上海市嘉定区1996—2006年恶性肿瘤发病情况分析

目的]分析上海市嘉定区居民恶性肿瘤发病的特征,为该区恶性肿瘤流行趋势评价和肿瘤综合防治提供科学依据。方法]对嘉定区1996—2006年恶性肿瘤发病资料进行统计分析。1996—2001年按国际疾病分类法ICD-9进行分类,2002—2006年按国际疾病分类法ICD-10进行分类,计算粗发病率和标化发病率。结果]1996—2006年嘉定区居民恶性肿瘤粗发病为285.23/10万,标化发病率为176.25/10万。男性粗发病率为332.20/10万,女性粗发病率为238.99/10万,男性发病率高于女性,性别比为1.37∶1。无论男女,45岁后随年龄的增长发病率大幅上升,上升幅度男性大于女性。居民恶性肿瘤发病居前10位的分别是肺癌、胃癌、结直肠癌、肝癌、乳腺癌、食管癌、胰腺癌、脑癌、膀胱癌和胆囊癌。肺癌、结直肠癌、乳腺癌、胰腺癌、前列腺癌和宫颈癌等癌症的粗发病率逐年上升,其他恶性肿瘤发病则比较稳定。结论]嘉定区1996—2006年居民恶性肿瘤的发病率呈上升趋势,肺癌、胃癌、结直肠癌、肝癌和乳腺癌等是威胁人群的主要恶性肿瘤,普及防癌健康教育,有针对性地做好高危人群的早诊早治工作是我区今后肿瘤防控工作的关键。

Incidence of malignant tumor in 1996-2006 in Jiading District, Shanghai

Objective ] To explore the prevalent characteristics of malignant tumor in Jiading District. Methods] The cancer registry data of 1996 -2001 and 2002 -2006 were classified according to ICD -9 and ICD - 10, respectively, and all data were analyzed retrospectively. Results] Over the 11 years, the crude incidence of cancers was 285.23 per 100,000 and the standard incidence ratio was 176.25 per 100,000. The crude incidence of males and females were 332.20 per 100,000 and 238.99 per 100,000, respectively. The incidence ratio between males and females was 1.37 ： 1. The incidence of cancers increased remarkably after the age of 45 years. Lung cancer, stomach cancer, colorectal cancer, liver cancer and breast cancer were the top 5 of all cancers in Jiading District. Conclusion] The incidence of malignant tumor showed an increasing tendency in Jiading District during the past 11 years. Hereafter the key to cancer prevention and control should be popularizing knowledge of cancer prevention and giving priority to early detection and treatment in high -risk population.