食管癌流行病学特征专家讲座.pptxVIP

Epidemiology

Etiology食管癌流行病学特征专家讲座第1页

EpidemiologyWorld-wildEstimatedage-standardisedincidenceandmortalityrates:bothsexesWorld第九位？食管癌流行病学特征专家讲座第2页

EpidemiologyWorld-wildEstimatedage-standardisedincidenceandmortalityrates:bothsexesWorld食管癌流行病学特征专家讲座第3页

EpidemiologyEstimatedage-standardisedincidenceandmortalityratesinChina:bothsexesChina第六位？食管癌流行病学特征专家讲座第4页

EpidemiologyEstimatedage-standardisedincidenceandmortalityratesinChina:bothsexesChina食管癌流行病学特征专家讲座第5页

EpidemiologyOesophagealcanceristhe8thmostcommoncancerworldwide,withanestimated456,000newcasesin(3.2%ofthetotal),andthe6thmostcommoncauseofdeathfromcancerwithanestimated400,000deaths(4.9%ofthetotal).Thesefiguresincludebothadenocarcinomaandsquamouscellcarcinomasub-types.Around80%ofthecasesworldwideoccurinlessdevelopedregions.食管癌流行病学特征专家讲座第6页

EpidemiologyOesophagealcancerincidenceratesworldwideinmenaremorethandoublethoseinwomen(male:femaleratio2.4:1).Inbothsexestherearemorethan20-folddifferencesinincidencebetweenthedifferentregionsoftheworld,withratesrangingfrom0.8per100,000inWesternAfricato17.0per100,000inEasternAsiainmen,and0.2per100,000inMicronesia/Polynesiato7.8per100,000inEasternAfricainwomen.食管癌流行病学特征专家讲座第7页

EpidemiologyCanceroftheoesophagushasaverypoorsurvival(overallratioofmortalitytoincidenceof0.88),andtheoesophagealcancermortalitycloselyfollowsthegeographicalpatternsforincidence,withthehighestmortalityratesoccurringinEasternAsia(14.1per100,000)andSouthernAfrica(12.8)inmenandinEastern(7.3)andSouthernAfrica(6.2)inwomen.食管癌流行病学特征专家讲座第8页

EpidemiologyEstimatedOesophagealCancerincidence/MortalityWorldwidein:Men食管癌流行病学特征专家讲座第9页

我国食管癌发病率也存在地域差异。食管癌高发省份为河北、河南、福建和重庆，其次为新疆、江苏、山西、甘肃和安徽。食管癌在太行山脉附近省份显著高发，河南林州食管癌与贲门癌发病率最高，占当地全部恶性肿瘤81.4％。Epidemiology食管癌流行病学特征专家讲座第10页

EtiologyRemainsunclear亚硝胺及真菌上皮增