2018年甘肃省白银市恶性肿瘤发病和死亡分析

Incidence and mortality of malignant tumors of Baiyin in Gansu province,2018

目的分析2018年甘肃省白银市恶性肿瘤发病与死亡情况。方法根据2018年甘肃省白银市恶性肿瘤发病和死亡资料,分析其发病率、死亡率、发病死亡顺位和构成比等指标,中标率和世标率分别采用2000年全国普查标准人口年龄构成和Segi′s世界标准人口年龄构成计算。结果2018年白银市恶性肿瘤发病率为272.67/10万,中标率178.33/10万,世标率为172.91/10万,0~74岁累积发病率为18.93%;恶性肿瘤发病率最高的是胃癌,其次为肺癌、肝癌、结直肠癌和乳腺癌,前10位占新发恶性肿瘤的74.73%。恶性肿瘤死亡率为146.55/10万,中标率86.39/10万,世标率为84.57/10万,0~74岁累积死亡率为9.29%;恶性肿瘤死亡率最高的是胃癌,其次为肺癌、肝癌、结直肠癌和胰腺癌,前10位占全部死亡恶性肿瘤的84.34%。中标发病率和中标死亡率均为男性高于女性,农村地区高于城市地区;发病率和死亡率均在80~84岁年龄组达到高峰。白银市各区县发病率中标和死亡率中标最高的分别为平川区和景泰县,最低的为白银区。结论胃癌、肺癌、肝癌、结直肠癌、乳腺癌和胰腺癌等的发病率和死亡率较高,是需要重点防控的恶性肿瘤;女性乳腺癌和宫颈癌排在女性发病率、死亡率的前五位,应作为女性重点防控的恶性肿瘤。

Objective The aim of this study was to analyze the incidence and mortality of all cancers of Baiyin in Gansu province in 2018.Methods Based on data of cancer incidence and mortality of Baiyin in Gansu province in 2018,the incidence and mortality rates,ranking and constituent ratio were calculated.The age-standardized rate was calculated and adjusted by Chinese standard population in 2000(ASIRC,ASMRC)and World standard(Segi′s)population(ASIRW,ASMRW),respectively.Results Malignant tumors incidence rate was 272.67/105 in Baiyin Municipal in 2018,ASIRC and ASIRW were 178.33/105 and 172.91/105,and the cumulative rate(0-74 years old)was 18.93%;the top 10 incidence accounted for 74.73%of all cancers,The top 5 cancers with highest incidence were stomach cancer,lung cancer,liver cancer,colorectal cancer and breast cancer.Malignant tumors mortality rate was 146.55/105 in Baiyin Municipal in 2018,ASMRC and ASMRW were 86.39/105 and 84.57/105,and the cumulative rate(0-74 years old)was 9.29%;the top 10 mortality rates accounted for 84.34%of all cancer,The top 5 cancers with highest mortality were stomach cancer,lung cancer,liver cancer,colorectal cancer and pancreas cancer.ASIRC and ASMRC in male is higher than that in female,rural areas are higher than urban areas;the incidence and mortality reached a peak in the 80-84 age group.Pingchuan and Jingtai have the highest rate of ASIRC and ASMRC,and Baiyin county has lowest of ASIRC and ASMRC.Conclusion The incidence and mortality rate of stomach cancer,lung cancer,liver cancer,colorectal cancer,breast cancer,pancreatic cancer is high,it is a cancer that needs to be prevented and controlled;since incidence and mortality of breast cancer and cervical cancer rank the top 5 in female,more attentions should be than male malignant tumors for female to prevention and control.