2012年南通市居民恶性肿瘤发病和死亡情况

目的探讨南通市恶性肿瘤的流行特征，并对该地区肿瘤登记工作质量作以简要评估。方法收集南通市恶性肿瘤的发病和死亡数据，采用Canreg4软件录人，通过Excel和SPSS软件进行整理，分析该地区恶性肿瘤的发病率、死亡率，标化发病（死亡）率、年龄别发病率（死亡率）等指标。对死亡／发病比（M／I）、病理组织学诊断所占比例（MV％）、只有死亡医学证明书比例（DCO％）、未指明部位和原发部位不明的恶性肿瘤新发病例所占的百分比（O＆U％）进行评估。结果2012年南通市恶性肿瘤发病为23736人，死亡为17464人，恶性肿瘤发病率为312．84／10万，恶性肿瘤死亡率为234．00／10万，经年龄构成调整后，发病的中标率为167．03／10万，死亡的中标率为113．38／10万。前6位高发恶性肿瘤分别为肺癌、肝癌、胃癌、食管癌、结／直肠癌、乳腺癌。肺癌在男性和女性中均居发病率的首位，全人口发病率为60．66／10万。前6位高死亡率的恶性肿瘤分别为肺癌、肝癌、食管癌、胃癌、结直肠癌、胰腺癌。肿瘤登记工作质量指标，M／I为0．74、MV％为54．86％、DCO％为0．41％、0＆u％为3．70％。结论恶性肿瘤是南通市居民的第1位死因，肺癌居恶性肿瘤发病率和死亡率之首，消化系统肿瘤占比例最高。南通市肿瘤登记数据基本反映了全市恶性肿瘤的发病和死亡情况，但仍需完善。

Morbidity and mortality of malignant tumor among residents in Nantong in 2012

[ Objective] To explore the epidemiological characteristics of malignant tumor in Nantong, briefly evaluate the quality of the cancer registration work. [Methods]The morbidity and mortality data of malignant tumor were collected, Canreg4 was used to register, the Excel and SPSS were used to arrange, and the morbidity, mortality, standardized morbidity （mortality） and age-specific morbidity （ mortality ） were analyzed. The mortality/incidence （M/I） , histopathological diagnosis percentage （ MV% ） , death certificate only percentage （ DCO% ）, and the percentage of unspecified site and unknown primary malignant tumor of the new cases （ O＆U% ） were evaluated. [ Results] In 2012, 23 136 people in Nantong were diagnosed malignant tumor and 17 646 people died. The incidence of cancer was 312.84/100 000, and the mortality was 234.00/100 000. After age structure specified, adjusted incidence was 167.03/100 000 and adjusted mortality was 113.38/100 000. 6 high mortality of malignant tumor were lung cancer, liver cancer, gastric cancer, esophageal carcinoma, colon/rectum cancer and pancreatic cancer. The results of cancer registration work quality indicators ： M/I was 0.74, MV% was 54.86%, DCO% was 0.41%, and O＆U% was 3.70%. [ Conclusion ] Cancer is the top 1 cause of death of residents in Nantong. The morbidity and mortality of lung cancer were the highest. The data of cancer registration in Nantong reflect the morbidity and mortality situation of cancer, but it still need to be improved.