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目的 :调查广州市各级肿瘤医院网络报告肿瘤病例的病理组织学诊断的现状和登记情况,分析广州市肿瘤登记资料病理组织学诊断率(morphological verification percentage,MV%)较低的原因。方法:分析广州市131家肿瘤报告单位2008年至2013年网络报告的所有恶性肿瘤病例,调查其病理组织学诊断率和肿瘤登记报告情况,并与全国登记资料及发达国家登记资料进行比较。结果:广州市131家肿瘤报告医院2008年至2013年共报告恶性肿瘤154 623例,MV%为64.41%。所有部位肿瘤的总体MV%上升了15.29%(绝对值上升了8.88%),其中三级医院报告病例的MV%为69.87%,二级医院报告病例的MV%为49.50%,一级医院报告病例的MV%为20.50%。尽管广州市各级别医院、各瘤别的MV%呈现逐年上升的趋势,但与全国及世界主要登记处资料相比,广州市的恶性肿瘤MV%仍处于较低水平。结论:2008年至2013年,广州市各级医院恶性肿瘤网络报告MV%逐年上升,很大程度上反映了肿瘤诊断水平的持续提高,但MV%低于发达国家的主要原因是部分医院的肿瘤诊断水平不高所致,三级医院MV%与发达国家差距较小,而一、二级医院差距较大。广州市恶性肿瘤网络报告工作刚起步,加强和完善肿瘤登记工作管理能提高MV%。
OBJECTIVE: To investigate the status and registration of histological diagnosis of cancer cases in cancer hospitals at all levels in Guangzhou and to analyze the reasons for the lower prevalence of morphological verification percentage (MV%) in Guangzhou cancer registration data. Methods: All malignant tumor cases reported by 131 cancer reporting units in Guangzhou from 2008 to 2013 were analyzed. The histopathological diagnosis rate and tumor registration report were investigated and compared with the national registration data and developed country registration data. Results: A total of 154 623 malignant tumors were reported from 131 cancer reporting hospitals in Guangzhou from 2008 to 2013, with MV% of 64.41%. The overall MV% of all the tumors increased by 15.29% (absolute value increased by 8.88%), among which, the MV% of the third grade hospitals reported cases was 69.87%, the second grade hospitals reported 49.5% of the cases, and the first grade hospitals reported the cases The MV% is 20.50%. Despite the rising MVs in all hospitals and gynecological clinics in Guangzhou, the MV% of malignant tumors in Guangzhou is still at a relatively low level compared with the data from national and international key registries. Conclusion: From 2008 to 2013, the MV% of hospital reports of malignant neoplasms in Guangzhou hospitals increased year by year, largely reflecting the continuous improvement of tumor diagnosis, but the main reason for the lower MV% in developed countries was that in some hospitals, The diagnosis level is not high due to the difference between MV% of tertiary hospitals and developed countries, while the gap between primary and secondary hospitals is relatively large. Guangzhou Cancer Network Report just started, strengthen and improve the management of cancer registration can improve MV%.