2016年海南省肿瘤登记地区恶性肿瘤发病与死亡分析

目的 对2016年海南省肿瘤登记地区的癌症发病率和死亡率进行分析,为癌症的预防和控制提供了基础依据。方法 通过中国肿瘤登记平台收集符合质量控制要求的6个肿瘤登记地区发病死亡数据及人口数据。按城乡、性别、年龄别划分,分别计算发病(死亡)率、中标率、世标率、构成比、0~74岁累积发病(死亡)率和前10位癌症发病死亡情况。结果 2016年海南省肿瘤登记地区恶性肿瘤新发病例数为5 569例,发病率为269.64/10万(男性313.59/10万,女性221.11/10万),中标率为227.27/10万,世标率为221.26/10万,0~74岁累积发病率为25.54%。发病率最高的癌症是肝癌,其次为肺癌、结直肠癌、胃癌、乳腺癌。恶性肿瘤死亡病例数为2 651例,死亡率为128.36/10万(男性173.73/10万,女性78.25/10万),中标率为105.96/10万,世标率为104.69/10万,0~74岁累积死亡率为12.14%。死亡率最高的癌症是肝癌,其次为肺癌、胃癌、结直肠癌、食管癌。结论 2016年海南省癌症发病负担较重,其城乡及男女呈现明显差异。肝癌为海南省癌症发病死亡第1位,应作为重点防治癌种,根据其危险因素开展相关的防治措施。

Analysis for the incidence and death of malignant tumors in Hainan cancer registry,2016

Objective The objective of this study was to analyze the incidence and mortality of cancer in the cancer registration areas of Hainan province in 2016,and provide a basis for cancer prevention and control. Methods The data on incidence and mortality and population data in 6 cancer registration areas that met the quality control requirements were collected through the China Cancer Registry Platform.According to the classification of urban and rural areas,gender,and age,the incidence(mortality),the age-standardized incidence(mortality)by Chinese standard population(ASR China),the age-standardized incidence(mortality)by World Segi′s standard population(ASR World),the composition ratio,and cumulative incidence(mortality)rate between 0 and 74 years old,and the top ten cancer incidence and mortality were calculated in Hainan province. Results In 2016,the number of new cases of malignant tumors in Hainan province was 5,569,the incidence was 269.64/100,000(313.59/100,000 for males and 221.11/100,000 for females),Chinese standard population was 227.27/100,000,and the World segi′s standard population was 221.26/100,000,the cumulative incidence rate of 0~74 years old was 25.54%.The cancer with the highest incidence was liver cancer,followed by lung cancer,colorectal cancer,gastric cancer,and breast cancer.The number of death from malignant tumors was 2,651,the mortality was 128.36/100,000(173.73/100,000 for males and 78.25/100,000 for females),Chinese standard population was 105.96/100,000,and the World segi′s standard population was 104.69/100,000,and the cumulative mortality rate of 0~74 years old was 12.14%.The cancer with the highest mortality was liver cancer,followed by lung cancer,gastric cancer,colorectal cancer,and esophagus cancer. Conclusion There is a heavy burden of cancer in Hainan province in 2016,and there are significant differences between urban and rural areas and between men and women.Liver cancer ranks first in the incidence and death of cancer in Hainan province.We should focus on the prevention and treatment of cancer and carry out relevant prevention and treatment measures according to its risk factors.