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[目的]评估2012年云南省肿瘤登记地区恶性肿瘤发病与死亡。[方法]收集2012年云南省3个肿瘤登记地区上报的恶性肿瘤发病与死亡资料,计算恶性肿瘤发病率、死亡率、前10位恶性肿瘤顺位、构成比、累积率;采用2000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/死亡率(中标率和世标率)。[结果]2012年云南省3个肿瘤登记地区共覆盖人口1 483 539人(其中城市429 953人,农村1 053 586人),恶性肿瘤新发病例2861例,死亡病例1775例。恶性肿瘤病理诊断比例为73.53%,只有死亡证明书比例为3.10%,死亡发病比为0.62。全部恶性肿瘤发病率为192.85/10万(男性200.71/10万,女性184.82/10万),中标率为184.60/10万,世标率为144.61/10万,累积率(0~74岁)为16.41%。城市地区发病率(211.88/10万)高于农村地区(185.05/10万)。全部恶性肿瘤死亡率为119.65/10万(男性142.39/10万,女性96.43/10万),中标率为113.65/10万,世标率为88.79/10万,累积率(0~74岁)为10.14%。城市地区死亡率(125.36/10万)高于农村地区(117.31/10万)。肺癌、结直肠癌、肝癌、宫颈癌、女性乳腺癌是云南省常见的恶性肿瘤,占全部新发病例的53.27%。肺癌、肝癌、结直肠癌、胃癌、乳腺癌是威胁云南省居民生命健康的主要恶性肿瘤,占死亡病例的61.75%。[结论 ]2012年云南省肿瘤登记地区主要恶性肿瘤为肺癌、肝癌、胃癌、结直肠癌、宫颈癌和女性乳腺癌。
[Objective] To evaluate the incidence and mortality of malignant tumors in Yunnan Cancer Registry Area in 2012. [Methods] The incidence and mortality data of malignant tumors reported in three regions of Yunnan registered in 2012 were collected to calculate the incidence and mortality of malignant tumors, the rankings of the top 10 malignant tumors, the constituent ratios and the cumulative rates of malignant tumors. The Chinese standards Population Composition and Segi’s World Population Composition Calculate the age-standardized morbidity / mortality (the winning rate and the world standard rate) for China and the world population, respectively. [Results] A total of 1 483 539 people (429,953 in urban areas and 1 053 586 rural areas) were covered by the three cancer registration areas in Yunnan Province in 2012, 2,861 new cases of malignant tumors and 1775 deaths. Pathological diagnosis of malignant tumors was 73.53%, only the death certificate was 3.10%, the incidence of death was 0.62. The incidence of all malignant tumors was 192.85 / 100000 (male 200.71 / 100000, female 184.82 / 100000), the successful rate was 184.60 / 100000, the world standard rate was 144.61 / 100000, the accumulative rate (0-74 years) was 16.41%. The prevalence rate in urban areas (211.88 / 100,000) was higher than that in rural areas (185.05 / 100,000). The overall death rate of malignant tumors was 119.65 / 100000 (male 142.39 / 100000, female 96.43 / 100000), the successful rate was 113.65 / 100000, the world standard rate was 88.79 / 100000, the cumulative rate (0-74 years) was 10.14%. Urban area mortality (125.36 / 100,000) is higher than in rural areas (117.31 / 100,000). Lung cancer, colorectal cancer, liver cancer, cervical cancer and female breast cancer are common malignant tumors in Yunnan Province, accounting for 53.27% of all new cases. Lung cancer, liver cancer, colorectal cancer, stomach cancer and breast cancer are the major malignant tumors that threaten the life and health of residents in Yunnan Province, accounting for 61.75% of the deaths. [Conclusion] The main malignant tumors in Yunnan Cancer Registry Area in 2012 were lung cancer, liver cancer, gastric cancer, colorectal cancer, cervical cancer and female breast cancer.