论文部分内容阅读
目的:分析2011年至2015年河北省肿瘤登记地区女性乳腺癌的发病和死亡情况.方法:收集河北省33个肿瘤登记处女性乳腺癌数据,其中27个登记处的数据符合标准.按城乡和年龄计算发病率和死亡率.采用2000年中国标准人口和 Segi 世界标准人口构成分别计算标化率.结果:河北省肿瘤登记地区2011 ~2015 年共有9 836位女性患有乳腺癌,有2 268人死于乳腺癌.女性乳腺癌粗发病率为39. 25／10万,发病数占女性所有新发癌症病例的18. 18% ,中标发病率为31. 06／10万,世标发病率为29. 29／10万,城市女性乳腺癌发病率为51. 59／10万,高于农村地区的31. 95／10万.女性乳腺癌粗死亡率为9. 05／10万,死亡例数占女性所有癌症死亡病例的7. 80% ,中标死亡率为6. 86／10万,世标死亡率为6. 66／10万,城市女性乳腺癌死亡率为12. 94／10万,高于农村地区的6. 75／10万.女性乳腺癌发病率和死亡率均随年龄增长而增加,其中发病率在60~64岁组达到顶峰,为103. 61／10万;死亡率在85+岁组达到顶峰,为67. 96／10万.年轻女性乳腺癌发病人数占全部女性乳腺癌发病的22. 35% ,死亡人数占全部女性乳腺癌死亡的12. 79% .结论:我省女性乳腺癌发病率呈上升趋势,发病率和死亡率均高于国家平均水平.年轻女性乳腺癌患者占比较大,应加强健康教育,注重乳腺癌筛查及早诊早治工作.“,”Objective:To analyze the incidence and mortality of female breast cancer in the registry areas in Hebei Prov-ince from 2011 to 2015. Methods:Data were obtained from 33 cancer registries in Hebei Province, and those from 27 regis- tries met the standard. Incidence and mortality were calculated by place of residence and age. Chinese standard population in 2000 and the Segi (world) population were used to calculate the age-standardized rates. Results:From 2011 to 2015, cancer registries in Hebei Province reported 9,836 new cases of female breast cancer and 2,268 female breast cancer deaths. Breast cancer accounted for 18. 18% of all female cancer cases, but 7. 80% of cancer deaths. The crude incidence of female breast cancer was 39. 25／105 . The age-standardized incidence rates by China standard population was 31. 06／105 . The age-standardized incidence rates by world standard population was 29. 29／105 . The incidence of breast cancer among women living in urban areas was 51. 59／105 which was higher than that in rural areas (31. 95／105). The crude death rate of breast cancer was 9. 05／105 . The age-standardized mortality rates by China standard population was 6. 86／105 . The age-standardized mortality rates by world standard population was 6. 66／105 . The mortality rate of female breast cancer in urban areas was 12. 94／105 which was higher than that in rural areas (6. 75／105). The incidence and mortality of female breast cancer increased with the increase of age. Breast cancer incidence peaked (103. 61／105 ) at 60-64 years, and the mortality (67. 96／105) peaked at 85 years and over. About 22. 35% of female breast cancer cases and 12. 79% of female breast canc-er deaths were found in younger women. Conclusion:The incidence of female breast cancer in Heibei Province is on the rise, and the incidence and mortality are higher than the national average. Breast cancer is more common in young women. Breast cancer education and early diagnosis and treatment of breast cancer should be strengthened.