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[目的]描述2012年河南省癌症的发病与死亡水平,为河南省癌症控制行动提供基础信息。[方法]按照肿瘤登记质量控制标准,对河南省19个肿瘤登记处提交的2012年数据进行系统评估。对符合质量要求的登记处数据进行汇总统计,分城乡、性别、年龄及癌症部位分别计算发病率及死亡率,以2012年河南省人口数为人群,按城乡、性别及年龄组估计癌症的发病数和死亡数,计算河南省癌症发病率与死亡率。[结果]河南省19个登记处覆盖人口16 082 688人,病理诊断比例为69.84%,仅有死亡证书比例为2.30%,死亡发病比为0.64。据估计,2012年河南省新发癌症24.85万例,发病率为266.17/10万(城市278.80/10万,农村263.33/10万);癌症死亡人数为15.86万,死亡率为169.90/10万(城市174.63/10万,农村168.83/10万)。发病前10位癌症部位依次为肺、胃、食管、肝、女性乳腺、结直肠、宫颈、脑及中枢神经系统、子宫体和卵巢;死亡前10位癌症依次为肺癌、胃癌、食管癌、肝癌、结直肠癌、乳腺癌、脑及中枢神经系统肿瘤、白血病、胰腺癌和宫颈癌。[结论]河南省癌症负担较重,肺癌、消化系统癌症及女性乳腺癌为重点防治癌种。
[Objective] To describe the incidence and mortality of cancer in Henan Province in 2012 and provide basic information for cancer control in Henan Province. [Methods] According to the quality control standard of tumor registration, the data of 2012 submitted by 19 tumor registries in Henan Province were systematically evaluated. According to statistics of the registry meeting the quality requirements, morbidity and mortality were calculated by urban and rural areas, sex, age and cancer area respectively. Based on the population of Henan Province in 2012 as a population, the incidence of cancer was estimated by urban and rural areas, sex and age groups Number and deaths, calculate the incidence of cancer in Henan Province and mortality. [Results] 19 registries in Henan province covered 16 082 688 people, the proportion of pathological diagnosis was 69.84%, only the death certificate ratio was 2.30% and the death incidence ratio was 0.64. An estimated 248,500 new cases of cancer were reported in Henan Province in 2012 with an incidence rate of 266.17 / 100,000 (278.80 / 100,000 in urban areas and 263.33 / 100,000 in rural areas); cancer deaths were 158,600 and the death rate was 169.90 / 100,000 174.63 / 100,000 in urban areas and 168.83 / 100,000 in rural areas). The top 10 cancer sites were lung, stomach, esophagus, liver, female breast, colorectal, cervix, brain and central nervous system, uterus and ovary. The top ten deaths were lung cancer, gastric cancer, esophageal cancer, liver cancer , Colorectal cancer, breast cancer, brain and central nervous system tumors, leukemia, pancreatic cancer and cervical cancer. [Conclusion] The heavy burden of cancer in Henan Province, lung cancer, digestive system cancer and female breast cancer as the key prevention and treatment of cancer.