2011—2016年云南省肿瘤登记地区女性乳腺癌发病和死亡情况分析

目的 掌握云南省2016年女性乳腺癌发病和死亡情况及2011—2016年变化趋势,为乳腺癌防控提供参考依据。方法 利用云南省2011—2016年的肿瘤登记数据和相关人口数,审核、评估数据,计算女性乳腺癌发病率、死亡率、标化率、0~74岁累积率、35~64岁截缩率等指标,采用Joinpoint 4.8计算年度变化百分比(Annual percentage change,APC),以综合分析女性乳腺癌发病和死亡趋势。结果 2016年云南省女性乳腺癌粗发病率为28.95/10万,占全部恶性肿瘤的14.60%,居女性恶性肿瘤第1位;粗死亡率为6.25/10万,占恶性肿瘤的6.48%,居女性恶性肿瘤死亡第5位。女性乳腺癌的粗发病率、中标率、世标率、累积率(0~74岁)、截缩率(35~64岁)农村地区均高于城市地区;女性乳腺癌的粗死亡率、中标率、世标率、截缩率(35~64岁)城市地区均高于农村地区。云南省2011—2016年女性乳腺癌中标发病率APC、中标死亡率APC,城市地区中标发病率APC、中标死亡率APC,农村地区中标发病率APC、中标死亡率APC均无统计学意义(P＞0.05)。结论 2016年云南省女性乳腺癌发病和死亡水平低于全国平均水平,发病农村高于城市,死亡城市高于农村。2011—2016年女性乳腺癌标化发病率、标化死亡率基本保持不变,针对女性乳腺癌发病死亡特点应进一步加强乳腺癌防治工作。

Analysis on the incidence and death of female breast cancer in Yunnan cancer registration areas from 2011 to 2016

Objective The aim of this study was to analyze the incidence and mortality of female breast cancer in Yunnan province in 2016 and the change trend from 2011 to 2016,so as to provide a reference for breast cancer prevention and control.Methods Based on the data from the cancer registration and related population in Yunnan province from 2011 to 2016,these data were reviewed and evaluateed crg Tools 2.05 published by IARC and Excel 2007.The incidence,mortality,and standard rate of female breast cancer,cumulative rate of 0~74 years old,and truncated rate(35~64)years old were calculated.A Joinpoint 4.8 was used to calculate annual percentage change(APC)so as to comprehensively analyze the trend of incidence and death of female breast cancer.Results In 2016,the crude incidence of female breast cancer in Yunnan province was 28.95/100,000,accounting for 14.60%of all malignant tumors,ranking the first among female malignancies.The crude mortality rate was 6.25/100,000,accounting for 6.48%of malignant tumor deaths,ranking the fifth among female malignant tumor deaths.The crude incidence,China standard rate(ASR China),world standard rate(ASR World),cumulative rate(0~74 years old),and truncated rate(35~64 years old)of female breast cancer in rural areas were higher than those of urban areas.The crude mortality,ASR China,ASR World,truncated rate(35~64 years old)of female breast cancer in urban areas were higher than those of rural areas.In Yunnan province from 2011 to 2016,there were no statistically significant in of incideme APC and mortality for female breast cancer in all areas urban areas and rural areas(P>0.05).Conclusion In 2016,the incidence and mortality of female breast cancer in Yunnan province were lower than the national average.The incidence in rural areas was higher than that in urban areas,and the mortality in urban areas was higher than that in rural areas.The ASR China incidence and mortality of female breast cancer remained basically unchanged from 2011 to 2016,and the prevention and treatment of breast cancer should be further strengthened according to the characteristics of female breast cancer incidence and death.