2016年珠海市恶性肿瘤发病和死亡分析

目的 分析2016年珠海市恶性肿瘤发病和死亡情况。 方法 根据2016年珠海市恶性肿瘤发病和死亡资料,分析其发病与死亡率、顺位和构成比等指标,并利用Joinpoint软件分析2010—2016年恶性肿瘤发病率和死亡率变化趋势。 结果 2016年珠海市恶性肿瘤粗发病率为286.41/10万,中标发病率为222.69/10万,主要恶性肿瘤发病顺位依次为女性乳腺癌、肺癌、结直肠癌、肝癌、宫颈癌,前10位恶性肿瘤占全部恶性肿瘤发病72.75%。恶性肿瘤粗死亡率为116.16/10万,中标死亡率为88.83/10万,主要恶性肿瘤死亡顺位依次为肺癌、肝癌、结直肠癌、女性乳腺癌、胃癌,前10位恶性肿瘤占全部恶性肿瘤死亡80.27%。2010—2016年珠海市恶性肿瘤发病与死亡均呈显著上升趋势,发病率APC为3.27%（P<0.05）,死亡率APC为3.03%（P<0.01）。 结论 珠海市恶性肿瘤发病与死亡呈上升趋势,女性乳腺癌、肺癌、结直肠癌、肝癌和宫颈癌是珠海市需重点防治的癌症。

Malignant tumor incidence and mortality in Zhuhai, 2016

Objective To analyze the cancer incidence and mortality in Zhuhai in 2016. Methods Based on data of cancer incidence and deaths in Zhuhai in 2016, the incidence and mortality rates, ranking and constituent ratio were calculated. The Joinpoint Program was used to analyze the trend of cancer incidence and mortality from 2010 to 2016. Results The crude cancer incidence rate was 286.41/10⁵ in Zhuhai in 2016, with Chinese age-standardize rate of 222.69/10⁵. The main cancers were female breast cancer, lung cancer, colorectal cancer, liver cancer, and cervical cancer. The top 10 malignant tumors accounted for 72.75% of all cancers. The crude mortality rate of cancer was 116.16/10⁵, with Chinese age-standardize rate of 88.83/10⁵. The most common causes of cancer deaths were ranked as lung cancer, liver cancer, colorectal cancer, female breast cancer, and stomach cancer. The top 10 cancer deaths accounted for 80.27% of all cancer deaths. During 2010-2016, the cancer incidence and mortality in Zhuhai showed a significant upward trend （incidence： APC=3.27%, P<0.05; mortality： APC=3.03%, P<0.01）. Conclusion The cancer incidence and mortality showed an increasing trend in Zhuhai. Female breast cancer, lung cancer, colorectal cancer, liver cancer and cervical cancer are the main cancers to be prevented and treated.