Crocetti Emanuele, Buzzoni Carlotta
Registro tumori toscano, UO Epidemiologia clinica e descrittiva, Istituto per lo studio e la prevenzione oncologica, ISPO, Firenze.
Epidemiol Prev. 2009 Apr 23;33(1-2 Suppl 2):e1-3, e5-26.
This is an update of incidence and mortality cancer data provided by the Italian Network of Cancer Registry (AIRTUM) relative to the period 2003-2005.AIRTUM is a network of general and specialized population-based cancer registries that covers about 1/3 of the Italian resident population (www.registri-tumori.it). Incidence and mortality data for the period 2003-2005 are based on 20 Registries. The five most frequently diagnosed cancers were: - prostate (18.5%), non melanoma skin (15.8%), lung (13.1%), colorectal (12.0%), bladder (5.7%) among males; - breast (24.9%), non melanoma skin (15.1%), colorectal (11.9%), lung (5.0%) and stomach (4.1%) among females. In the same period the most frequent causes of cancer death were: - cancer of the lung (27.6%), colorectal (10.7%), prostate (8.5%), stomach (7.3%) and liver (6.1%) among males; - breast cancer (16.3%), colorectal (11.9%), lung (10.3%), stomach (7.2%) and pancreas (6.5%) among females. According to the age-specific incidence rates one man and one woman every two will receive a cancer diagnosis during his/hers life (from birth to the age of 84 years). From 1993-1995 to 2003-2005, overall crude cancer incidence rate (males and females together) increased from 555.4 to 654.8 x 100,000. Standardization showed that 63% of this increase was due to ageing of the population. Moreover, most of the residual increase was among those cancer sites (breast, prostate, colorectal, thyroid and melanoma) for which early detection may have played a relevant role in anticipating (and therefore increasing) the number of diagnoses. Due to population ageing also overall cancer mortality did not show any decrease when crude rates were compared. On the contrary, standardized mortality rates (all cancers together) showed a strong decrease (311.4 vs. 266.5 x 100.000). The risk of receiving a diagnosis or dying because of cancer is still lower in residents in the regions of the South of Italy than in those of Central and Northern Italy, but they are becoming more and more similar. In Italy cancer incidence and mortality rates are similar to those in northern European countries and in USA among males, but they are still lower for women.
这是意大利癌症登记网络（AIRTUM）提供的2003 - 2005年期间癌症发病率和死亡率数据的更新。AIRTUM是一个基于普通人群和特定人群的癌症登记网络，覆盖约三分之一的意大利常住人口（www.registri - tumori.it）。2003 - 2005年期间的发病率和死亡率数据基于20个登记处。男性中最常诊断出的五种癌症是： - 前列腺癌（18.5%）、非黑色素瘤皮肤癌（15.8%）、肺癌（13.1%）、结直肠癌（12.0%）、膀胱癌（5.7%）； - 女性中最常诊断出的五种癌症是：乳腺癌（24.9%）、非黑色素瘤皮肤癌（15.1%）、结直肠癌（11.9%）、肺癌（5.0%）和胃癌（4.1%）。同一时期，最常见的癌症死亡原因是： - 男性中肺癌（27.6%）、结直肠癌（10.7%）、前列腺癌（8.5%）、胃癌（7.3%）和肝癌（6.1%）； - 女性中乳腺癌（16.3%）、结直肠癌（11.9%）、肺癌（10.3%）、胃癌（7.2%）和胰腺癌（6.5%）。根据特定年龄发病率，每两名男性和女性中就有一人在其一生中（从出生到84岁）会被诊断出患有癌症。从1993 - 1995年到2003 - 2005年，总体粗癌症发病率（男性和女性合计）从555.4上升至654.8/10万。标准化显示，这种上升的63%是由于人口老龄化。此外，大部分剩余的上升发生在那些癌症部位（乳腺癌、前列腺癌、结直肠癌、甲状腺癌和黑色素瘤），早期检测可能在提前（并因此增加）诊断数量方面发挥了相关作用。由于人口老龄化，当比较粗发病率时，总体癌症死亡率也没有显示出任何下降。相反，标准化死亡率（所有癌症合计）显示出大幅下降（311.4对266.5/10万）。意大利南部地区居民因癌症接受诊断或死亡的风险仍低于中部和北部地区，但它们正变得越来越相似。在意大利，男性的癌症发病率和死亡率与北欧国家和美国相似，但女性的发病率和死亡率仍然较低。
