摘要
[目的]分析2016年福建省肿瘤登记地区恶性肿瘤的发病与死亡情况。[方法]收集整理2016年福建省肿瘤登记地区上报的恶性肿瘤发病与死亡资料,对10个符合评价标准的登记地区数据进行合并分析,分别计算恶性肿瘤发病与死亡粗率、标化率、累积率(0~74岁)、年龄别率以及前10位恶性肿瘤发病与死亡顺位和构成等,人口标准化率根据全国2000年人口普查人口结构和Segi’s世界人口结构计算。[结果]2016年福建省肿瘤登记地区新发恶性肿瘤病例18359例,死亡病例10560例;病理学诊断比例(MV%)为68.12%,仅有死亡医学证明书比例(DCO%)为1.62%,死亡发病比(M/I)为0.58。2016年福建省肿瘤登记地区粗发病率为284.19/10万(男性316.79/10万,女性250.43/10万),中标率为208.13/10万,世标率为202.62/10万,累积率(0~74岁)为23.20%,城市地区发病率高于农村地区。2016年福建省肿瘤登记地区粗死亡率为163.47/10万(男性217.03/10万,女性107.99/10万),中标率为112.93/10万,世标率为111.46/10万,累积率(0~74岁)为13.11%,城市地区死亡率高于农村地区。发病前10位恶性肿瘤分别是肺癌、女性乳腺癌、胃癌、肝癌、结直肠癌、甲状腺癌、宫颈癌、食管癌、前列腺癌和脑肿瘤,占全部恶性肿瘤的78.21%。死亡前10位恶性肿瘤分别是肺癌、肝癌、胃癌、结直肠癌、食管癌、女性乳腺癌、宫颈癌、前列腺癌、脑肿瘤和胰腺癌,占全部恶性肿瘤的81.58%。[结论]肺癌、消化系统主要恶性肿瘤和女性乳腺癌是福建省肿瘤登记地区的主要恶性肿瘤,同时甲状腺癌和前列腺癌发病上升明显,不同性别、年龄、地区恶性肿瘤疾病负担存在差异,应针对性开展肿瘤防治工作。
[Purpose]To analyze cancer incidence and mortality in Fujian cancer registries in 2016.[Methods]The data of cancer incidence and death reported by cancer registration areas in Fujian in 2016 were collected and sorted out.10 registries in Fujian after data assessment were merged and analyzed.Cancer incidence and mortality crude rate,age-standardized rate,cumulative rate(0~74 years old),age-specific and proportion of top 10 cancers were calculated.Chinese standard population in 2000 and Segi’s world population were used for the calculation of age-standardized incidence and mortality rates.[Results]In 2016,new cancer cases and cancer deaths were estimated to be 18359 and 10560.Morphology-verified cases(MV%)accounted for 68.12%,the percentage of cancer cases indentified with death certification only(DCO%)was 1.62%,the mortality to incidence ratio(M/I)was 0.58.The crude incidence rate in Fujian was 284.19/105(males 316.79/105,females 250.43/105),age-standardized incidence by Chinese standard population(ASR China)and by world standard population(ASR world)were 208.13/105 and 202.62/105.The cumulative incidence(0~74 years old)was 23.20%.The crude mortality rate in Fujian was 163.47/105(males217.03/105,females 107.99/105),age-standardized mortality by Chinese standard population(ASR China)and by world standard population(ASR world)were 112.93/105 and 111.46/105.The cumulative mortality(0~74 years old)was 13.11%.The top 10 incidence of cancers were lung cancer,female breast cancer,stomach cancer,liver cancer,colorectum cancer,thyroid cancer,cervix cancer,oesophagus cancer,prostate cancer and brain tumors,these cancers accounted for 78.21%of all new cancer cases.The top 10 mortality of cancers were lung cancer,liver cancer,stomach cancer,colorectum cancer,oesophagus cancer,female breast cancer,cervix cancer,prostate cancer,brain tumors and pancreas cancer,these cancers accounted for about 81.58%of all cancer deaths.[Conclusion]Lung cancer,digestive system cancer and female breast cancer are still the most important cancer in Fujian Province.At the same time,the incidence of thyroid cancer and prostate cancer has increased significantly.There are differences in the burden of tumor diseases among different genders,ages and regions.Therefore,we should carry out targeted cancer prevention and treatment.
作者
马晶昱
周衍
林永添
江惠娟
相智声
MA Jing-yu;ZHOU Yan;LIN Yong-tian;JIANG Hui-juan;XIANG Zhi-sheng(Fujian Cancer Hospital&Fujian Medical University Cancer Hospital,Fujian Provincial Office for Tumor Prevention and Control,Fuzhou 350014,China)
出处
《中国肿瘤》
CAS
CSCD
北大核心
2021年第4期241-249,共9页
China Cancer
基金
福建省卫生计生科研人才培养项目(2018-ZQN-17)。
关键词
肿瘤登记
恶性肿瘤
发病率
死亡率
福建
cancer registry
malignant tumor
incidence
mortality
Fujian
