浙江省肿瘤登记地区2010年癌症发病与死亡分析

目的]分析2010年浙江省肿瘤登记地区恶性肿瘤发病与死亡情况。方法]收集2010年浙江省7个肿瘤登记处上报的恶性肿瘤发病与死亡资料,计算恶性肿瘤发病与死亡粗率、标化率等指标。采用1982年中国标准人口构成和Segi’s世界人口构成分别计算中国和世界人口年龄标化发病率和死亡率。结果]2010年浙江省肿瘤登记地区共报告恶性肿瘤新发病例35 226例,恶性肿瘤粗发病率为332.03/10万,中标率为161.35/10万,男性发病率高于女性,城市地区发病率高于农村地区。癌症发病在40岁以后快速上升,80～岁年龄组达到发病高峰。发病前10位癌症依次为肺癌、胃癌、结直肠癌、肝癌、乳腺癌、甲状腺癌、食管癌、胰腺癌、淋巴瘤和脑肿瘤,占全部癌症发病病例的75.39%。2010年浙江省肿瘤登记地区共报告恶性肿瘤死亡病例19 399例,恶性肿瘤粗死亡率为182.85/10万,中标率为78.78/10万,男性死亡率高于女性,城市地区死亡率低于农村地区。癌症死亡在45岁以后快速上升,80～岁年龄组达到死亡高峰。死亡前10位癌症依次为肺癌、肝癌、胃癌、结直肠癌、食管癌、胰腺癌、淋巴瘤、脑肿瘤、白血病和乳腺癌,占全部癌症死亡病例的87.63%。结论]肺癌、女性乳腺癌和消化系统恶性肿瘤是浙江省肿瘤防治的主要癌种。

Cancer Incidence and Mortality in Zhejiang Provincial Cancer Registries in 2010

Purpose ] To investigate the cancer incidence and mortality in Zhejiang cancer registry area. MethodsJ The data were collected from 7 population-based cancer registries of Zhejiang province. Crude rate,age-standardized rate,age-specific and region-specific incidence/mortality were calculated. Age-standardized rate was adjusted by 1982 Chinese standard population and Se- gi＇s world standard population. Results] A total of 35 226 new cancer cases were reported in 2010. The crude incidence was 332.03/105,and age-standardized incidence by Chinese standard population （ASR China） was 161.35/105. The incidence in male was higher than that in female, and incidence in urban region was higher than that in rural region. Cancer incidence increased rapidly after age of 40 years old and reached the peak at 80- age-group. The top 10 cancers were lung cancer,gastric cancer,colorectal cancer,liver cancer,breast cancer,thyroid cancer, esophageal cancer,pancreatic cancer,lymphoma and brain tumor,which accounted for 75.39% of all new cancer cases. Meanwhile,there were 19 399 reported cancer death cases in 2010,and the crude mortality and standardized （ASR China） mortality was 182.85/10s and 78.78/105,respectively. The mortality in male was higher than that in female, and it was higher in urban than that in rural region. Cancer mortality increased rapidly after 45 years old and reached the peak at 80~ age- group. The top 10 mortality cancers were lung cancer,liver cancer,gastric cancer,colorectal cancer,esophageal cancer,pancreatic cancer,lymphoma,brain tumors,leukemia and breast cancer, which accounted for 87.63% of all cancer deaths.Conclusions] Lung cancer,female breast cancer and digestive malignancies are the main cancer types to prevention and control in Zhejiang province.