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[目的]评估云南省2011年恶性肿瘤发病与死亡情况。[方法]按照国家癌症中心制定的审核方法和评价标准对云南省6个肿瘤登记处上报的2011年肿瘤登记数据进行整理和评估,共3个登记处的数据符合标准作为汇总数据,按地区、性别、年龄别、肿瘤别发病率和死亡率分层,然后结合2011年全省人口数据,估计全省恶性肿瘤合计和主要肿瘤的发病、死亡情况。中国2000年全国人口普查的人口结构和Segi’s世界人口结构作为标准计算年龄标准化率。[结果]2011年纳入分析的3个登记处覆盖人口共1 477 507人,占全省2011年人口数的3.21%。病理诊断比例(MV%)为73.85%,只有死亡证明书比例(DCO%)为1.19%,死亡发病比(M/I)为0.61。据估计,2011年新发恶性肿瘤病例约71 247例,死亡病例43 041例。全省恶性肿瘤发病率为155.59/10万(男性157.48/10万,女性152.32/10万),中标率为177.53/10万,世标率为140.39/10万,累积率为16.33%。红塔区发病率为201.60/10万,中标发病率为187.80/10万;个旧市发病率为195.32/10万,中标发病率为167.98/10万;腾冲县发病率为161.80/10万,中标发病率为176.19/10万。全省恶性肿瘤死亡率为93.62/10万(男性111.22/10万,女性74.68/10万),中标死亡率为107.22/10万,世标死亡率为84.71/10万,累积死亡率(0~74岁)为10.12%;红塔区死亡率为122.98/10万,中标死亡率为112.37/10万;个旧市死亡率为114.70/10万,中标死亡率为96.21/10万;腾冲县死亡率为100.42/10万,中标死亡率为109.21/10万。肺癌、结直肠癌、肝癌、胃癌和女性宫颈癌是云南省主要恶性肿瘤,约占全部新发病例的56%。肺癌、肝癌、结直肠癌、胃癌和脑瘤是主要的肿瘤死因,约占全部肿瘤死亡病例的63%。[结论]2011年云南省肿瘤登记地区主要恶性肿瘤为肺癌、肝癌、结直肠癌、胃癌、女性宫颈癌和脑瘤。
[Objective] To evaluate the incidence and mortality of malignant tumor in Yunnan province in 2011. [Methods] According to the assessment methods and evaluation criteria developed by the National Cancer Center, the data of 2011 cancer registrations reported by the 6 cancer registries in Yunnan Province were sorted and evaluated. The data of 3 registries met the criteria as the summary data, Gender, age, disease morbidity and mortality stratification, and then combined with the 2011 provincial population data to estimate the province’s total cancer and the main tumor incidence and death. The population structure of China’s 2000 national census and the Segi’s world population structure are used as the standard to calculate the age-standardized rate. [Results] The 3 registries included in the analysis in 2011 covered 1 477 507 people, accounting for 3.21% of the province’s population in 2011. The percentage of pathological diagnosis (MV%) was 73.85%, only the proportion of death certificate (DCO%) was 1.19%, and the death incidence ratio (M / I) was 0.61. It is estimated that in 2011 about 71,247 new cases of malignant tumors, 43 041 deaths. The province’s incidence of malignant tumors was 155.59 / 100,000 (male 157.48 / 100000, female 152.32 / 100000), the successful rate was 177.53 / 100,000, the world standard rate was 140.39 / 100,000, the cumulative rate of 16.33%. Hongta District, the incidence rate was 201.60 / 100,000, the winning rate was 187.80 / 100,000; Gejiu City, the incidence was 195.32 / 100,000, the winning rate of 167.98 / 100,000; Tengchong County incidence of 161.80 / 100,000, the successful bid The rate was 176.19 / 100,000. The death rate of malignant tumor in the province was 93.62 / 100000 (male 111.22 / 100000, female 74.68 / 100000), the successful death rate was 107.22 / 100000, the death rate of the world standard was 84.71 / 100000, the cumulative mortality rate was 0 ~ 74 years old) was 10.12%. The mortality rate in Hongta District was 122.98 / 100000, the successful death rate was 112.37 / 100000; the mortality rate in Gejiu was 114.70 / 100000, the successful death rate was 96.21 / 100000; the mortality rate in Tengchong County was 100.42 / 100000, the successful death rate was 109.21 / 100000. Lung cancer, colorectal cancer, liver cancer, gastric cancer and female cervical cancer are the major malignant tumors in Yunnan Province, accounting for about 56% of all newly diagnosed cases. Lung cancer, liver cancer, colorectal cancer, stomach cancer and brain tumor are the major tumor causes of death, accounting for about 63% of all cancer deaths. [Conclusion] The main malignant tumors in Yunnan Cancer Registry in 2011 are lung cancer, liver cancer, colorectal cancer, gastric cancer, female cervical cancer and brain tumor.