2015年中国子宫体癌发病与死亡分析

目的根据中国各省市登记处上报的2015年肿瘤登记数据,估算2015年中国子宫体癌发病与死亡情况。方法收集整理中国501个登记处上报的2015年肿瘤登记数据,对数据进行质量审核和评估,将符合标准的368个登记处数据纳入分析,按地区(城市、农村、东部、中部和西部)和年龄等因素分层,计算子宫体癌的发病率和死亡率,结合2015年全国人口数据估算全国子宫体癌发病和死亡数据。标化率分别采用2000年全国普查人口和Segi′s世界标准人口计算。结果2015年纳入分析的368个登记处覆盖309553499人口,占全国2015年年末人口的22.52%。估计全国子宫体癌新发病例数约6.89万,发病率为10.28/10万,中标率为6.86/10万,世标率为6.66/10万。城市地区发病率(11.35/10万)高于农村地区(8.90/10万),东部地区发病率(12.12/10万)高于中部地区(9.94/10万)和西部地区(8.25/10万)。估计2015年全国因子宫体癌死亡病例数约1.60万,死亡率为2.39/10万,中标率为1.49/10万,世标率为1.47/10万。城市地区死亡率(2.40/10万)与农村地区(2.39/10万)相似;中部地区死亡率(2.55/10万)高于东部地区(2.32/10万)和西部地区(2.31/10万)。结论中国子宫体癌发病不断上升且有年轻化趋势,威胁女性健康,疾病负担逐渐加重。中国子宫体癌发病存在城乡和区域差异,应有针对性地开展防控工作。

Incidence and mortality of corpus uteri cancer in China,2015

Objective To estimate the incidence and mortality of corpus uteri cancer in China,2015.Methods Quality audit and evaluation of the data from 2015 cancer registration reported by 501 cancer registries were conducted,and 368 cancer registries were included in the analysis.The incidence rate and mortality rate of corpus uteri cancer were calculated according to the factors of the region(urban,rural,east,central,western),sex and age groups.The incidence and mortality of corpus uteri cancer with the 2015 population were estimated.Chinese standard population in 2000 and world Segi′s population were used for the calculation of age-standardized rates(ASR)of incidence and mortality.Results In 2015,368 cancer registries included in the analysis covered a total of 309553499 populations in China,accounting for 22.52%of the national population.It is estimated that there were about 68900 new cases of corpus uteri cancer in 2015,the incidence rate was 10.28/105,age-standardized incidence rates by Chinese standard population(ASR China)and world standard population(ASR world)were 6.86/105 and 6.66/105,respectively.The incidence rate of urban area(11.35/105)was higher than that of rural area(8.90/105),and the incidence of eastern region(12.12/105)was higher than the central region(9.94/105)and the western region(8.25/105).It is estimated that in 2015,there were about 16000 deaths of corpus uteri cancer,the mortality rate was 2.39/105,ASR China was 1.49/105,ASR world was 1.47/105.The mortality in urban areas(2.40/105)is close to rural areas(2.39/105);the mortality in central areas(2.55/105)was higher than the eastern areas(2.32/105)and the western areas(2.31/105).Conclusions In China,the incidence of corpus uteri cancer is on the rise and has a trend of youth,the burden of disease is gradually increasing,which threatens the health of women.Targeted prevention and control measures should be carried out in the different regions.