2019年四川省肿瘤登记地区不同经济区恶性肿瘤发病和死亡分析

Cancer Incidence and Mortality in Different Economic Areas of Sichuan Cancer Registration Areas in 2019

[目的]分析2019年四川省肿瘤登记地区不同经济区恶性肿瘤发病和死亡情况。[方法]分析2019年质量合格并纳入国家肿瘤登记年报的121个肿瘤登记处肿瘤登记数据,按照不同经济区(成都平原经济区、川南经济区、川东北经济区、攀西经济区、川西北经济区)计算不同性别、年龄的恶性肿瘤发病和死亡粗率、中国人口标准化率(中标率)、世界人口标准化率(世标率)、累积率(0~74岁),以及前10位恶性肿瘤发病和死亡顺位等指标。[结果] 2019年四川省肿瘤登记地区恶性肿瘤粗发病率为276.99/10万,其中攀西经济区恶性肿瘤粗发病率最高,为308.81/10万;川西北经济区最低,为193.06/10万。不同经济区各年龄组发病率整体趋势相同,均随着年龄增长而增高,在80~84岁组达到最高峰。不同经济区恶性肿瘤发病第1位均是肺癌,其后不同经济区顺位略有不同。2019年四川省肿瘤登记地区恶性肿瘤粗死亡率为185.10/10万,其中川南经济区死亡率最高,为194.52/10万,川西北经济区最低,为162.52/10万。成都平原、川南、川东北经济区恶性肿瘤年龄别死亡率的趋势相似,一直随着年龄增长而上升;而攀西和川西北经济区略有不同,年龄别死亡率分别在80~84岁组和75~79岁组达到最高峰后下降。不同经济区恶性肿瘤死亡第1位均是肺癌,肝癌、食管癌、胃癌和结直肠癌死亡率在不同经济区均列前5位。[结论] 2019年四川省不同经济区恶性肿瘤发病和死亡情况略有差异,不同经济区重点癌种不同,各地区应针对本地重点癌种和人群开展综合防治工作。

[Purpose]To analyze the incidence and mortality of cancer in different economic areas of Sichuan cancer registration areas in 2019.[Methods]The data were collected from 121 cancer registries.Incidence/mortality rates were stratified by sex,age group in 5 economic areas(Chengdu Plain economic areas,Southern Sichuan economic areas,Northeast Sichuan economic areas,Panxi economic areas,Northwest Sichuan economic areas).Crude rate,age-standardized rate by Chinese standard population and by Segi world standard population,cumulative rate(0~74 years old)and top 10 leading cancers were calculated.[Results]In 2019,the incidence rate of cancer was 276.99/105.The incidence rate of cancer was the highest in Panxi economic areas(308.81/105),and the lowest in Northwest Sichuan economic areas(193.06/105).The trends of age-specific incidence rate in different areas were similar,reached peak at the age group of 80~84 years old.The top incidence of cancers in different economic zones was lung cancer,and the rank was slightly different in different economic zones.The mortality rate of cancers was 185.10/105 in Sichuan cancer registration areas in 2019.The mortality rate of cancers was highest(194.52/105)in Southern Sichuan economic areas,and Northwest Sichuan economic areas was lowest(162.52/105).The trends of age-specific mortality rate in Chengdu Plain/Southern Sichuan/Northeast Sichuan economic areas were similar,which kept increasing with the increase of age;Panxi and Northwest Sichuan economic areas were slightly different,in which the age-specific mortality decreased after the peak in the age groups of 80~84 years old and 75~79 years old,respectively.The highest mortality rate of cancers in different economic zones was lung cancer,and the mortality rate of liver cancer,esophageal cancer,stomach cancer and colorectal cancer were ranked in the top 5 in different economic zones.[Conclusion]The incidence and mortality of cancers in Sichuan varied slightly in different economic zones in 2019.The common cancers were different in 5 economic areas,so different comprehensive prevention and control strategies for the most common cancer were needed.