2017年黑龙江省女性乳腺癌发病与死亡情况及2013-2017年变化趋势分析

目的:分析2017年黑龙江省肿瘤登记地区女性乳腺癌发病和死亡情况并对2013-2017年变化趋势进行探讨。方法:收集来自黑龙江省12个肿瘤登记地区上报的乳腺癌发病、死亡和人口数据。分别计算女性乳腺癌城乡和年龄组对应的发病率、死亡率、中标率、世标率、0~74岁累积率。结果:2017年黑龙江省肿瘤登记地区女性乳腺癌发病1 450例，死亡288例，粗发病率为60.27/10万，中标发病率为36.65/10万，粗死亡率为11.97/10万，中标死亡率为6.61/10万。城市地区女性乳腺癌发病（死亡）率高于农村地区。在40岁后女性乳腺癌发病率明显升高，发病率在60~64岁年龄组达到高峰（122.97/10万）；25岁前无死亡病例，在65岁年龄前，随着年龄增长死亡率增加，随后死亡率稍有下降，至85岁及以上年龄组死亡率达到峰值（50.64/10万）。2013-2017年均为45~64岁年龄组的发病（死亡）率最高。结论:女性乳腺癌是黑龙江省常见的恶性肿瘤之一，农村地区适龄女性仍是肿瘤防治重点人群。

Incidence and mortality of female breast cancer in Heilongjiang Province in 2017 and its changing trend in 2013-2017

Objective:To analyze the incidence and mortality of female breast cancer in the tumor registration area of Heilongjiang Province in 2017 and discuss the changing trend from 2013 to 2017.Methods:To collect breast cancer incidence，mortality and population data reported from 12 tumor registration areas in Heilongjiang Province.To calculate the morbidity，mortality，age-standardized rate of China，age-standardized rate of world，cumulative rate(0~74 years old) by urban and rural areas and age groups of female breast cancer.Results:In 2017，there were 1 450 female breast cancer cases and 288 deaths in the tumor registration area of Heilongjiang Province.The incidence of breast cancer was 60.27/100 000，the age-standardized rate of China was 36.65/100 000，the mortality of breast cancer was 11.97/100 000，and the age-standardized rate of China was 6.61/100 000.The incidence(mortality) of breast cancer among women in urban areas is higher than that in rural areas.The incidence of breast cancer in females increased significantly after the age of 40，and the incidence reached a peak in the 60~64 years old age group(122.97/100 000).There were no deaths before the age of 25，and the mortality rate increased with age until the age of 65，followed by a slight decline until the mortality rate peaked in the 85+ age group(50.64/100 000).From 2013 to 2017，the morbidity(mortality) rate was the highest in the 45~64 years old age group.Conclusion:Female breast cancer is one of the most common malignant tumors in Heilongjiang Province，and women of the right age in rural areas are the key population for cancer prevention and treatment.