实用肿瘤学杂志 ›› 2024, Vol. 38 ›› Issue (5): 283-288.doi: 10.11904/j.issn.1002-3070.2024.05.001

• 癌情监测 •    下一篇

2020年云南省恶性肿瘤发病和死亡分析

陈茂森1, 陈杨2, 石青萍2, 邵英2, 唐娴2, 任思颖2, 文洪梅2   

  1. 1.昆明医科大学公共卫生学院(昆明 650500);
    2.云南省疾病预防控制中心慢性非传染性疾病防制所
  • 收稿日期:2024-07-10 修回日期:2024-10-10 出版日期:2024-10-28 发布日期:2025-01-09
  • 通讯作者: 文洪梅,E-mail:hongmeiwen2009@126.com
  • 作者简介:陈茂森,男,(1999-),硕士研究生,从事肿瘤及慢性病监测的研究。
  • 基金资助:
    中国医学科学院医学与科技创新工程重大协同创新项目(编号:2021-I2M-1-011)

Analysis of the current status of cancer incidence and mortality in Yunnan province in 2020

CHEN Maosen1, CHEN Yang2, SHI Qingping2, SHAO Ying2, TANG Xian2, REN Siying2, WEN Hongmei2   

  1. 1. School of Public Health,Kunming Medical University,Kunming 650500,China;
    2. Institute for the Prevention and Control of Chronic Non-Communicable Diseases of Yunnan Provincial Center for Disease Control and Prevention
  • Received:2024-07-10 Revised:2024-10-10 Online:2024-10-28 Published:2025-01-09

摘要: 目的 分析2020年云南省恶性肿瘤流行现状,为云南省恶性肿瘤防治工作提供理论依据。方法 收集2020年云南省129个肿瘤登记地区恶性肿瘤发病和死亡资料,经审核,最终有89个县(市、区)的数据达到质量控制标准,并纳入本次分析。其中城市地区16个,覆盖人口7 593 622人(占24.16%),农村地区73个,覆盖人口23 838 542人(占75.84%),统计分析恶性肿瘤发病例数、死亡例数、粗发病率、粗死亡率、标化发病率(简称中标发病率)、标化死亡率(简称中标死亡率)、0~74岁累积发病率、0~74岁累积死亡率、发病和死亡顺位等指标。结果 2020年云南省89个肿瘤登记地区报告恶性肿瘤新发66 719例,粗发病率为212.26/10万,中标发病率为150.33/10万;报告恶性肿瘤死亡例数为39 251例,粗死亡率为124.88/10万,中标死亡率为82.45/10万。恶性肿瘤中标发病率和中标死亡率均呈现男性高于女性,农村地区高于城市地区的特征。按粗发病率和粗死亡率排序,粗发病率最高的前5位癌症分别是肺癌、女性乳腺癌、结直肠癌、肝癌和甲状腺癌,粗死亡率最高的前5位癌症依次为肺癌、肝癌、结直肠癌、胃癌和女性乳腺癌。结论 肺癌、肝癌、结直肠癌和女性乳腺癌仍是云南省防控的重点癌症,甲状腺癌发病水平升高,恶性肿瘤发病和死亡均存在明显的城乡和性别差异,应针对云南省恶性肿瘤流行现状开展相应防癌工作。

关键词: 恶性肿瘤, 发病, 死亡, 云南

Abstract: Objective This study aimed to analyze the current epidemic situation of cancer in Yunnan province in 2020,and to provide theoretical basis for the prevention and treatment of cancer in Yunnan province. Methods The data on the incidence and mortality of cancer were collected from 129 cancer registration areas in Yunnan province in 2020.A total of 89 counties(cities,districts)that met the quality control standards were included in this analysis.Among them,there were 16 in urban areas,covering a population of 7,593,622(24.16%),and 73 in rural areas,covering a population of 23,838,542(75.84%).The number of malignant tumor cases,deaths,the crude incidence and China age-standardized incidence(China Standardized Incidence),the crude mortality and China age-standardized mortality(China Standardized Mortality),the cumulative incidence and mortality from 0 to 74 years old,as well as the order of cancer incidence and death were statistical analyzed. Results In 2020,66,719 new cases of cancer were reported from 89 tumor registration areas in Yunnan province,with a crude rate of 212.26/100,000 and the China age-standardized incidence of 150.33/100,000;The reported number of deaths from cancer was 39,251,with a crude mortality of 124.88/100,000 and the China age-standardized mortality of 82.45/100,000.The incidence and mortality of cancer were higher in men than those in female,and higher in rural than those in urban areas.According to the crude incidence rate and crude mortality,the top 5 cancers with the highest crude incidence were lung cancer,female breast cancer,colo-rectum cancer,liver cancer and thyroid cancer,and the top 5 cancers with the highest crude mortality were lung cancer,liver cancer,colo-rectum cancer,stomach cancer and female breast cancer. Conclusion Lung cancer,liver cancer,colo-rectum cancer and female breast cancer are still the key cancers for prevention and control in Yunnan province.The incidence of thyroid cancer is relatively high,and there are significant differences in the incidence and mortality of cancer between urban and rural areas and between sexes.The corresponding cancer prevention should be carried out according to the current epidemic situation of cancer in Yunnan province.

Key words: Cancer, Incidence, Mortality, Yunnan

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