2018年云南省肿瘤登记地区恶性肿瘤的发病与死亡分析. (Chinese)

Objective The objective of this study was to analyze the incidence and mortality of malignant tumors in cancer registration areas of Yunnan province in 2018. Methods The data on the incidence, death, and population of malignant tumors in 46 cancer registration areas in Yunnan province in 2018 were collected. The incidence, mortality, age-standardized incidence and mortality, the cumulative rate from 0 to 74 years old, as well as ranking and composition of the top 10 malignant tumor incidence and mortality were analyzed, and stratified by region, gender and age. The standardized rates were calculated using the China 2000 national census standard population age structure and Segi′s world standard population age structure, respectively. Results In 2018, the crude incidence of malignant tumors was 214.84/100,000 in tumor registration areas of Yunnan province, and China age-standardized rate was 155.99/100,000 and world age-standardized rate was 167.30/100,000. The age specific incidence was at a low level before the age of 45, and rose rapidly after the age of 45. It reached its peak at the age of 80 to 84. The main malignant tumors were lung cancer, female breast cancer, colorectal cancer, liver cancer, and cervix cancer. The crude mortality of malignant tumors was 128.63/100,000 in the cancer registration areas of Yunnan province in 2018, the China and world age standardized rates were 88.50/100,000 and 98.78/100,000, respectively. The mortality of malignant tumors was at a relatively low level before the age of 45, rapidly increasing after the age of 45, reaching the peak of death at the age of 85+. The mortality of all age groups in males was higher than that in females. The main malignant tumors were lung cancer, liver cancer, colorectal cancer, stomach cancer and female breast cancer in the order of death. The incidence of prostate cancer was higher than that of Western China, and the incidence of esophageal cancer was lower than that of Western China. Conclusion The incidence of malignant tumors in cancer registration areas in Yunnan province is lower than that in Western China. Lung cancer, female breast cancer, colorectal cancer, liver cancer and cervical cancer are the cancers that need to be focused on prevention and treatment. The incidence of prostate cancer and esophageal cancer has local characteristics. [ABSTRACT FROM AUTHOR]

目的 分析2018年云南省肿瘤登记地区恶性肿瘤发病与死亡情况。方法 收集云南省46个肿瘤登记地区2018年恶性肿瘤发病、死亡以及人口资料,按照地区、性别、年龄组分层,统计分析恶性肿瘤发病(死亡)率、发病(死亡)标化率、0~74岁累积率以及前10位恶性肿瘤发病和死亡顺位及构成。其中分别采用2000年全国普查标准人口年龄结构、Segi′s世界标准人口年龄结构进行标化率的计算。结果 2018年云南省肿瘤登记地区恶性肿瘤粗发病率为214.84/10万,中标发病率为155.99/10万,世标发病率为167.30/10万。年龄别发病率在45岁以前处于较低水平,45岁后快速上升,在80~84岁达到发病高峰,主要恶性肿瘤发病顺位依次为肺癌、女性乳腺癌、结直肠癌、肝癌和子宫颈癌。云南省肿瘤登记地区2018年恶性肿瘤的粗死亡率为128.63/10万,中标死亡率为88.50/10万,世标死亡率为98.78/10万,恶性肿瘤死亡率在45岁以前处于较低水平,45岁后快速上升,在85+岁达到死亡高峰,男性各年龄组死亡率均高于女性。主要恶性肿瘤死亡顺位依次为肺癌、肝癌、结直肠癌、胃癌和女性乳腺癌。前列腺癌的发病率高于全国西部地区水平,食管癌的发病率低于全国西部地区水平。结论 云南省肿瘤登记地区恶性肿瘤的发病水平低于全国西部地区水平,肺癌、女性乳腺癌、结直肠癌、肝癌和子宫颈癌是需要重点防治的癌种,前列腺癌和食管癌的发病具有本地特征。 [ABSTRACT FROM AUTHOR]

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