济南市2012年恶性肿瘤发病情况分析

目的：汇总分析济南市2012年人群恶性肿瘤发病情况和流行特征,为济南市恶性肿瘤的防治提供科学依据。方法：收集并整理济南市肿瘤登记处2012年恶性肿瘤发病资料,统计恶性肿瘤发病率、年龄别发病率、标化发病率和构成比等指标,分析恶性肿瘤人群分布特征。结果：济南市2012年居民恶性肿瘤粗发病率为214.56/10万,中标率为152.52/10万,世标率为167.14/10万。男性发病率为255.54/10万,中国人口标化率（中标率）为189.77/10万,世界人口标化率（世标率）为212.25/10万;女性发病率为173.60/10万,中标率为120.75/10万,世标率为129.32/10万。济南市农村居民恶性肿瘤标化发病率为176.96/10万,高于城区的135.20/10万,差异有统计学意义,χ2=164.03,P〈0.001。恶性肿瘤发病率随年龄升高而增加,〉40岁人群恶性肿瘤发病率快速上升。城区和农村相比,〈20岁人群城区发病率高于农村,〉20岁人群农村发病率高于城区。济南市发病率居前10位的恶性肿瘤依次是肺癌、胃癌、肝癌、食管癌、乳腺癌、结直肠癌、脑及中枢神经系统恶性肿瘤、淋巴瘤、白血病和胰腺癌,共占恶性肿瘤发病总数的81.77%。城区前5位恶性肿瘤依次是肺癌、胃癌、肝癌、食管癌和结直肠癌,农村前5位的恶性肿瘤依次是肺癌、胃癌、食管癌、肝癌和乳腺癌。男性发病率位于前5位的恶性肿瘤依次是肺癌、胃癌、食管癌、肝癌和结直肠癌。女性发病率位于前5位的恶性肿瘤依次是乳腺癌、肺癌、胃癌、结直肠癌和肝癌。结论：济南市肺癌和消化系统恶性肿瘤以及女性乳腺癌发病率较高,是今后肿瘤防治工作的重点。

Analysis of malignant tumors morbidity in Jinan in 2012

OBJECTIVE： To acquaint morbidity and epidemic characteristics of malignant tumors of residents in Jinan city,Shandong province, and provide the basic information for prevention and control of malignant tumors. METHODS： Malignant tumors morbidity data were collected from cancer registries in Jinan. Incidence, age-specific incidence, age-stand- ardized incidence and proportions of cancers were calculated and the distribution characteristics of cancer were analyzed. RESULTS： The crude incidence of malignant tumor in Jinan in 2012 was 214.56/105 ,and age-standardized incidence rates by Chinese standard population （ ASR China ） and by world standard population were 152.52/105 and 167.14/105. The crude incidence in male-was 255.54/105 （ASR China was 189.77/105 and ASR World was 212.25/105 ） and in female was 173.60/105 （ASR China was 120. 75/10s and ASR World was 129. 32/105 ）. The crude incidence in rural areas （ 176.96/105 ） was higher than in urban areas （135.20/105 ） and the difference was statistically significant （ 2 = 164.03, P〈0. 000 1）. The cancer incidence increased with age and the incidence sped up rapidly since 40 years old. Compared with rural areas,the incidence of cancer in urban areas was higher among people aged less than 20 years old but the rural areas was higher among people aged over 20. Malignant tumors morbidity in the top ten were lung cancer, gastric cancer, liver cancer,esophageal cancer, breast cancer,eoloreetal cancer,encephaloma and central nervous system malignancies, lymphoma,leukemia and pancreatic cancer, which accounted for 81.77% of all cancer cases. The top five malignant cancers in urban areas were lung cancer,gastric cancer,liver cancer, esophageal cancer and colorectal cancer, while in rural areas were lung cancer, gastric cancer, esophageal cancer, liver cancer and breast cancer. The top five malignant cancers in male were lung cancer,gastric cancer,esophageal cancer,liver cancer and colorectal cancer. The top five malignant cancers in female were