关键词: 子宫体癌, 发病率, 死亡率, 趋势分析, 甘肃

Abstract: Objective In order to determine the incidence and mortality of uterine body cancer in Gansu province in 2019,the epidemic characteristics and the change trend of incidence and death from 2010 to 2019 were analyzed. Methods The quality control qualified data in Gansu province tumor registration center were used,uterine body cancer in urban and rural,age-specific incidence (mortality),the China standardized rate by Chinese population,the World standardized rate by World population,cumulative rate,crude incidence (mortality),composition ratio and rank,average annual percentage change (AAPC) and other indicators were calculated. Results In 2019,uterine body cancer in Gansu province ranked the seventh in the incidence of female malignant tumors,with a crude incidence of 4.43/100,000,the China standardized incidence was 3.28/100,000,and the World standardized incidence was 3.19/100,000.In 2019,uterine body cancer in Gansu province ranked the sixth among the mortality of female malignant tumors,with the crude mortality of 0.56/100,000,the China standardized mortality was 0.36/100,000,and the World standardized mortality was 0.35/100,000.The peak of morbidity (mortality) was in the age range of 50 to 54 years old.From 2010 to 2019,the incidence of uterine body cancer in Gansu province showed an overall upward trend.The China standardized incidence was AAPC=4.34% (95% CI:1.60%-7.15%),with a statistically significant trend (P＜0.05);The mortality of uterine body cancer showed a fluctuating pattern of first rising,then decreasing,and increasing again,showing an overall downward trend.The China standardized mortality was AAPC=-11.35% (95% CI:-26.77%-7.32%),and the trend was not statistically significant (P＞ 0.05).The incidence (mortality) in rural areas was higher than that in urban areas. Conclusion The overall incidence of uterine body cancer in Gansu province is on the rise,and the death is on the decline.However,mortality in rural areas is on the rise.It is recommended to vigorously promote women′s health science popularization and education throughout the province,strictly implement the comprehensive measures of “early detection,early diagnosis,early treatment”,and focus on the prevention and control of women aged 50-54,especially strengthening the early diagnosis and treatment of uterine body cancer in rural areas.

Key words: Uterine body cancer, Morbidity, Mortality, Trend analysis, Gansu