2017年云南省肿瘤登记地区恶性肿瘤发病与死亡分析

Analyses of incidence and mortality of malignant tumors in cancer registration areas of Yunnan province in 2017

目的分析2017年云南省肿瘤登记地区恶性肿瘤发病和死亡情况。方法收集云南省各肿瘤登记处上报的2017年恶性肿瘤发病、死亡数据和人口资料,按照性别和年龄分层计算云南省肿瘤登记地区恶性肿瘤的发病(死亡)率、中国人口年龄标化发病(死亡)率(简称中标率)、世界人口年龄标化发病(死亡)率(简称世标率)、0~74岁累积发病(死亡)率,同时分别对全省前五位发病和死亡的恶性肿瘤进一步分析。结果云南省肿瘤登记地区恶性肿瘤发病率215.28/10万(男性227.56/10万,女性202.58/10万),中标率154.80/10万(男性164.57/10万,女性146.61/10万),世标率150.72/10万(男性162.67/10万,女性140.32/10万);恶性肿瘤发病率在40-岁年龄组前处于较低水平,之后开始快速上升,至80-岁年龄组达到高峰,之后有所下降;发病前五位的恶性肿瘤依次为肺癌、乳腺癌、结直肠癌、肝癌和宫颈癌。云南省肿瘤登记地区恶性肿瘤死亡率133.62/10万(男性163.62/10万,女性102.58/10万),中标率91.06/10万(男性114.85/10万,女性68.28/10万),世标率90.17/10万(男性114.40/10万,女性67.05/10万);恶性肿瘤死亡率在45-岁年龄组后快速上升,至85+岁年龄组时达到高峰;死亡前五位的恶性肿瘤依次为肺癌、肝癌、结直肠癌、胃癌和乳腺癌。结论肺癌、肝癌、乳腺癌和结直肠癌为云南省较为严重的恶性肿瘤,应作为我省恶性肿瘤防控的重点,此外,中老年人恶性肿瘤死亡状况不容乐观,应及时掌握癌情特点,做好防控工作。

Objective The aim of this study was to analyze the incidence and mortality of malignant tumors in tumor registration areas of Yunnan province in 2017.Methods The incidence,death and population data of malignant tumors reported by various tumor registries in Yunnan province in 2017 were collected,and the incidence(mortality)of malignant tumors in the cancer registration areas of Yunnan province and age-stardardized rate by Chinese standard population(ASIRC),age-standardized rate by World standard population(ASIRW),cumulative incidence(mortality)of 0-74 years old,and the top 5 malignant tumors with incidence and mortality in the province were further analyzed.Results The incidence of malignant tumors in the Yunnan province′s cancer registration areas was 215.28/100,000(227.56/100,000 for men and 202.58/100,000 for women),the age-stardardized rate(ASR)China was 154.80/100,000(164.57/100,000 for men and 146.61/100,000 for women)and ASR World was 150.72/100,000(162.67/100,000 for men and 140.32/100,000 for women);the incidence of malignant tumors was at a low level before the 40-year-old age group,and then began to rise rapidly,reaching a peak in the 80-year-old age group,and then began to decline;the top five malignant tumors were lung cancer,breast cancer,colorectal cancer,liver cancer,and cervical cancer.The mortality of malignant tumors in the Yunan province′s cancer registration areas was 133.62/100,000(163.62/100,000 for men and 102.58/100,000 for women),the ASR China was 91.06/100,000(114.85/100,000 for men and 68.28/100,000 for women),and the ASR World 90.17/100,000(114.40/100,000 for men and 67.05/100,000 for women);the mortality of malignant tumors began to rise rapidly after the 45-year-old age group,and reached a peak at the 85+age group.The top five malignant tumors were lung cancer,liver cancer,colorectal cancer,stomach cancer and breast cancer.Conclusion Lung cancer,liver cancer,breast cancer,and colorectal cancer are relatively serious malignant tumors in Yunnan province,and should be the focus of prevention and control of malignant tumors.In addition,the mortality of malignant tumors in middle-aged and elderly people is not optimistic.It is necessary to grasp the characteristics of cancer in time and do a good job in prevention and control.