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[目的]探讨1993~2007年上海市闵行区恶性肿瘤发病、死亡情况,为社区恶性肿瘤的综合防治提供依据。[方法]利用上海市闵行区1993~2007年恶性肿瘤登记报告系统中的恶性肿瘤病例资料,采用Excel、SPSS软件计算发病率、死亡率等指标。[结果]1993~2007年闵行区共登记报告恶性肿瘤(包括中枢神经系统良性肿瘤)新发病例24493例,死亡病例15645例。其中,粗发病率在152.96/10万~231.13/10万之间,1995年标化发病率最低,为160.80/10万,2000年标化发病率达到最高,为217.73/10万;粗死亡率在105.49/10万~225.55/10万之间,标化死亡率1997年最高,为152.79/10万,2007年最低为105.67/10万。0~64岁累积发病率为6.98%~11.84%,累积死亡率为4.26%~6.05%。男性胃癌、结直肠癌和前列腺癌发病顺位上升,女性肺癌及甲状腺癌发病顺位上升。[结论]1993~2007年闵行区男女性恶性肿瘤发病率均呈现递增趋势,男性前列腺癌、女性甲状腺癌发病上升速度明显,男性呈显著下降趋势的恶性肿瘤有食管癌、胃癌、膀胱癌、白血病;女性则无呈明显下降趋势的恶性肿瘤。恶性肿瘤已成为闵行区居民继心脑血管疾病后的第2位主要死亡原因。
[Objective] To investigate the incidence and mortality of malignant tumors in Minhang District of Shanghai from 1993 to 2007 and provide evidence for the comprehensive prevention and treatment of malignant tumors in community. [Methods] Using the data of malignant tumor in the malignant tumor registration and reporting system from 1993 to 2007 in Minhang District, Shanghai, the incidence of morbidity and mortality were calculated by Excel and SPSS software. [Results] A total of 24 493 new cases of malignant tumors (including benign tumors of the central nervous system) were registered and registered in Minhang District from 1993 to 2007, with 15 565 deaths. Among them, the crude incidence rate was 152.96 / 100,000 to 231.13 / 100,000, the lowest standardized rate in 1995 was 160.80 / 100000, the highest standardized incidence in 2000 was 217.73 / 100,000; the crude mortality rate Between 105.49 / 100,000 and 225.55 / 100,000, the normalized mortality rate was the highest in 1997 at 152.79 / 100,000 and the lowest in 2007 was 105.67 / 100,000. The cumulative incidence of 0 ~ 64 years old was 6.98% ~ 11.84%, the cumulative mortality rate was 4.26% ~ 6.05%. The incidence of gastric cancer, colorectal cancer and prostate cancer in men increased steadily, and the incidence of lung cancer and thyroid cancer in women rose ascending order. [Conclusion] The incidence rates of male and female malignant tumors showed an increasing trend in 1993-2007. The incidence of thyroid cancer in male and female patients increased significantly. The malignant tumors in men with a significant decreasing trend were esophageal cancer, gastric cancer, bladder cancer, leukemia ; Women showed no significant downward trend of malignancy. Malignancies have become the second leading cause of death in people living in Minhang City following cardiovascular and cerebrovascular diseases.