安徽省乳腺癌的流行特征分析
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摘要
目的分析安徽省肿瘤登记地区乳腺癌流行特征。方法对2010年安徽省肿瘤登记地区的乳腺癌发病和死亡资料进行分析,计算城乡之间年龄别肿瘤发病率和死亡率,标准人口按照全国2000年人口普查人口结构为标准计算调整率。结果安徽省肿瘤登记地区乳腺癌发病率为20.35/10万,中标率为18.00/10万,累积率(0~74岁)为1.80%;安徽省肿瘤登记地区乳腺癌死亡率为4.48/10万,中标死亡率3.90/10万,累积死亡率(0~74岁)为0.40%。安徽省乳腺癌病理诊断比例为74.01%,只有死亡证明书比例为2.22%,死亡发病比为0.22。结论安徽省肿瘤登记地区乳腺癌发病粗率及中标率均低于全国发病水平,发病年龄主要分布在40岁以上年龄段,需要加强乳腺癌发病前的预防工作和发病后早期诊断工作。
Objective To analyze the epidemiological features of breast cancer in the tumor registered areas of Anhui Province.Methods We analyzed the data about the incidence and mortality of breast cancer in the tumor registered areas of Anhui Province in 2010,and then calculated age- specific incidence and mortality of breast cancer of the urban group and the rural group.Chinese population census in 2000 was used for calculating age- standardized incidence / mortality rates. Results The crude incidence of breast cancer in the tumor registered areas of Anhui Province was 20. 35 /100,000,the incidence standardized by Chinese standard population( ASR China) was 18. 00 /100,000,with the cumulative incidence rate( 0- 74 years old) of 1. 80%.The crude mortality of breast cancer in the tumor registered areas of Anhui Province was 4. 48 /100,000,the mortality standardized by Chinese standard population( ASR China) was 3. 90 /100,000,with the cumulative mortality rate( 0- 74 years old) of 0.40%. The morphology verified cases( MV%) of breast cancer accounted for 74. 01%,only 2. 22% of incident cases were identified through death certifications( DCO%),and the mortality to incidence ratio was 0. 22. Conclusions The crude incidence and age- standardized incidence of breast cancer in the tumor registered areas of Anhui Province are both lower than the national levels,and most of the patients are adults aged above 40 years. We need to strengthen the prevention and early diagnosis of breast cancer.
Objective To analyze the epidemiological features of breast cancer in the tumor registered areas of Anhui Province.Methods We analyzed the data about the incidence and mortality of breast cancer in the tumor registered areas of Anhui Province in 2010,and then calculated age- specific incidence and mortality of breast cancer of the urban group and the rural group.Chinese population census in 2000 was used for calculating age- standardized incidence / mortality rates. Results The crude incidence of breast cancer in the tumor registered areas of Anhui Province was 20. 35 /100,000,the incidence standardized by Chinese standard population( ASR China) was 18. 00 /100,000,with the cumulative incidence rate( 0- 74 years old) of 1. 80%.The crude mortality of breast cancer in the tumor registered areas of Anhui Province was 4. 48 /100,000,the mortality standardized by Chinese standard population( ASR China) was 3. 90 /100,000,with the cumulative mortality rate( 0- 74 years old) of 0.40%. The morphology verified cases( MV%) of breast cancer accounted for 74. 01%,only 2. 22% of incident cases were identified through death certifications( DCO%),and the mortality to incidence ratio was 0. 22. Conclusions The crude incidence and age- standardized incidence of breast cancer in the tumor registered areas of Anhui Province are both lower than the national levels,and most of the patients are adults aged above 40 years. We need to strengthen the prevention and early diagnosis of breast cancer.
引文
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[2]夏依木拉提·夏依,马尔旦夏力哈尔·阿勒塔依,阿依恒·曲库尔汗.2055例哈萨克族、汉族恶性肿瘤构成特点分析[J].实用预防医学,2014,21(10):1260-1264.
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[10]何丹丹,王春芳,曹莉莉,等.上海市闵行区女性乳腺癌发病流行趋势分析[J].中国肿瘤,2010,19(2):108-110.
[11]徐雅莉,孙强,单广良,等.中国女性乳腺癌发病相关危险因素:病例对照研究[J].协和医学杂志,2011,2(1):7-14.
[12]刘玉红.女性乳腺癌疾病状况及乳腺癌发生危险因素分析[J].现代预防医学,2011,38(3):468-469.
[13]Bernstein L.Identifying population-based approaches to lower breast cancer risk[J].Oncogene,2008,27(Suppl 2):S3-S8.
[14]戴琼,杜玉开.女性乳腺癌危险因素的Meta分析[J].中华疾病控制杂志,2010,14(6):544-547.
[15]于春梅,纪凤颖,付登科.女性乳腺癌影响因素病例对照研究[J].中国公共卫生,2009,25(7):772-773.
[16]范红艳.母乳喂养现状综述[J].中国卫生产业,2012,10(7):181-183.
[2]夏依木拉提·夏依,马尔旦夏力哈尔·阿勒塔依,阿依恒·曲库尔汗.2055例哈萨克族、汉族恶性肿瘤构成特点分析[J].实用预防医学,2014,21(10):1260-1264.
[3]全国肿瘤登记中心.中国肿瘤登记工作指导手册[M].北京:中国协和医科大学出版社,2004:48-50.
[4]Curado MPEB,Shin HR,Storm H,et al.Cancer incidence in five continents[M].Lyon:IARC Scientific Publications,2008:1-55.
[5]Bray F,Parkin DM.Evaluation of data quality in the cancer registry:principles and methods.PartⅠ:comparability,validity and timeliness[J].Eur J Cancer,2009,45(5):747-755.
[6]Parkin DM,Chen VW,Ferlay J,et al.Comparability and quality control in cancer registration[M].Lyon:IARC Technical Report,1994:1-35.
[7]Felay J.The IARCcrg Tools program[EB/OL].http://www.i-acr.com.fr/iarccrgtools.htm.IACR.Lyon.2006.
[8]American Cancer Society.Cancer facts and figures 2003[M].Atlanta(GA):American Cancer Society,2003.
[9]郑莹,吴春,张敏璐.乳腺癌在中国的流行状况和疾病特征[J].中国癌症杂,2013,23(8):561-569.
[10]何丹丹,王春芳,曹莉莉,等.上海市闵行区女性乳腺癌发病流行趋势分析[J].中国肿瘤,2010,19(2):108-110.
[11]徐雅莉,孙强,单广良,等.中国女性乳腺癌发病相关危险因素:病例对照研究[J].协和医学杂志,2011,2(1):7-14.
[12]刘玉红.女性乳腺癌疾病状况及乳腺癌发生危险因素分析[J].现代预防医学,2011,38(3):468-469.
[13]Bernstein L.Identifying population-based approaches to lower breast cancer risk[J].Oncogene,2008,27(Suppl 2):S3-S8.
[14]戴琼,杜玉开.女性乳腺癌危险因素的Meta分析[J].中华疾病控制杂志,2010,14(6):544-547.
[15]于春梅,纪凤颖,付登科.女性乳腺癌影响因素病例对照研究[J].中国公共卫生,2009,25(7):772-773.
[16]范红艳.母乳喂养现状综述[J].中国卫生产业,2012,10(7):181-183.