2012年江苏省昆山市肿瘤登记质量评价和发病分析

摘要:目的　分析2012年江苏省昆山市恶性肿瘤登记质量和发病情况。方法　基于2012年恶性肿瘤登记，计算分性别、年龄及主要部位恶性肿瘤发病率。质量评价指标为病理学诊断比例（MV%）、死亡发病比（M/I）和仅有死亡医学证明书的比例（DCO%）。按照全国2000年普查人口结构和Segi's世界人口结构为标准计算年龄标化发病率（ASR）。结果　病理学诊断比例（MV%）为69.98%，死亡发病比（M/I）为0.55，DCO%为3.06%。江苏省昆山市2012年肿瘤粗发病率为338.07/10万，中标率为201.14/10万，世标率为195.75/10万；男性粗发病率372.76/10万，中标率为211.69/10万，世标率220.41/10万；女性粗发病率为303.57/10万，中标率189.33/10万，世标率为176.39/10万。男性前10位恶性肿瘤为肺癌、胃癌、肝癌、结肠直肠癌、食管癌、胰腺癌、前列腺癌、肾癌、淋巴瘤和膀胱癌，占男性恶性肿瘤的82.69%。女性前10位恶性肿瘤部位为乳腺癌、肺癌、胃癌、结肠直肠癌、甲状腺癌、肝脏癌、子宫颈癌、胰腺癌、食管癌和胆囊癌，占女性恶性肿瘤的80.40%。结论　江苏省昆山市恶性肿瘤登记数据质量在不断提高；肺癌和甲状腺癌发病率较高，是当前肿瘤防控面临的新问题。

Quality assessment and incidence analysis of cancer registry in KunShan,Jiangsu Province, 2012

Abstract: Objective To explore the cancer registry quality and incidence in Kunshan, Jiangsu province, 2012. Methods Cancer cases were drawn from the KunShan Carcinoma Registry, and cancer incidence were analyzed by gender and sites. The ratio of pathologically confirmed cases (MV%), mortality incidence ratio (M/I) and the proportion of death certificates only (DCO%) were used to assess the quality. Chinese population census in 2000 and Segi's population were used to calculate the age-standardized incidence rates. Results Ratio of pathologically confirmed cases was 69.98% and 3.06% of incidence cases were identified through death certification only with mortality to incidence ratio of 0.55. Crude incidences of cancer were 338.07 per 100, 000 person years in 2012, 201.14 and 220.41 per 100, 000 person years for China and world age-standardized incidence rates. As for male population, Crude incidence rate, Chinese and globe population age-standardized incidence rates were 372.76, 211.69 and 220.41 per 100, 000 person years. As for female, crude incidence rate, Chinese and globe population age-standardized incidence rates were 303.57, 189.33 and 176.39 per 100, 000 person years, respectively. The top 10 cancer types with highest incidences were lung cancer, stomach cancer, liver cancer, colorectal cancer, esophagus cancer, pancreatic cancer, prostate cancer, kidney cancer, lymphoma, and bladder cancer, accounting for 82.69% of all cancer incidence in males. While top 10 cancer types with the highest incidences in females were breast cancer, lung cancer, stomach cancer, colorectal cancer, thyroid cancer, liver cancer, cervical cancer, pancreatic cancer, esophageal cancer, and gall bladder cancer, accounting for 80.40% of all cancer incidence. Conclusion The data quality of cancer registry gradually improved in Kunshan. Lung and thyroid cancer were the most common cancer, and the cancer prevention and control has become an important issue.