers with top 10 in-cidence/mortality were calculated.Results:In 2016,the cancer incidence in registration areas of Sichuan Province was 255.68/100,000(306.55/100,000 in males,202.28/100,000 in females;249.18/100,000 in urban areas,260.16/100,000 in rural areas).And the age-standardized incidence rates by Chinese standard population(ASIRC)and by world standard population(ASIRW)were 164.90/100 and 163.08/100,000,respectively.The cumulative incidence rate(0〜74 years old)was 19.20%.Cancers with top 5 incidence were lung cancer,liver cancer,esophageal cancer,gastric cancer and colorectal cancer,respectively.The cancer mortality in registration areas of Sichuan Province in 2016 was 172.95/100,000(226.54/100,000 in males,116.71/100,000 in females;171.91/100,000 in urban areas,173.67/100,000 in rural areas).And the age-standardized mortality rates by Chinese standard population(ASMRC)and by world standard population(ASMRW)were 107.56/100,000 and 107.36/100,000,respectively.The cumulative mortality rate(0〜74 years old)was 12.44%.Cancers with top 5 mortality were lung cancer,liver cancer,esophageal cancer,gastric cancer and colorectal cancer,respectively.Conclusion:The cancer incidence in Sichuan Province is slightly lower than western China and lower than national average.Lung cancer,liver cancer,esophageal cancer,gastric cancer and colorectal cancer are the most common cancers in Sichuan Province.Population aged 50 and above are in high risk of cancer.Comprehensive prevention and control strategies should be conducted for those cancers,especially for the high risk population.