潍坊社区2004―2008年肿瘤发病及生存调查.docVIP

潍坊社区2004―2008年肿瘤发病及生存调查 　　摘要 目的：分析潍坊社区2004-2008年肿瘤流行病学特征。方法：从上海市肿瘤病例报告系统及上海市浦东新区人口全死因数据库获取资料，分析5年肿瘤患者发病及死亡信息。结果：5年内肿瘤共发病2 079例；女性乳腺癌发病始终居首位，男性为肺癌，其次为大肠癌（结、直肠癌）、胃癌。肿瘤发病人群集中趋势5年内变化不大，40岁以上人群发病率明显增高，尤以80岁以上年龄段。5年内肿瘤患者死亡数排名前五位男性为肺癌、胃癌、肝癌、胰腺癌、结肠癌；女性为肺癌、胃癌、结肠癌、肝癌、乳腺癌。其中，肝癌女性一年内及5年内病死率均明显高于男性（P=0.004）。结论：肿瘤发病正呈现发病率增高、肿瘤发病谱改变、首次发病年轻化等状况，且多原发肿瘤病例增多。 　　关键词 肿瘤 流行病学特征 发病率 生存分析 　　Investigation of the cancer incidence and survival in 　　Weifang Community from 2004-2008 　　WANG Yong 　　（Weifang Community Health Service Centre of Pudong New District， Shanghai 200122， China） 　　ABSTRACT Objective： To analyze the cancer epidemiological characteristics of a community from 2004 to 2008. Methods： The information about the incidence and death of the cancers in the five years were collected from the Shanghai cancer case reporting system and the all-cause mortality database of Pudong New District. Results： In the five years， 2079 cases were reported. The female breast cancer was always in the first place， so was the lung cancer for the man. Colorectal cancer （colon and rectal cancers） and stomach cancer followed as the second and third. The change of the trend concentrated in the cancer incidence of the population was not great. The incidence was prominent in the population over 40 years old， and especially in the group of 80 years and above. The rank of the cancer deaths in the top five of the male in the five years was the lung cancer， gastric cancer， liver cancer， pancreatic cancer， and colon cancer， and that of the female was the lung cancer， gastric cancer， colon cancer， liver cancer， and breast cancer. The mortality of the liver cancer of the female was obviously higher than that of the male in one and five years （P=0.004）. Conclusion： The incidence of the cancer appears increasing， and their spectrum has changed. The initial onset of the cancer becomes younger， and the primary cancer cases appear more. 　　KEY WORDS tumor； epidemical feature； disease incidence； survival analys