浙江省4个肿瘤登记地区2004年恶性肿瘤发病资料分析

目的]探讨浙江省4个肿瘤登记地区人群恶性肿瘤发病的流行特征。方法]对浙江省4个肿瘤登记处七报浙江省肿瘤防治办公室的2004年肿瘤发病资料，根据《中国肿瘤登记工作指导手册》以及国际癌症研究中心和国际癌症登记协会推荐的肿瘤登记原则和方法，进行分类、审核和分析。结果]2004年4个肿瘤登记处共报告新发病例数为16709例，其中男性为9783例．女性为6926例。恶性肿瘤发病世调率为189．38／10万，最高的嘉兴市为216．40／10万，余依次为杭州市194．47／10万，嘉善县162．42／10万，海宁市143．29／10万；2004年发病前10位恶性肿瘤为肺癌、胃癌、肝癌、乳腺癌、结肠癌、直肠癌、食管癌、脑肿瘤、胰腺癌及白血病。结论]肺癌、消化系统恶性肿瘤、乳腺癌应作为浙江省4个肿瘤登记地区肿瘤防治工作的重点。

An Analysis of Cancer Incidence from Four Cancer Registries in Zhejiang Province in 2004

Purpose] To investigate the epidemic characteristics of cancer from 4 cancer registries in Zhejiang province. Methods] The cancer incidence data of the year 2004 reported to Zhejiang province cancer prevention and control office were collected from 4 cancer registries in Zhejiang province. The data were sorted, checked and analyzed according to “China Cancer Registration Guideline” and “Cancer Registration： Principle and Methods, IARC”. Results] Sixteen thousand seven hundred and nine new cases, 9 783 for male and 6 926 for female were reported in 4 cancer registries in 2004. The world age-standardized rate （WASR） was 189.38/10^5 and the highest WASR of 4 cancer registries was 216.40/10^5 in Jiaxing city;secondly,194.47/10^5 in Hangzhou city; thirdly, 162.42/10^5 in Jiashan county and the lowest was 143.29/10^5 in Haining city. Lung, stomach, liver, breast, colon, esophagus cancer, brain tumor, pancreas cancer and leukaemia were the leading cancer in the rank of incidence in 2004. Conclusion] Lung cancer, digestive malignancies and breast cancer should be the major issues in cancer prevention and control in these 4 cancer registries, Zhejiang province.