浙江省东阳市2009-2011年恶性肿瘤发病趋势分析

目的了解2009-2011年东阳市恶性肿瘤发病趋势和分布特征。方法以东阳市人民医院（浙中肿瘤专科医院）收集的所有ICD-10编码C00-C95的2009-2011年本市居民的新发病例资料,对东阳市不同年龄、性别人群恶性肿瘤的发病趋势和分布特征进行描述。结果 2009-2011年东阳市共报告恶性肿瘤5 932例,其中男性3 564例,女性2 368例。报告发病率由2009年的211.07/10万上升至2011年的266.87/10万,平均发病率为241.69/10万,居前5位的依次为肺癌、胃癌、结直肠癌、肝癌、乳腺癌,占总发病数的59.91%。男女性共患的主要恶性肿瘤中,除甲状腺癌女性发病率明显高于男性,女性是男性的4.71倍外,其余都是男性高于女性（P〈0.01）。无论男性还是女性,从30～岁年龄段开始随着年龄增高而呈不断上升趋势,50～岁年龄段上升趋势明显加快,70～岁年龄段达最高峰。40岁以下女性发病率明显高于男性,差异有统计学意义（P〈0.01）,50岁以上年龄段男性发病率明显高于女性（P〈0.01）,且男性上升速度较快,而女性则较为平缓。结论东阳市恶性肿瘤的发病在今后相当长的一段时间内,仍将维持一个较高水平,并有可能继续上升的趋势。

Dynamic trend of malignant tumor incidence from 2009 to 2011 in Dongyang,Zhejiang province

Objective To understand the dynamic changing trend of malignant tumor incidence in Dongyang from the year of 2009 to 2011.Methods New cancer cases were collected based on ICD-10 encoding C00-C95 in Dongyang people′s hospital（Zhezhong Cancer hospital） from 2009 to 2011 and analyzed for the trend of cancer incidence and distribution among different age and gender group.Results A total of 5932 cases with malignant tumors were reported in Dongyang area from 2009 to 2011,of which 3564 were males and 2368 were females.The reporting incidence increased from 211.07/100 000 in 2009 to 266.78 in 2011 with the average of 241.69 per 100 000 population.Lung cancer was the most common malignant tumor,followed by stomach,colorectum,liver and breast cancer,accounting for 59.91% of all malignant tumors.Except for the incidence of thyroid cancer which was higher in females than in males（4.71 times）,all the other cancer incidences were all higher in males.Regardless of gender,the cancer prevalence started climbing up from age 30 and reached the peak around 70.Under the age of 40,the incidence was higher in female than in male（p0.01）,while it was lower in female over the age of 50（P〈0.01）.Conclusions The incidence of malignant tumors in Dongyang remains in a higher level and will continue go up for a long period of time in the future.