Abstract
雷涛,毛伟敏,杨红健,陈晓钟,雷通海,汪祥辉,应倩,陈万青,张思维.中国城乡11市县常见恶性肿瘤发病趋势分析[J].Chinese journal of Epidemiology,2009,30(11):1165-1170
中国城乡11市县常见恶性肿瘤发病趋势分析
Study on cancer incidence through the Cancer Registry Program in 11 Cities and Counties, China
Received:May 27, 2009  
DOI:
KeyWord: 肿瘤  发病率  趋势
English Key Word: Cancer  Incidence  Trends
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Author NameAffiliationE-mail
LEI Tao Zhejiang Province Cancer Hospital, Hangzhou 310022.China  
MAO Wei-min Zhejiang Province Cancer Hospital, Hangzhou 310022.China maowml218@163.com 
YANG Hong-jian Zhejiang Province Cancer Hospital, Hangzhou 310022.China  
CHEN Xiao-zhong Zhejiang Province Cancer Hospital, Hangzhou 310022.China  
LEI Tong-hai Zhejiang Province Cancer Hospital, Hangzhou 310022.China Lei.tonghai@163.corn 
WANG Xiang-hui Zhejiang Province Cancer Hospital, Hangzhou 310022.China  
YING Qian Zhejiang Province Cancer Hospital, Hangzhou 310022.China  
CHEN Wan-qing 中国医学科学院肿瘤医院  
ZHANG Si-wei 中国医学科学院肿瘤医院  
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Abstract:
      目的探讨中国恶性肿瘤发病特点及时间趋势.方法采用中国城乡11个市县肿瘤登记处的1988-2002年资料进行统计与分析,描述恶性肿瘤发病现状,研究其时间趋势与发病特点.结果11个市县肿瘤登记处覆盖地区15年内新发恶性肿瘤695 050例,粗发病率为215.50/1O万,世界标准人口调整发病率为170.97/10万.主要恶性肿瘤发病率排序依次为肺癌、胃癌、肝癌、食管癌、乳腺癌、结肠癌、直肠癌、胰腺癌、膀胱癌、白血病.16种主要恶性肿瘤占全部的85.56%.1988-2002年恶性肿瘤合并的粗发病率呈较快上升趋势.按部位分析,增幅最大的是前列腺癌(185.48%),其次为胆囊癌、乳腺癌、结肠癌等.发病率下降幅度最大的是宫颈癌(17.00%),其次为食管癌、胃癌、鼻咽癌.结论中国11个市县1988-2002年恶性肿瘤总的粗发病率呈上升趋势,调整年龄测素后变化不明显.胰腺癌、膀胱癌、白血病已进入前10位,成为常见恶性肿瘤.前列腺癌和胆囊癌发病率虽然较低,但是增长幅度最大.
English Abstract:
      Objective Aim ofthis paper was to explore the Fend and characteristics of cancer incidence in ll areas(5 cities and 6 counties) in China. Methods Data from cancer registries during 1988 to 2002 collected from the l 1 cancer registry points were used to analyze the trends and characteristics of cancer incidence rates.Results There were 695 050 newly developed cancer cases in this study.The crude rate of incidence and the world age.adjusted incidence were 21 5.50/105 and 170.97/105 respectively.The leading cancer sites were lung, stomach,liver,esophagus,breast,colon,rectum,pancreas,bladder and leukemia.The sixteen key cancers accounted for 85.56% of all the cancer cases.The crude incidence rate of all cancers had been significantly increased from 1988 to 2002.Among them, prostate(185.48%) ranked the fastest growing one followed by cancers of the gallbladder,breast,colon,ovarian,lymphoma,bladder,pancreas,rectum,lung,leukemia and liver.The one that had reduced the most was cervix uteri(17.00%), followed by esophagus, stomach and nasopharynx.Conclusion Crude cancer incidenee rate increased in the 1l areas in China from l988 to 2002.The ranking of pancreas cancer.bladder cancer and leukemia came into the top ten.Even though the incidence rates of prostate and gallbladder cancer were relative low but had a fast increase.The results of this study provided a scientific base for the development of a better strategy on cancer prevention and control in China.
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