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目的分析2012年江苏省昆山市恶性肿瘤登记质量和发病情况。方法基于2012年恶性肿瘤登记,计算分性别、年龄及主要部位恶性肿瘤发病率。质量评价指标为病理学诊断比例(MV%)、死亡发病比(M/I)和仅有死亡医学证明书的比例(DCO%)。按照全国2000年普查人口结构和Segi’s世界人口结构为标准计算年龄标化发病率(ASR)。结果病理学诊断比例(MV%)为69.98%,死亡发病比(M/I)为0.55,DCO%为3.06%。江苏省昆山市2012年肿瘤粗发病率为338.07/10万,中标率为201.14/10万,世标率为195.75/10万;男性粗发病率372.76/10万,中标率为211.69/10万,世标率220.41/10万;女性粗发病率为303.57/10万,中标率189.33/10万,世标率为176.39/10万。男性前10位恶性肿瘤为肺癌、胃癌、肝癌、结肠直肠癌、食管癌、胰腺癌、前列腺癌、肾癌、淋巴瘤和膀胱癌,占男性恶性肿瘤的82.69%。女性前10位恶性肿瘤部位为乳腺癌、肺癌、胃癌、结肠直肠癌、甲状腺癌、肝脏癌、子宫颈癌、胰腺癌、食管癌和胆囊癌,占女性恶性肿瘤的80.40%。结论江苏省昆山市恶性肿瘤登记数据质量在不断提高;肺癌和甲状腺癌发病率较高,是当前肿瘤防控面临的新问题。
Objective To analyze the quality and incidence of malignant tumor registration in Kunshan City, Jiangsu Province in 2012. Methods Based on 2012 malignant tumor registration, the incidence of malignant tumors by sex, age and major sites was calculated. Quality assessment indicators for the proportion of pathological diagnosis (MV%), death incidence ratio (M / I) and only death certificate (DCO%). The age-standardized incidence (ASR) was calculated according to the national 2000 census population structure and Segi’s world population structure. Results The pathological diagnosis rate was 69.98%, the morbidity to death ratio (M / I) was 0.55, and the DCO% was 3.06%. The incidence rate of crude tumors was 338.07 / 100,000 in Kunshan City, Jiangsu Province in 2012, with a winning rate of 201.14 / 100,000 and a world standard rate of 195.75 / 100,000. The crude incidence of males was 372.76 / 100,000 and the successful rate was 211.69 / World standard rate of 220.41 / 10 million; crude incidence of female 303.57 / 100,000, the winning rate of 189.33 / 100,000, the world standard rate of 176.39 / 100,000. The top 10 malignant tumors in men were lung cancer, gastric cancer, liver cancer, colorectal cancer, esophageal cancer, pancreatic cancer, prostate cancer, kidney cancer, lymphoma and bladder cancer, accounting for 82.69% of male malignancies. The top 10 malignant tumors in women are breast cancer, lung cancer, gastric cancer, colorectal cancer, thyroid cancer, liver cancer, cervical cancer, pancreatic cancer, esophageal cancer and gallbladder cancer, accounting for 80.40% of all the female malignant tumors. Conclusion The quality of malignant tumor registration data in Kunshan City of Jiangsu Province is continuously improving. The higher incidence of lung cancer and thyroid cancer is a new problem in cancer prevention and control.