广东省中山市2014年恶性肿瘤发病与死亡分析
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摘要
[目的]分析2014年广东省中山市恶性肿瘤发病与死亡情况。[方法]收集整理2014年中山市恶性肿瘤发病与死亡资料,分析其发病与死亡粗率、中标率、世标率及构成比等指标。[结果] 2014年中山市恶性肿瘤新发病例4583例,粗发病率为295.81/10万,中标发病率为220.76/10万,世标发病率为215.48/10万。2014年恶性肿瘤死亡2829例,其中粗死亡率为182.60/10万,中标死亡率为130.31/10万,世标死亡率为129.02/10万。男性发病前5位恶性肿瘤依次是肺、肝、鼻咽、结肠和食管癌,女性依次是肺、乳腺、宫体、结肠和甲状腺癌,鼻咽癌分别居中山市同期男、女性恶性肿瘤发病顺位的第3和10位。男、女性年龄别发病率均从35～岁组开始迅速上升,但男、女性年龄别发病模式不同。男女合计死亡前5位恶性肿瘤分别是肺、肝、鼻咽、食管和结肠等部位肿瘤。其年龄别死亡率40岁之前较低,男女接近,其后,男性死亡率明显高于女性。[结论] 2014年中山市恶性肿瘤发病总体居国内中等水平,鼻咽癌和女性宫体癌发病居国内较高水平,恶性肿瘤死亡率尤其是鼻咽癌居国内较高水平,应加强防治。
[Purpose] To analyze the cancer incidence and mortality in Zhongshan city,Guangdong province in 2014. [Methods] Data of new cancer cases and deaths of Zhongshan city in 2014 were collected. The crude rates,age-standardized rates by Chinese and world standard population(ASR China and ASR world),and proportions for cancer incidence and mortality were calculated. [Results] In the year of 2014,there were 4583 new cancer cases in Zhongshan,and the crude cancer incidence rate was 295.81/10~5,with ASR China and ASR world of 220.76/10~5 and 215.48/10~5,respectively. There were 2829 cancer deaths in 2014 in Zhongshan,the crude cancer mortality rate was 182.60/10~5 with ASR China and ASR world of 130.31/10~5 and 129.02/10~5,respectively. The top 5 incident cancers were lung,liver,nasopharyngeal,colon and esophageal cancers for males,and lung,breast,corpus uteri,colon and thyroid cancers for females. Nasopharyngeal cancer was the 3rd and 10 th most common incident cancer for males and females in Zhongshan. The age-specific incidence increased quickly from age of 35 years in both sexes,but the pattern of increase was different for males and females. Top 5 cancer deaths were lung,liver,nasopharyngeal, esophageal and colon cancers. Age-specific mortality rates were at low level and the rates of males were close to the females before age 40,but after age of 40,the age-specific mortality rates were much higher in males than those in females.[Conclusion] Cancer incidence in Zhongshan in 2014 is at the moderate level nationwide. But the incidence of nasopharyngeal and female corpus uteri cancer is at high level. Cancer especially nasopharyngeal cancer mortality in Zhongshan in 2014 was at high level,indicating that cancer control and prevention should be enhanced in Zhongshan city.
[Purpose] To analyze the cancer incidence and mortality in Zhongshan city,Guangdong province in 2014. [Methods] Data of new cancer cases and deaths of Zhongshan city in 2014 were collected. The crude rates,age-standardized rates by Chinese and world standard population(ASR China and ASR world),and proportions for cancer incidence and mortality were calculated. [Results] In the year of 2014,there were 4583 new cancer cases in Zhongshan,and the crude cancer incidence rate was 295.81/10~5,with ASR China and ASR world of 220.76/10~5 and 215.48/10~5,respectively. There were 2829 cancer deaths in 2014 in Zhongshan,the crude cancer mortality rate was 182.60/10~5 with ASR China and ASR world of 130.31/10~5 and 129.02/10~5,respectively. The top 5 incident cancers were lung,liver,nasopharyngeal,colon and esophageal cancers for males,and lung,breast,corpus uteri,colon and thyroid cancers for females. Nasopharyngeal cancer was the 3rd and 10 th most common incident cancer for males and females in Zhongshan. The age-specific incidence increased quickly from age of 35 years in both sexes,but the pattern of increase was different for males and females. Top 5 cancer deaths were lung,liver,nasopharyngeal, esophageal and colon cancers. Age-specific mortality rates were at low level and the rates of males were close to the females before age 40,but after age of 40,the age-specific mortality rates were much higher in males than those in females.[Conclusion] Cancer incidence in Zhongshan in 2014 is at the moderate level nationwide. But the incidence of nasopharyngeal and female corpus uteri cancer is at high level. Cancer especially nasopharyngeal cancer mortality in Zhongshan in 2014 was at high level,indicating that cancer control and prevention should be enhanced in Zhongshan city.
引文
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[3]Xu KK,Liang JP,Liao XZ,et al.Cancer incidence and mortality in cancer registration areas of Hunan province,2013[J].China Cancer,2017,26(11):838-846.[许可葵,梁剑平,廖先珍,等.2013年湖南省肿瘤登记地区恶性肿瘤发病与死亡分析[J].中国肿瘤,2017,26(11):838-846.]
[4]Dong HM,Gao C,Ma XY.An analysis of cancer incidence and mortality in Shijiazhuang,2013[J].China Cancer,2017,26(6):430-433.[董会敏,高从,马新颜.2013年河北省石家庄市恶性肿瘤发病和死亡分析[J].中国肿瘤,2017,26(6):430-433.]
[5]Cao XQ,Liu SZ,Chen Q,et al.Cancer incidence and mortality in Henan 2013[J].Chinese Journal of Clinical Oncology,2017,44(18):923-930.[曹小琴,刘曙正,陈琼,等2013年河南省癌症发病与死亡分析[J].中国肿瘤临床,2017,44(18):923-930.]
[6]Li M,Gan N,Zhang X.Cancer incidence and mortality in Hubei province,2014[J].Chinese Journal of Gerontology,2016,18:4577-4579.[李嫚,甘宁,张翔.2014年湖北省恶性肿瘤发病与死亡分析[J].中国老年学杂志,2016,18:4577-4579.]
[7]Xia L,Meng RL,Xu YJ,et al.Cancer incidence and mortality in cancer registration areas of Guangdong province,2013[J].China Cancer,2017,26(11):829-837.[夏亮,孟瑞琳,许燕君,等2013年广东省肿瘤登记地区恶性肿瘤发病与死亡分析[J].中国肿瘤,2017,26(11):829-837.]
[8]Liang ZH,Cen HS,Wei KR.Cancer incidence in Zhongshan city of Guangdong province,2013[J].China Cancer,2017,26(7):519-523.[梁智恒,岑惠珊,魏矿荣.广东省中山市2013年恶性肿瘤发病分析[J].中国肿瘤,2017,26(7):519-523.]
[9]Cen HS,Liang ZH,Wei KR.An analysis of cancer incidence in Zhongshan,Guangdong province,2012[J].China Cancer,2016,25(4):251-254.[岑惠珊,梁智恒,魏矿荣.广东省中山市2012年恶性肿瘤发病分析[J].中国肿瘤,2016,25(4):251-254.]
[10]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和死亡分析[J].中国肿瘤,2017,26(1):1-7.]
[11]Liang ZH,Cen HS,Li ZM,et al.Cancer mortality in Zhongshan of Canton,2013[J].China Cancer,2018,27(2):96-100.[梁智恒,岑惠珊,李柱明,等.广东省中山市2013年恶性肿瘤死亡概况[J].中国肿瘤,2018,27(2):96-100.]
[12]Zevallos JP,Hartman CM,Kramer JR,et al.Increased thyroid cancer incidence corresponds to increased use of thyroid ultrasound and fine-needle aspiration:a study of the veterans affairs health care system[J].Cancer,2015,121:741-746.