广东省中山市2014年恶性肿瘤发病与死亡分析

目的]分析2014年广东省中山市恶性肿瘤发病与死亡情况。方法]收集整理2014年中山市恶性肿瘤发病与死亡资料,分析其发病与死亡粗率、中标率、世标率及构成比等指标。结果] 2014年中山市恶性肿瘤新发病例4583例,粗发病率为295.81/10万,中标发病率为220.76/10万,世标发病率为215.48/10万。2014年恶性肿瘤死亡2829例,其中粗死亡率为182.60/10万,中标死亡率为130.31/10万,世标死亡率为129.02/10万。男性发病前5位恶性肿瘤依次是肺、肝、鼻咽、结肠和食管癌,女性依次是肺、乳腺、宫体、结肠和甲状腺癌,鼻咽癌分别居中山市同期男、女性恶性肿瘤发病顺位的第3和10位。男、女性年龄别发病率均从35～岁组开始迅速上升,但男、女性年龄别发病模式不同。男女合计死亡前5位恶性肿瘤分别是肺、肝、鼻咽、食管和结肠等部位肿瘤。其年龄别死亡率40岁之前较低,男女接近,其后,男性死亡率明显高于女性。结论] 2014年中山市恶性肿瘤发病总体居国内中等水平,鼻咽癌和女性宫体癌发病居国内较高水平,恶性肿瘤死亡率尤其是鼻咽癌居国内较高水平,应加强防治。

Cancer Incidence and Mortality in Zhongshan City,Guangdong Province,2014

Purpose] To analyze the cancer incidence and mortality in Zhongshan city,Guangdong province in 2014.Methods] Data of new cancer cases and deaths of Zhongshan city in 2014 were collected. The crude rates,age-standardized rates by Chinese and world standard population(ASR China and ASR world),and proportions for cancer incidence and mortality were calculated.Results] In the year of 2014,there were 4583 new cancer cases in Zhongshan,and the crude cancer incidence rate was 295.81/10~5,with ASR China and ASR world of 220.76/10~5 and 215.48/10~5,respectively. There were 2829 cancer deaths in 2014 in Zhongshan,the crude cancer mortality rate was 182.60/10~5 with ASR China and ASR world of 130.31/10~5 and 129.02/10~5,respectively. The top 5 incident cancers were lung,liver,nasopharyngeal,colon and esophageal cancers for males,and lung,breast,corpus uteri,colon and thyroid cancers for females. Nasopharyngeal cancer was the 3rd and 10 th most common incident cancer for males and females in Zhongshan. The age-specific incidence increased quickly from age of 35 years in both sexes,but the pattern of increase was different for males and females. Top 5 cancer deaths were lung,liver,nasopharyngeal, esophageal and colon cancers. Age-specific mortality rates were at low level and the rates of males were close to the females before age 40,but after age of 40,the age-specific mortality rates were much higher in males than those in females.Conclusion] Cancer incidence in Zhongshan in 2014 is at the moderate level nationwide. But the incidence of nasopharyngeal and female corpus uteri cancer is at high level. Cancer especially nasopharyngeal cancer mortality in Zhongshan in 2014 was at high level,indicating that cancer control and prevention should be enhanced in Zhongshan city.