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目的:分析广州市2004-2009年恶性肿瘤发病流行特征分布,为制定广州市癌症防治措施及效果评价提供科学依据。方法:通过主动收集和被动收集相结合的方式,获得广州市户籍居民恶性肿瘤发病数据。具体资料来源于广州市162家具有肿瘤诊治能力医院2004-2009年入院的所有肿瘤患者资料,死亡补发病例来源于死因监测系统。ICD-10编码范围为C00-C97。结果:广州市2004-2009年所有新发恶性肿瘤病例为123 863例,粗发病率为272.4/10万,其中男性和女性分别为296.2/10万和247.4/10万。从35岁开始,随着年龄增加恶性肿瘤发病率快速上升。儿童期白血病发病率较高。前5位恶性肿瘤依次是肺癌、结直肠肛门癌、肝癌、乳腺癌和鼻咽癌。除甲状腺癌女性多于男性外(女/男=3.8),其他均是男性多于女性,而差别较大的有食管癌(男/女=4.8)、肝癌(男/女=4.7)、膀胱癌(男/女=3.9)、肺癌(男/女=2.2)和鼻咽癌(男/女=2.1)。6年间,女性甲状腺癌上升了41.4%,鼻咽癌下降了39.6%。结论:广州市恶性肿瘤发病率处于国内较高水平,不同人群发病特点不同,因此需要针对不同人群制定相应政策,进一步加强健康教育,倡导健康生活方式,从而降低恶性肿瘤发病风险,促进居民健康。
Objective: To analyze the epidemiological distribution of malignant tumor in Guangzhou from 2004 to 2009, and provide a scientific basis for the development of Guangzhou’s prevention and treatment of cancer and its effect evaluation. Methods: Through the combination of active collection and passive collection, the data of malignant tumor incidence of permanent residents in Guangzhou were obtained. Specific information from 162 cities in Guangzhou with diagnosis and treatment of cancer hospitals in 2004-2009 admitted to all patients with cancer information, death replacement cases from the cause of death monitoring system. ICD-10 encoding range is C00-C97. Results: All the new cases of malignant neoplasms in Guangzhou from 2004 to 2009 were 123 863 cases with a crude incidence of 272.4 / 100 000, of which 296.2 / 100 000 and 247.4 / 100 000 were males and females respectively. From the age of 35, the incidence of malignant tumors increases rapidly with age. High incidence of childhood leukemia. The top five malignancies were lung cancer, colorectal anorectal cancer, liver cancer, breast cancer and nasopharyngeal cancer in turn. Except for thyroid cancer, there were more females than males (female / male = 3.8). The others were more males than females, while the more common ones were esophageal cancer (M / F = 4.8) Cancer (male / female = 3.9), lung cancer (male / female = 2.2) and nasopharyngeal cancer (male / female = 2.1). In six years, female thyroid cancer increased by 41.4%, nasopharyngeal cancer decreased by 39.6%. Conclusion: The incidence of malignant tumors in Guangzhou is at a high level in China. The incidence of malignant tumors in Guangzhou is different. Therefore, corresponding policies should be formulated for different groups to further strengthen health education and advocate healthy lifestyles so as to reduce the risk of malignant tumors and promote the health of residents.