兰州市城关区2008-2012年恶性肿瘤发病构成与流行趋势分析

目的 了解兰州市城关区居民恶性肿瘤的发病情况及其变化趋势,为制定肿瘤防治规划和开展重点人群综合防治工作提供科学依据.方法 依据甘肃省肿瘤登记处在具有诊断能力的医疗机构收集的恶性肿瘤报告卡,整理兰州市城关区2008年1月1日-2012年12月31日常住人口中恶性肿瘤的发病资料,统计分析恶性肿瘤发病例数、发病率、构成比、标化率及累积率等指标.结果 2008-2012年兰州市城关区恶性肿瘤发病率分别为193.30/10万、222.47/10万、208.89/10万、221.17/10万和249.24/10万;男性发病率波动于216.60/10万～283.36/10万之间,女性发病率波动于169.70/10万～215.63/10万之间,男女性发病率总体呈上升趋势.男性恶性肿瘤发病率和构成比明显高于女性;恶性肿瘤发病率呈随着年龄增长而逐渐上升的趋势;男女性别发病比为1.3∶1.恶性肿瘤发病居前10位的依次是肺癌、胃癌、结直肠癌、肝癌、乳腺癌、宫颈癌、食管癌、脑肿瘤、胆囊癌和膀胱癌.2009年膀胱癌位居肿瘤发病顺位的第7位,乳腺癌2012年位居肿瘤发病顺位的第4位.结论 兰州市城关区恶性肿瘤发病率呈逐年上升趋势,肺癌、胃癌、结直肠癌、肝癌和女性乳腺癌是兰州市城关区恶性肿瘤防治的重点.应早期开展健康促进干预,采取有针对性的防癌措施,降低恶性肿瘤的发病率,提高居民的健康水平和生活质量.

The Incidence and Trends Constitute of Malignant Cancer in Residents from Chengguan District of Lanzhou from 2008 to 2012

OBJECTIVE To know and analyze the incidence and trends constitute of malignant cancer prevalence of residents in Lanzhou Chengguan District, to provide a scientific basis for cancer prevention and treatment planning and integrated controlling of this disease. METHODS To collect cancer incidence data in Chengguan District from Jan 1st, 2008 to Dec 31st, 2009, based on the malignancies report cards from all diagnostic medical institutions in Gansu province. The number of cases, incidence, ratio, standardized rates and accumulation rates were analyzed. RESULTS From 2008 to 2012, the incidence of Lanzhou Chengguan District are 193.30/ 100 000, 222.47/100 000, 208.89/100 000, 221.17/100 000 and 249.24/100 000. Among them, the incidence of male is between 216.60/100 000 and 283.36/100 000, while the incident of female is between 169.70/100 000 and 215.63/100 000. The incidence increased with aging and male＇s is higher than female＇s （1.3：1）. The top 10 malignant cancers are trachea, bronchus and lung cancers, stomach cancer, anus cancer, liver cancer, breast cancer, cervical cancer, esophageal cancer, brain and nervous system cancer, gallbladder and other cancer, bladder cancer. Bladder cancer was the 7th of all cancer incidence in 2009, and breast cancer was the 4th in 2012. CONCLUSIONS Cancer incidence increased by year. The main malignant cancers should be prevented and treated in Lanzhou Chengguan District are lung cancers, stomach cancer, anus cancer, liver cancer and breast cancer. Early implementation of health promotion interventions and positive measures of prevention and control should be taken to reduce the malignant cancer hazards to the residents and improve residents＇ health and quality of life.