2014年湖南省肿瘤登记地区恶性肿瘤的发病和死亡分析
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摘要
[目的]分析2014年湖南省肿瘤登记地区恶性肿瘤的发病和死亡情况。[方法]收集2014年湖南省21个肿瘤登记地区上报的肿瘤发病与死亡资料。按城乡、性别分层,分别计算恶性肿瘤的发病和死亡粗率、中标率、世标率、年龄别率、0~74岁累积率等,中标率和世标率分别采用2000年中国标准人口年龄构成和Segi’s世界标准人口年龄构成为标准进行计算。[结果 ]2014年湖南省肿瘤登记地区恶性肿瘤发病率为213.20/10万,中标率为144.38/10万,世标率为141.14/10万,0~74岁累积率为16.50%。城市地区恶性肿瘤发病率为248.57/10万,而农村地区为184.16/10万。男性恶性肿瘤发病率为241.02/10万,高于女性的184.22/10万。男性发病前5位依次为肺癌、肝癌、结直肠肛门癌、胃癌和食管癌;女性发病前5位依次为乳腺癌、肺癌、结直肠肛门癌、宫颈癌和子宫体癌。2014年湖南省肿瘤登记地区居民恶性肿瘤死亡率为142.03/10万,中标率为90.47/10万,世标率为89.42/10万,0~74岁累积率为10.57%。城市地区居民恶性肿瘤死亡率为163.14/10万,农村为124.71/10万。男性恶性肿瘤死亡率为182.58/10万,高于女性的99.81/10万。男性死亡前5位依次为肺癌、肝癌、结直肠肛门癌、胃癌和食管癌,女性死亡前5位依次为肺癌、肝癌、结直肠肛门癌、乳腺癌和胃癌。[结论]肺癌、乳腺癌、结直肠肛门癌、肝癌、宫颈癌、胃癌、子宫体癌等病种是湖南省发病、死亡较高的恶性肿瘤,应作为湖南省恶性肿瘤防治的主要癌种。湖南省男性居民口腔及咽喉癌发病率和死亡率都有所上升,城市男性居民上升幅度更大,需要提早采取防范措施。
[Purpose] To analyze the cancer incidence and mortality rates in Hunan cancer registries in 2014. [Methods] The new cases and deaths data were collected from 21 cancer registries of Hunan province. After the data were stratified by residence and gender,we calculated the crude incidence rate,mortality rate,age-standardized rate,age-specific rate,the cumulative rate of 0 ~74 years old,et al. Chinese population census in 2000 and Segi's population were used for calculating age-standardized rate. [Results] The crude cancer incidence rate in Hunan cancer registries was213.20/105. The age-standardized incidence rate by Chinese standard population(ASR China) and by world standard population(ASR world) were 144.38/105 and 141.14/105 respectively,with the cumulative incidence rate(0~74 years old) of 16.50%. The cancer incidence rate was 248.57/105 in urban areas and 184.16/105 in rural areas. The cancer incidence rate of males was higher than that of females(separately with 241.02/105 and 184.22/105). The most common cancers in men were lung cancer,liver cancer,colorectal cancer,gastric cancer and esophagus cancer,and which in women were breast cancer,lung cancer,colorectal cancer,cervical cancer and corpus carcinoma.The crude cancer mortality rate in Hunan cancer registries in 2014 was 142.03/105. The ASR China and ASR world were 90.47/105 and 89.42/105 respectively,with the cumulative mortality rate(0~74 years old) of 10.57%. The cancer mortality rate was 163.14/105 in urban areas and 124.71/105 in rural areas. The cancer mortality rate of males was higher than that of females(separately with182.58/105 and 99.81/105). The most common causes of cancer death in males were lung cancer,liver cancer,colorectal cancer,gastric cancer and esophagus cancer,and which in females were lung cancer,liver cancer,colorectal cancer,breast cancer and gastric cancer. [Conclusion] Lung cancer,breast cancer,colo-rectal cancer,liver cancer,cervical cancer,gastric cancer and corpus carcinoma are the most common cancers seriously threatening people's health in Hunan. It should be noted that the morbidity and mortality rates of the oral cavity and throat cancer have increased in men in Hunan province,especially among urban male residents.
[Purpose] To analyze the cancer incidence and mortality rates in Hunan cancer registries in 2014. [Methods] The new cases and deaths data were collected from 21 cancer registries of Hunan province. After the data were stratified by residence and gender,we calculated the crude incidence rate,mortality rate,age-standardized rate,age-specific rate,the cumulative rate of 0 ~74 years old,et al. Chinese population census in 2000 and Segi's population were used for calculating age-standardized rate. [Results] The crude cancer incidence rate in Hunan cancer registries was213.20/105. The age-standardized incidence rate by Chinese standard population(ASR China) and by world standard population(ASR world) were 144.38/105 and 141.14/105 respectively,with the cumulative incidence rate(0~74 years old) of 16.50%. The cancer incidence rate was 248.57/105 in urban areas and 184.16/105 in rural areas. The cancer incidence rate of males was higher than that of females(separately with 241.02/105 and 184.22/105). The most common cancers in men were lung cancer,liver cancer,colorectal cancer,gastric cancer and esophagus cancer,and which in women were breast cancer,lung cancer,colorectal cancer,cervical cancer and corpus carcinoma.The crude cancer mortality rate in Hunan cancer registries in 2014 was 142.03/105. The ASR China and ASR world were 90.47/105 and 89.42/105 respectively,with the cumulative mortality rate(0~74 years old) of 10.57%. The cancer mortality rate was 163.14/105 in urban areas and 124.71/105 in rural areas. The cancer mortality rate of males was higher than that of females(separately with182.58/105 and 99.81/105). The most common causes of cancer death in males were lung cancer,liver cancer,colorectal cancer,gastric cancer and esophagus cancer,and which in females were lung cancer,liver cancer,colorectal cancer,breast cancer and gastric cancer. [Conclusion] Lung cancer,breast cancer,colo-rectal cancer,liver cancer,cervical cancer,gastric cancer and corpus carcinoma are the most common cancers seriously threatening people's health in Hunan. It should be noted that the morbidity and mortality rates of the oral cavity and throat cancer have increased in men in Hunan province,especially among urban male residents.
引文
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[17]Meng RL,Xu YJ,Lin LF,et al.Cancer incidence and mortality in Guangdong Province,2012[J].China Cancer,2016,25(1):933-941.[孟瑞琳,许燕君,林立丰,等.广东省2012年恶性肿瘤发病与死亡[J].中国肿瘤,2016,25(1):933-941.]
[18]Rao YS,Guo YL,Huang YB,et al.Systematic review and Meta-analysis on the relationship of smoking with the risk of oral cancer among Chinese population[J].Chinese Archives of Otolaryngology-Head and Neck Surgery,2014,(21)10:505-510.[饶远生,郭永丽,黄育北,等.中国人群吸烟与口腔癌关系的系统综述及Meta分析[J].中国耳鼻咽喉头颈外科,2014,21(10):505-510.]
[19]He BC,Gao XY,Chen F,et al.Influencing factors of oral cancer:a case-control study[J].Chinese Journal of Public Health,2014,30(2):248-250.[何保昌,高小叶,陈法,等.口腔癌发病影响因素病例对照研究[J].中国公共卫生,2014,30(2):248-250.]
[2]Forman D,Bray F,Brewster DH,et al.Cancer incidence in five continents,VolumeⅩ[M].Lyon:IARC Scientific Publications,2014.23-123.
[3]Felay J,Burkhard C,Whelan S,et al.Check and Conversion Programsfor Cancer Registries.IARC Technical Report No.42[M].Lyon:IARC,2005.
[4]Bray F,Parkin DM.Evaluation of data quality in the cancer registry:Principles and methods.PartⅠ:Comparability,validity and timeliness[J].Eur J Cancer,2009,45:747-755.
[5]Felay J.The IARCcrg Tools program[EB/OL].http://www.iacr.com.fr/iarcergtools.htm.IACR.Lyon.2006.
[6]Chen WQ,Zheng RS,Zhang SW,et al.Report of cancer incidence and mortality in China,2013[J].China Cancer,2017,26(1):1-7.[陈万青,郑荣寿,张思维,等.2013年中国恶性肿瘤发病与死亡分析[J].中国肿瘤,2017,26(1):1-7.]
[7]Xu KK,Li GC,Liu SX,et al.For 30 years in hunan province major malignant death change trend[J].Practical Preventive Medicine,2008,15(6):657-659.[许可葵,李光春,刘双喜,等.湖南省主要恶性肿瘤30年死亡变化趋势[J].实用预防医学,2008,15(6):657-659.]
[8]Xu KK,Shi BG,Liao XZ,et al.Incidence and mortality of cancer in cancer registries of Hunan Province,2011[J].China Cancer,2015,24(5):354-362.[许可葵,史百高,廖先珍,等.湖南省2011年肿瘤登记地区恶性肿瘤发病及死亡分析[J].中国肿瘤,2015,24(5):354-362.]
[9]Xu KK,Shi BG,Liao XZ,et al.Incidence and mortality of cancer in cancer registries of Hunan Province,2009~2012[J].China Cancer,2016,25(4):241-250.[许可葵,史百高,廖先珍,等.湖南省肿瘤登记地区2009~2012年恶性肿瘤发病及死亡资料分析[J].中国肿瘤,2016,25(4):241-250.]
[10]Zhu SL,Liao XZ,Xu KK,et al.Incidence and mortality of cancer in cancer registries of Hunan Province,2012[J].China Cancer,2017,26(1):25-32.[朱松林,廖先珍,许可葵,等.2012年湖南省肿瘤登记地区恶性肿瘤发病及死亡分析[J].中国肿瘤,2017,26(1):25-32.]
[11]Huang WL,Zhu SL,Zou YH,et al.Incidence and mortality of oral cancer in the registered regions of Hunan in2009~2012[J].China Cancer,2017,26(7):507-514.[黄伟伦,朱松林,邹艳花,等.2009~2012年湖南省肿瘤登记地区口腔癌的发病与死亡分析[J].中国肿瘤,2017,26(7):507-514.]
[12]He J,Chen WQ.Chinese cancer registry annual report2012[M].Beijing:Medical Science Press,2012.18-39.[赫捷,陈万青.2012中国肿瘤登记年报[M].北京:军事医学科学出版社,2012.18-39.]
[13]Chen WQ,Zhang SW,Zeng HM,et al.Report of cancer incidence and mortality in China,2010[J].China Cancer,2014,23(1):1-10.[陈万青,张思维,曾红梅,等.中国2010年恶性肿瘤发病与死亡[J].中国肿瘤,2014,23(1):1-10.]
[14]Chen WQ,Zheng RS,Zeng HM,et al.Report of cancer incidence and mortality in China,2011[J].China Cancer,2015,24(1):1-10.[陈万青,郑荣寿,曾红梅,等.中国2011年恶性肿瘤发病与死亡[J].中国肿瘤,2015,24(1):1-10.]
[15]Chen WQ,Zheng RS,Zhang SW,et al.Report of cancer incidence and mortality in China,2012[J].China Cancer,2016,25(1):1-8.[陈万青,郑荣寿,张思维,等.2012年中国恶性肿瘤发病与死亡分析[J].中国肿瘤,2016,25(1):1-8.]
[16]Chen WQ,Zheng RS,Baade PD,et al.Cancer statistics in China,2015[J].CA Cancer J Clin,2016,66(2):115-132.
[17]Meng RL,Xu YJ,Lin LF,et al.Cancer incidence and mortality in Guangdong Province,2012[J].China Cancer,2016,25(1):933-941.[孟瑞琳,许燕君,林立丰,等.广东省2012年恶性肿瘤发病与死亡[J].中国肿瘤,2016,25(1):933-941.]
[18]Rao YS,Guo YL,Huang YB,et al.Systematic review and Meta-analysis on the relationship of smoking with the risk of oral cancer among Chinese population[J].Chinese Archives of Otolaryngology-Head and Neck Surgery,2014,(21)10:505-510.[饶远生,郭永丽,黄育北,等.中国人群吸烟与口腔癌关系的系统综述及Meta分析[J].中国耳鼻咽喉头颈外科,2014,21(10):505-510.]
[19]He BC,Gao XY,Chen F,et al.Influencing factors of oral cancer:a case-control study[J].Chinese Journal of Public Health,2014,30(2):248-250.[何保昌,高小叶,陈法,等.口腔癌发病影响因素病例对照研究[J].中国公共卫生,2014,30(2):248-250.]