摘要
目的 了解启东市 1 972～ 2 0 0 0年癌症发病的流行趋势 ,为疾病控制与肿瘤防制提供依据。方法 采用启东癌症登记处发病登记报告资料计算发病率 ,用 1 96 4年全国标准人口构成及1 96 0年世界标准人口构成计算年龄调整发病率 (标化发病率 ) ,了解恶性肿瘤发病的人群分布特点及流行趋势。结果 启东市 1 972～ 2 0 0 0年恶性肿瘤发病登记 5 5 4 96例 ,其中男性 35 4 0 4例 ,女性2 0 0 92例。发病有上升趋势 ,但标化后发病趋势稳定。 2 9年恶性肿瘤粗发病率 (CR)平均为1 70 .74 / 1 0万 ,中国人口构成标化率 (CASR )为 1 1 8.77/ 1 0万 ,世界人口标化率 (WASR)为1 6 9.1 3/ 1 0万。其中男性恶性肿瘤发病率为 2 2 0 .4 7/ 1 0万 (CASR :1 5 0 .6 8/ 1 0万 ,WASR :2 34.5 0 / 1 0万 )、女性发病率为 1 2 2 .1 8/ 1 0万 (CASR :84 .70 / 1 0万 ,WASR :1 1 2 .4 7/ 1 0万 )。居前 5位的恶性肿瘤依次为肝癌、胃癌、肺癌、食管癌及直肠癌 ,共占全部肿瘤的 75 .6 9%。男、女顺位与此相同 ,但女性第 4位肿瘤为乳腺癌。近年来肺癌发病率已超过胃癌、仅次于肝癌成为启东的第 2位主要癌症。结论 恶性肿瘤是启东居民的第 2位主要死因 ,肝癌等消化道肿瘤及肺癌是最常见的恶性肿瘤 ,其粗率的升高可能与人口的老龄化有?
Objective To explore the trend of cancer incidence from 1972 to 2000 in Qidong and provide baseline data for the control and prevention. Methods Crude incidence rate were calculated using data from the cancer registry office in Qidong, and age standardized rates were computed according to China age structure of 1964 and world age structure of 1960. The epidemiological features and secular change trends of cancer were described. Results 55 496 cases of cancer were registered in Qidong from 1972 to 2000, in which 35 404 were male, and 20 092 were female, with a sex ratio of 1.76∶1. The crude annual incidence rate was 170.74 per 100 000 (male 220.47, female 122.18), showing a slight increase tendency during the period. China age standardized rate (CASR) was 118.77 per 100 000 (male 150.68, female 84.70), and world age standardized rate (WASR) was 169.13 per 100 000 (male 234.50, female 112.47), demonstrating a steady trends through the period. The leading cancer sites in rank were liver, stomach, lung, esophagus, and rectum, accounted for 75.69% of all sites. For males and females, the ranks were same except that the site of esophagus was substituted with the site of breast in females. In recent years, the incidence of lung cancer has been only lower than that of liver cancer, being ranked second instead of stomach. Conclusions Cancer was the second major cause of death among residents in Qidong. The cancers in the sites of digestive organs such as liver, and in the site of lung were the most common malignant tumors, which may be a reflection of the increase of aged population. The control and prevention for the chronic diseases like cancers should be emphasized.
出处
《疾病控制杂志》
2004年第5期408-411,共4页
Chinese Journal of Disease Control and Prevention
