中国2010年胃癌发病与死亡分析

目的]分析2010年全国肿瘤登记地区胃癌的发病与死亡情况。方法]对全国219个肿瘤登记处上报的2010年肿瘤登记数据进行评估,共145个登记处的数据入选,计算胃癌的发病率、死亡率、构成、累积率等。人口标准化率以全国2000年人口普查的人口结构和Segi’s世界人口结构为标准。结果]2010年145个登记处覆盖人口158 403 248人（其中城市人口92 433 739人,农村人口65 969 509人）,胃癌新发病例51 897例,死亡病例37 514例。全国胃癌发病率为30.77/10万（男性42.77/10万,女性18.18/10万）,中标率为23.71/10万,世标率为23.68/10万,累积率（0~74岁）为2.95%。城市地区发病率为29.24/10万,中标率为20.72/10万;农村地区发病率为32.32/10万,中标率为27.37/10万。全国胃癌死亡率为21.89/10万（男性29.72/10万,女性13.68/10万）,中标率为16.64/10万,世标率为16.53/10万,累积死亡率（0~74岁）为1.96%。城市地区死亡率为20.36/10万,中标率为14.09/10万;农村地区死亡率为23.45/10万,中标率为19.82/10万。结论]胃癌是威胁我国居民健康的主要癌症之一,其在男女性和城乡之间存在明显差异,应根据实际情况有重点地开展防治工作。

An Analysis of Incidence and Mortality of Stomach Can- cer in China,2010

Purpose] To analyze the incidence and mortality of stomach cancer in Chinese cancer registration areas in 2010. Methods] After checking and reviewing the cancer registry data in2010 from 219 cancer registries,145 registries data were included in this analysis. Incidence/mortality,proportion and cumulative rates were calculated respectively.Chinese population census in2000 and Segi＇s population were used for age-standardized incidence/mortality rates. Results] The145 registries covered a total of 158 403 248 population（urban 92 433 739,rural 65 969 509）.The total newly diagnosed stomach cancer cases and deaths cases were 51 897 and 37 514 respectively. The crude incidence of stomach cancer was 30.77/105（male 42.77/105,female 18.18/105）,age-standardized incidence rates by Chinese standard population（ASR China） and by world standard population（ASR world） were 23.71/105 and 23.68/105 respectively,and the cumulative incidence rate（0~74years old） was 2.95%. The incidence and ASR China of stomach cancer were 29.24/105 and 20.72/105 in urban areas,whereas 32.32/105 and 27.37/105 in rural areas. The mortality of stomach cancer was 21.89/105（male 29.72/105,female 13.68/105）,age-standardized mortality rates by Chinese standard population（ASR China） and by world standard population（ASR world） were 16.64/105and16.53/105 respectively,and the cumulative incidence rate（0~74 years old） was 1.96%. The mortality and ASR China of stomach cancer were 20.36/105 and 14.09/105 in urban areas,whereas 23.45/105and19.82/105 in rural areas.Conclusions] Stomach cancer is one of the major threats to the health of our residents,which is different between urban and rural areas in China. Prevention and treatment should be carried out according to the practical situation.