2000~2009年浙江省肿瘤登记地区子宫体癌发病与死亡分析

目的]分析浙江省肿瘤登记地区2000～2009年子宫体癌的发病与死亡情况。方法]数据来源于浙江省6个肿瘤登记处上报于浙江省肿瘤防治办公室的肿瘤发病和死亡资料．分别计算发病（死亡）例数、粗发病率（死亡率）、构成比、中标率、世标率、累积率、截缩率以及年度变化百分比等指标。结果]2000—2009年浙江省6个肿瘤登记地区共计报告子宫体癌新发病例2347例，占女性癌症新发病例的3-35％。子宫体癌发病率为7．92／10万，中标率为4．64／10万，位居女性癌症发病顺位的第9位。子宫体癌发病率呈总体增长趋势，从2000年的5．13／10万增长到2009年的8．69／10万，年度变化百分比（APC）为6．40％（95％CI：3．78％～9．08％）。2000～2009年共报告子宫体癌死亡病例854例，占女性癌症死亡病例的2．56％。子宫体癌死亡率为2．88／10万，中标率为1．41／10万，居女性癌症死因顺位的第11位。子宫体癌死亡率呈现波动增长趋势，年度变化百分比为5．84％（95％CI：-2．70％～15．13％）。结论]浙江省子宫体癌发病和死亡呈上升趋势，应加强肿瘤防治等措施．以期降低子宫体癌的发病水平。

Incidence and Mortality of Corpus Uteri Cancer in Zhejiang Cancer Registration Areas, 2000-2009

Purpose ] To investigate the incidence and mortality of corpus uteri cancer in Zhejiang cancer registration areas from 2000 to 2009. Methods] Cancer registration data were from 6 cancer registries of Zhejiang province. The number of cases, crude rates,proportions,age-standardized rates by Chinese standard population （ASR China）,age-standardized rates by world standard population （ASR world）, cumulative rates and annual percentage change （APC） of corpus uteri cancer incidence and mortality were analyzed. Resultsl There were 2347 new diagnosed corpus uteri cancer cases in Zhejiang cancer registration areas,accounting for 3.35% of all new cancer cases. The incidence of corpus uteri cancer was 7.92/10^5 , and the standardized incidence rate by Chinese population was 4.64/105,ranking the 9th in cancer incidence.The incidence of corpus uteri cancer generally grew from 5.13/10^5 in 2000 to 8.69/10^5 in 2009 with APC of 6.40%（95%CI：3.78%- 9.08%）. Meanwhile,854 corpus uteri cancer death cases were reported from 2000 to 2009,accounting for 2.56% of all cancer death cases. The mortality of corpus uteri cancer was 2.88/10^5, and the standardized mortality rate by Chinese population was 1.41/10^5,ranking the 1 1^th in cancer mortality. The mortality of corpus uteri cancer slowly increased from 5.13/10^5 in 2000 to 8.69/10^5 in 2009 with a little fluctuation,and the APC was 5.84%（95%CI：-2.70%-15.13%）. Conclusion] Incidence and mortality rates of corpus uteri cancer increase annually in Zhejiang province, cancer prevention and control should be strengthened to reduce the incidence for corpus uteri cancer.