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[目的]分析2012年湖南省肿瘤登记地区恶性肿瘤发病与死亡情况。[方法]收集2012年湖南省6个肿瘤登记地区上报的肿瘤发病与死亡资料。对数据进行审核和评估后,按城乡、性别分层,分别计算恶性肿瘤的粗发病率和粗死亡率、中标率、世标率、年龄别率、累积率以及前10位恶性肿瘤发病和死亡顺位和构成。中标率和世标率分别采用2000年中国标准人口年龄构成和Segi’s世界标准人口年龄构成为标准进行计算。[结果]2012年湖南省肿瘤登记地区恶性肿瘤发病率为193.92/10万,中标率为150.92/10万,世标率为147.67/10万,累积率(0~74岁)为17.03%;死亡率为126.43/10万,中标率为96.28/10万,世标率为94.49/10万,累积率(0~74岁)为11.01%。年龄别发病率在0~39岁间处于较低水平,40岁以后快速上升,在75~79岁年龄组时达到高峰;年龄别死亡率在0~44岁间处于较低水平,45岁以后快速上升,在75~79岁年龄组时达到高峰。恶性肿瘤发病第1位为肺癌,发病率为46.73/10万,其次为肝癌、乳腺癌、宫颈癌和结直肠癌等,前10位恶性肿瘤占全部恶性肿瘤发病的78.54%;死亡第1位为肺癌,死亡率为37.03/10万,其次为肝癌、胃癌、结直肠癌和乳腺癌等,前10位恶性肿瘤占全部恶性肿瘤死亡的84.06%。[结论]湖南省需重点防治的恶性肿瘤仍然是肺癌、肝癌、胃癌、结直肠癌、乳腺癌和宫颈癌,特色高发的鼻咽癌和男性口腔癌也应引起足够的重视,病因预防和早诊早治应加大推进。
[Objective] To analyze the incidence and mortality of malignant tumor in Hunan Cancer Registration Area in 2012. [Method] The data of tumor incidence and death reported from 6 tumor registration areas in Hunan Province in 2012 were collected. After reviewing and assessing the data, the incidences of death and morbidity of malignant tumors were calculated by stratification according to urban and rural areas and sex respectively. The successful rate, the world standard rate, the age-specific rate, the cumulative rate and the incidence and mortality of the top 10 malignant tumors Place and composition. The winning rate and the world standard rate are respectively calculated by the age composition of Chinese standard population in 2000 and the age composition of Segi’s world standard population as criteria. [Results] The incidence of malignant tumor in Hunan Cancer Registry Area was 193.92 / 100000 in 2012, with the winning rate of 150.92 / 100000, the world standard rate of 147.67 / 100000 and the accumulative rate of 0 to 74 years old being 17.03%. The death rate The rate was 126.43 / 100000, the winning rate was 96.28 / 100000, the world standard rate was 94.49 / 100000, the cumulative rate (0-74 years) was 11.01%. The age-specific prevalence rate was low between the ages of 0 and 39 years, rising rapidly after 40 years of age and reaching its peak in the age group of 75 to 79 years. The age-specific mortality rate was relatively low between the ages of 0 and 44 years. After age 45 Rapid rise in the 75 to 79 age group reached its peak. The first malignant tumor was lung cancer, the incidence was 46.73 / 100000, followed by liver cancer, breast cancer, cervical cancer and colorectal cancer, the top 10 malignant tumors accounted for 78.54% of all malignant tumors; the first death For lung cancer, the death rate was 37.03 / 100000, followed by liver cancer, gastric cancer, colorectal cancer and breast cancer, the top 10 malignant tumors accounted for 84.06% of all cancer deaths. [Conclusion] The key malignant tumors to be controlled in Hunan Province are still lung cancer, liver cancer, gastric cancer, colorectal cancer, breast cancer and cervical cancer. Special attention should be paid to nasopharyngeal cancer and oral cancer in men, with early prevention and early prevention of etiology Early diagnosis and treatment should be stepped up.