Lei Tao, Mao Wei-min, Yang Hong-jian, Chen Xiao-zhong, Lei Tong-hai, Wang Xiang-hui, Ying Qian, Chen Wan-qing, Zhang Si-wei
Zhejiang Province Cancer Hospital, Hangzhou 310022, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2009 Nov;30(11):1165-70.
Aim of this paper was to explore the trend and characteristics of cancer incidence in 11 areas (5 cities and 6 counties) in China.
Data from cancer registries during 1988 to 2002 collected from the 11 cancer registry points were used to analyze the trends and characteristics of cancer incidence rates.
There were 695 050 newly developed cancer cases in this study. The crude rate of incidence and the world age-adjusted incidence were 215.50/10(5) and 170.97/10(5) respectively. The leading cancer sites were lung, stomach, liver, esophagus, breast, colon, rectum, pancreas, bladder and leukemia. The sixteen key cancers accounted for 85.56% of all the cancer cases. The crude incidence rate of all cancers had been significantly increased from 1988 to 2002. Among them, prostate (185.48%) ranked the fastest growing one followed by cancers of the gallbladder, breast, colon, ovarian, lymphoma, bladder, pancreas, rectum, lung, leukemia and liver. The one that had reduced the most was cervix uteri (17.00%), followed by esophagus, stomach and nasopharynx.
Crude cancer incidence rate increased in the 11 areas in China from 1988 to 2002. The ranking of pancreas cancer, bladder cancer and leukemia came into the top ten. Even though the incidence rates of prostate and gallbladder cancer were relative low but had a fast increase. The results of this study provided a scientific base for the development of a better strategy on cancer prevention and control in China.
本文旨在探讨中国11个地区(5个城市和6个县)癌症发病率的趋势和特征。
利用从11个癌症登记点收集的1988年至2002年癌症登记数据,分析癌症发病率的趋势和特征。
本研究共纳入695050例新发病例。粗发病率和世界年龄标准化发病率分别为215.50/10万和170.97/10万。主要癌症部位为肺癌、胃癌、肝癌、食管癌、乳腺癌、结肠癌、直肠癌、胰腺癌、膀胱癌和白血病。这16种主要癌症占所有癌症病例的85.56%。1988年至2002年期间,所有癌症的粗发病率显著上升。其中,前列腺癌(185.48%)增长最快,其次是胆囊癌、乳腺癌、结肠癌、卵巢癌、淋巴瘤、膀胱癌、胰腺癌、直肠癌、肺癌、白血病和肝癌。下降最多的是子宫颈癌(17.00%),其次是食管癌、胃癌和鼻咽癌。
1988年至2002年期间,中国11个地区的癌症粗发病率上升。胰腺癌、膀胱癌和白血病的排名进入前十位。尽管前列腺癌和胆囊癌的发病率相对较低,但增长迅速。本研究结果为中国制定更好的癌症防治策略提供了科学依据。