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2003~2007年中国食管癌发病与死亡分析

An Analysis of Incidence and Mortality of Esophageal Cancer in China,2003~2007

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【作者】 张思维张敏李光琳魏文强孟凡书刘志才郑荣寿李霓陈万青

【Author】 ZHANG Si-wei1,ZHANG Min2,LI Guang-lin3,et al.(1.National Office for Cancer Prevention and Control,National Central Cancer Registry,Beijing 100021,China;2.Hubei Cancer Hospital/Cancer Institute,Wuhan 430079,China;3.Department of Disease Control,Ministry of Health PR China,Beijing 100021,China)

【机构】 全国肿瘤防治研究办公室全国肿瘤登记中心湖北省肿瘤医院肿瘤研究所卫生部疾病预防控制局中国医学科学院肿瘤医院肿瘤研究所流行病室河北省磁县肿瘤防治所河南省林州肿瘤医院

【摘要】 [目的]分析2003~2007年中国食管癌的发病与死亡情况。[方法]利用2003~2007年中国32个肿瘤登记处的食管癌统计数据,分析不同地区、性别和年龄食管癌的发病率和死亡率水平及其变化,同时与世界184个国家和地区的发病死亡情况进行比较。[结果]2003~2007年食管癌发病率为19.24/10万(男性25.85/10万,女性12.67/10万),中标率为10.17/10万,世标率为13.71/10万,在癌症发病构成中排列第6位。城市地区食管癌发病率为11.36/10万,农村地区为46.64/10万。同期食管癌死亡率为15.39/10万(男性20.71/10万,女性9.94/10万),中标率为7.71/10万,世标率为10.58/10万,在癌症死亡原因中列第4位。城市地区食管癌死亡率为9.09/10万,农村地区为36.95/10万。食管癌年龄别发病率和死亡率随年龄增长而升高。不同地区食管癌发病率和死亡率有较大差别。2003~2007年食管癌发病率和死亡率呈现平稳下降趋势。中国食管癌男、女性发病率和死亡率均居全球第一位。[结论]中国食管癌发病率和死亡率处于相当高的水平。食管癌仍是需要我国重点防控的恶性肿瘤之一。

【Abstract】 [Purpose] To investigate the incidence and mortality of esophageal cancer in China from 2003 to 2007.[Methods] The registration data during 2003 to 2007 from 32 cities/counties were used to estimate esophageal cancer incidence and mortality and their changing trends in China by location,sex and age group.The incidence and mortality of esophageal cancer was also compared with 184 countries and regions in the world.[Results] The crude incidence rate of esophageal cancer was 19.24 per 100 000(25.85 per 100 000 in male and 12.67 per 100 000 in female) and the age-standardized rate(ASR) with Chinese population was 10.17 per 100 000 and that with world population was 13.71 per 100 000,ranked the sixth of all new cancer cases during 2003 to 2007 in China.The crude incidence rate of esophageal cancer was 11.36 per 100 000 in urban areas and 46.64 per 100 000 in rural areas.The crude mortality rate of esophageal cancer was 15.39 per 100 000(20.71 pre 100 000 in male and 9.94 pre 100 000 in female) and the age-standardized rate(ASR) by Chinese population was 7.71 per 100 000 and by world population was 10.58 per 100 000,ranked the fourth of all mortality cases.The crude mortality rate of esophageal cancer was 9.09 per 100 000 in urban areas and 36.95 per 100 000 in rural areas.The incidence and mortality rates were quite different in different regions,and those smoothly decreased during 2003 to 2007 in China.The age specific incidence and mortality rate was dramatically increased with age increase.The incidence and mortality rates of esophageal cancer in China for male and female was the highest in the world.[Conclusion] The incidence and mortality of esophageal cancer are still high in China.Esophageal cancer is still one of the malignant tumors that required our focus on prevention and control.

【关键词】 食管癌发病率死亡率流行病学
【Key words】 esophageal cancerincidencemortalityepidemiology
【基金】 财政部、卫生部公共卫生专项资金肿瘤随访登记项目资助(财社[2008]293号、财社[2009]193号、财社[2010]90号)
  • 【分类号】R735.1
  • 【被引频次】347
  • 【下载频次】3592
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