2010～2014年浙江省肿瘤登记地区膀胱癌发病与死亡分析

Incidence and Mortality of Bladder Cancer in Zhejiang Cancer Registration Areas,2010～2014

[目的]分析浙江省肿瘤登记地区2010～2014年膀胱癌的发病和死亡情况,为制定膀胱癌的防治政策提供科学依据。[方法]收集并整理浙江省肿瘤登记地区2010～2014年膀胱癌的发病与死亡病例,计算膀胱癌的发病率、死亡率、标化率、35～64岁截缩率和0～74岁累积率等指标。[结果]浙江省肿瘤登记地区2010～2014年膀胱癌发病率为7.28/10万,占所有癌症发病的2.16%,男性与女性发病比值为3.81∶1。膀胱癌死亡率为2.41/10万,占所有癌症死亡的1.30%,男性与女性死亡比值为3.60∶1。5年来浙江省膀胱癌发病率和死亡率存在一定波动,膀胱癌发病高峰在80～岁组,死亡高峰在85^+岁组。[结论]膀胱癌发病率和死亡率均随年龄的增长呈上升趋势,中老年男性应作为浙江省膀胱癌防治工作的重点对象,需进一步加强膀胱癌的流行病学监测和预防工作。

[Purpose] To analyze the incidence and mortality of bladder cancer in cancer registries of Zhejiang Province during 2010 to 2014. [Methods] The data were collected from 14 cancer registries in Zhejiang Province. The crude incidence rate,mortality rate,age standardized rate,truncated rate(35~64 years) and cumulative rate(0~74 years) were calculated. [Results] The crude incidence rate of bladder cancer in Zhejiang cancer registries was 7.28/10~5 during 2010 to 2014,accounting for 2.16% of all new cancer cases. The incidence in males was higher than that in females with a ratio of 3.81 ∶1. The crude mortality rate of bladder cancer in Zhejiang cancer registries was 2.41/10~5 during 2010 to 2014,accounting for 1.30% of all cancer mortality. The mortality in males was higher than that in females with a ratio of 3.60∶1. The incidence and mortality of bladder cancer showed certain fluctuations for five years. The incidence rate peaked in the age group of 80~ years and the mortality rate peaked in the age group of 85^+ years. [Conclusion] The incidence and mortality of bladder cancer are increasing with age. Middle and elderly men should be the main population for bladder cancer prevention in Zhejiang Province.