2017年河南省濮阳市恶性肿瘤发病和死亡特征分析

Analysis on the characteristics of the incidence and mortality of malignant tumors in Puyang city,Henan province,2017

目的探讨2017年濮阳市居民恶性肿瘤的发病和死亡情况。方法利用《河南省肿瘤登记直报信息管理系统》,收集2017年濮阳市2个国家级肿瘤登记处的肿瘤登记资料,按性别和年龄分别计算恶性肿瘤粗发病率和粗死亡率,并分别利用中国人口和世界人口对率值标化获得中标率和世标率,获得恶性肿瘤发病和死亡顺位。结果2017年濮阳市2个国家级肿瘤登记点覆盖人口1587271人,占全市总人口的41.76%。2017年濮阳市恶性肿瘤粗发病率为269.02/10万(男性275.58/10万,女性262.44/10万),中标率291.13/10万,世标率229.28/10万,35~64岁截缩率、0~64岁和0~74岁累积率分别为335.41/10万、11.82%和27.22%;肺癌、食管癌、胃癌、肝癌、乳腺癌、甲状腺癌、宫颈癌、直肠癌、结肠癌和中枢神经系统恶性肿瘤是发病前10位恶性肿瘤,占82.09%;恶性肿瘤粗死亡率137.72/10万(男性177.13/10万,女性98.24/10万),中标率156.28/10万,世标率121.24/10万,35~64岁截缩率133.98/10万,0~64岁和0~74岁累积率分别为5.04%和14.25%;肺癌、肝癌、食管癌、胃癌、乳腺癌、中枢神经系统恶性肿瘤、胰腺癌、直肠癌、结肠癌、宫颈癌是死亡前10位恶性肿瘤,占84.29%。结论濮阳市男性恶性肿瘤年龄别发病和死亡趋势高于女性,肺癌、食管癌、胃癌、肝癌和乳腺癌是需重点防控的癌种,同时需进一步提高肿瘤登记工作信息化水平。

Objective To investigate the incidence and mortality of malignant tumors in Puyang city in 2017.Methods By using the Henan Cancer Report Information Management System,the tumor registration information was collected from two national cancer registries in Puyang city in 2017.The crude incidence and mortality rates of malignant tumors by gender and age were calculated,respectively,and the age-standardized rates were obtained by using Chinese standard population and world standard population,respectively.The rank orders of incidence or mortality of malignant tumors were obtained.Results The two national cancer registries covered 1587271 people,accounting for 41.76%of the total Puyang population in 2017.The crude incidence rate was 269.02/10^(5)(275.58/10^(5)for males and 262.44/10^(5) for females)in Puyang in 2017.The age-standardized rates by Chinese standard population and world standard population were 291.13/10^(5)and 229.28/10^(5),respectively,and the truncated age-standardized rate for age group of 35-64,the cumulative incidence for age groups of 0-64 years old and 0-74 years old were335.41/10^(5),11.82%和27.22%.The top 10 leading cancers based on the incidence rates were lung cancer,esophageal cancer,gastric cancer,liver cancer,breast cancer,thyroid cancer,cervical cancer,rectal cancer,colon cancer and central nervous system malignant tumor,accounting for 82.09%of all malignant tumors.The crude mortality rate was 137.72/10^(5)(177.13/10^(5) for males and 98.24/10^(5)for females).The age-standardized rates by Chinese standard population and world standard population were 156.28/10^(5)and 121.24/10^(5),respectively,and the truncated age-standardized rate for age group of 35-64,the cumulative incidence for age groups of 0-64 years old and 0-74 years old were 133.98/10^(5),5.04%and 14.25%,respectively.The top 10 leading cancers based on the mortality rates were lung cancer,liver cancer,esophageal cancer,gastric cancer,breast cancer,central nervous system tumor,pancreatic cancer,rectal cancer,colon cancer,cervical cancer,accounting for 84.29%of all malignant tumors.Conclusion The age-specific incidence/death trend of malignant tumors in males is higher than that in females in Puyang city.The lung cancer,esophageal cancer,gastric cancer,liver cancer and breast cancer should be addressed in cancer prevention and treatment,and meanwhile,the tumor registration work information level needs to be further improved.