2003~2007年中国皮肤黑色素瘤发病与死亡分析

目的]分析中国肿瘤登记地区2003~2007年皮肤黑色素瘤的发病率与死亡率,为皮肤黑色素瘤防治提供科学依据。方法]对全国44个肿瘤登记地区上报的2003~2007年肿瘤登记数据进行审核,选取数据合格32个登记地区,计算比较2003~2007年不同地区、年龄、性别发病(死亡)率和标化发病(死亡)率。同时对北京市、上海市、林州市和启东市1988~2007年间的皮肤黑色素瘤发病和死亡数据进行描述性分析。结果]2003~2007年中国肿瘤登记地区皮肤黑色素瘤发病率为0.49/10万(男性0.52/10万,女性0.46/10万;城市地区0.55/10万,农村地区0.26/10万),中标率为0.27/10万,世标率为0.35/10万。皮肤黑色素瘤死亡率为0.24/10万(男性0.26/10万,女性0.22/10万;城市地区0.27/10万,农村地区0.15/10万),中标率为0.12/10万,世标率为0.17/10万。32个登记地区中,标化发病率和标化死亡率最高的大连市。与1988年比,近20年北京市、上海市的皮肤黑色素瘤发病率和死亡率上升。结论]2003~2007年我国皮肤黑色素瘤发病率和死亡率水平较低,但城市地区发病和死亡有上升趋势,应重视对其的预防和控制。

Analysis of Incidence and Mortality of Cutaneous Melanoma from 2003 to 2007 in China

Purpose] To analyze the incidence and mortality of cutaneous melanoma from Chinese cancer registries from 2003 to 2007.Methods] A total of 44 cancer registries reported cancer incidence and mortality data from 2003 to 2007. Of them, 32 registries’ data met the national criteria and were included into the analysis. Incidence and mortality of cutaneous melanoma were calculated and compared between area, age and gender. The incidence and mortality rates of Beijing, Shanghai, Qidong and Linxian were described from 1988 to 2007. Results] The crude incidence rate of cutaneous melanoma was 0.49/105(0.52/105 in male and 0.46/105 in female, 0.55/105 in urban and 0.26/105 in rural); age standardized incidence by Chinese population (1982) and by World Segi’s population was 0.27/105 and 0.35/105, respectively. The crude mortality rate of cutaneous melanoma was 0.24/105 (0.26/105 in male and 0.22/105 in female, 0.27/105 in urban and 0.15/105 in rural); age standardized mortality by Chinese population and by World population were 0.12/105 and 0.17/105, respectively. Age standardized incidence and mortality in Dalian ranked first among all registration areas. In Beijing and Shanghai, compared to 1988, the incidence and mortality increased in recent 20 years. Conclusion] The incidence and mortality rates of cutaneous melanoma are low in Chinese during 2003 to 2007. However, effective control and prevention should be conducted, especially for people in urban areas.