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[目的]分析2010年浙江省肿瘤登记地区恶性肿瘤发病与死亡情况。[方法]收集2010年浙江省7个肿瘤登记处上报的恶性肿瘤发病与死亡资料,计算恶性肿瘤发病与死亡粗率、标化率等指标。采用1982年中国标准人口构成和Segi’s世界人口构成分别计算中国和世界人口年龄标化发病率和死亡率。[结果]2010年浙江省肿瘤登记地区共报告恶性肿瘤新发病例35 226例,恶性肿瘤粗发病率为332.03/10万,中标率为161.35/10万,男性发病率高于女性,城市地区发病率高于农村地区。癌症发病在40岁以后快速上升,80~岁年龄组达到发病高峰。发病前10位癌症依次为肺癌、胃癌、结直肠癌、肝癌、乳腺癌、甲状腺癌、食管癌、胰腺癌、淋巴瘤和脑肿瘤,占全部癌症发病病例的75.39%。2010年浙江省肿瘤登记地区共报告恶性肿瘤死亡病例19 399例,恶性肿瘤粗死亡率为182.85/10万,中标率为78.78/10万,男性死亡率高于女性,城市地区死亡率低于农村地区。癌症死亡在45岁以后快速上升,80~岁年龄组达到死亡高峰。死亡前10位癌症依次为肺癌、肝癌、胃癌、结直肠癌、食管癌、胰腺癌、淋巴瘤、脑肿瘤、白血病和乳腺癌,占全部癌症死亡病例的87.63%。[结论]肺癌、女性乳腺癌和消化系统恶性肿瘤是浙江省肿瘤防治的主要癌种。
[Objective] To analyze the incidence and mortality of malignant tumor in Zhejiang Cancer Registration Area in 2010. [Method] The data of incidence and death of malignant tumor reported by 7 tumor registries in Zhejiang Province in 2010 were collected, and the incidence of malignant tumor, crude fatality rate and standardization rate were calculated. The 1982 age-standardized population composition and Segi's world population composition were used to calculate the age-standardized morbidity and mortality of China and the world population, respectively. [Results] A total of 35 226 new cases of malignant tumor were reported in Zhejiang province's tumor registration area in 2010, with a gross incidence rate of 332.03 / lakh for malignant tumors and a winning rate of 161.35 / lakh. The incidence of male was higher than that of female, Rate is higher than in rural areas. The incidence of cancer increased rapidly after the age of 40, 80 ~ age group reached peak incidence. The top 10 cancers were lung cancer, gastric cancer, colorectal cancer, liver cancer, breast cancer, thyroid cancer, esophageal cancer, pancreatic cancer, lymphomas and brain tumors, accounting for 75.39% of all cancer cases. In 2010, a total of 19 399 cases of cancer deaths were reported in the Zhejiang province's cancer registration areas. The crude death rate of malignant tumors was 182.85 / 100 000, with a winning rate of 78.78 / 100 000. The death rate of males was higher than that of females, and the death rate of urban areas was lower than that of rural areas area. Cancer deaths increased rapidly after age 45 and peaked at age 80 to age. The top 10 deaths were lung cancer, liver cancer, gastric cancer, colorectal cancer, esophageal cancer, pancreatic cancer, lymphoma, brain tumor, leukemia and breast cancer, accounting for 87.63% of all cancer deaths. [Conclusion] Lung cancer, female breast cancer and digestive system malignant tumor are the main types of cancer prevention and treatment in Zhejiang Province.