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目的:总结上海市恶性肿瘤登记资料中病理学诊断比例(MV%)的现况,以了解肿瘤登记质量的可靠性。方法:查阅上海市肿瘤登记报告系统收集的恶性肿瘤发病资料,对2003年至2005年上海全市恶性肿瘤MV%情况在性别、地区、常见瘤别等分布进行汇总,利用年度变化百分比(APC)模型对上海市区1973年至2005年男、女恶性肿瘤和常见瘤别MV%的时间趋势进行分析,并将结果与国际癌症研究中心公布的其他国家、地区肿瘤登记资料相比较。结果:2003年至2005年,上海新诊断135352例恶性肿瘤患者,MV%为62.18%。常见肿瘤中,肺癌MV%为44.47%,胃癌为71.76%,肝癌为17.43%,结肠癌为78.16%,直肠癌为79.75%,食管癌为59.66%,女性乳腺癌为90.92%。1973年至2005年间,所有部位肿瘤的总体MV%上升了57.48%(绝对值上升了24.00%)。但与世界主要登记处资料相比,上海恶性肿瘤MV%仍处于较低水平。结论:1973年至2005年间,上海肿瘤总体MV%明显上升,很大程度上反映了肿瘤诊断水平的持续提高。而与世界主要登记处资料相比,目前本市总体及各部位肿瘤MV%仍较低,主要由于国内外瘤谱差异、临床诊治规范性较差等导致。此外,肿瘤报告系统本身因素也会造成一定影响,但程度有限。
OBJECTIVE: To summarize the status of pathological diagnosis (MV%) in Shanghai malignant tumor registration data so as to understand the reliability of the quality of tumor registration. Methods: According to the data of malignant tumor collected from Shanghai Tumor Registry and Reporting System, the distribution of MV% of malignant tumors in Shanghai from 2003 to 2005 was summarized in gender, region and common tumor distribution. The annual percentage change (APC) model The time trends of male and female malignant tumors and common tumors in Shanghai from 1973 to 2005 were analyzed and the results were compared with those of other countries and regions registered by the International Agency for Research on Cancer. Results: From 2003 to 2005, 135,352 newly diagnosed malignant tumors in Shanghai were diagnosed with MV% 62.18%. In common tumors, MV was 44.47% for lung cancer, 71.76% for gastric cancer, 17.43% for liver cancer, 78.16% for colon cancer, 79.75% for rectal cancer, 59.66% for esophageal cancer and 90.92% for female breast cancer. Between 1973 and 2005, the overall MV% of all tumors increased by 57.48% (absolute increase of 24.00%). However, compared with the information of the world’s major registries, the MV% of Shanghai malignant tumors is still at a low level. Conclusion: The overall MV% of Shanghai tumors increased significantly from 1973 to 2005, largely reflecting the continuous improvement of tumor diagnosis. Compared with the information of the world’s major registries, at present, MVs in the overall and various parts of the municipality are still low, mainly due to differences in tumor patterns at home and abroad and poor standardization of clinical diagnosis and treatment. In addition, the tumor reporting system itself can have some impact, but to a limited extent.