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摘要:
目的 通过对中国人群肿瘤登记数据中胃癌资料进行分析，了解全国胃癌流行现状。 方法 根据全国肿瘤登记中心的数据，评估全国胃癌流行情况及胃癌长期变化趋势。 结果 2012 年中国胃癌新发病例约 42.4 万例，死亡病例约 29.8 万例。2000 年至 2012 年我国城市地区男性与女性胃癌发病率、死亡率保持平稳，农村地区男性呈上升趋势，农村地区女性变化不大，调整年龄后发病率和死亡率均呈下降趋势。2003 年至 2005 年胃癌 5 年相对生存率为 27.4%(95%CI：26.7%～28.1%) 。 结论 胃癌是中国常见的恶性肿瘤，疾病负担严重，农村地区尤为明显，是国家癌症防治的重点。 Abstract:Objective Population-based cancer registration data were used to analyze stomach cancer epidemiology in China. Methods Stomach cancer data were retrieved from the National Central Cancer Registry Database, and incident and death cases were esti-mated. The trend of stomach cancer was analyzed. Results Approximately 424,000 new cancer cases and 298,000 cancer deaths oc-curred in China in 2012. The incidence and mortality rates of stomach cancer in urban males and females remained stable in 2000-2012, whereas the rates in rural males increased and less changes were observed in rural females. After age standardization, both inci-dence and mortality rates significantly decreased. The five-year age-standardized relative survival rate was 27.4% (95% CI: 26.7%-18.1%) in 2003-2005. Conclusion Stomach cancer is a common cancer, which has heavy burden in China, particularly in rural areas. Ef-forts should be exerted for the prevention and control of the disease. -
Key words:
- stomach neoplasms /
- incidence /
- mortality /
- trend /
- China
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图 1 2012年中国城市和农村胃癌年龄别发病率
Figure 1. Age-specific incidence of stomach cancer in urban and rural areas in China (2012)
图 2 2000年至2012年中国22个肿瘤登记地区胃癌发病率变化趋势
Figure 2. Time trend of incidence rate for stomach cancer in 22 Chinese cancer registry areas
图 3 2000年至2012年中国22个肿瘤登记地区胃癌世标发病率变化趋势
Figure 3. Time trend of age-standardized incidence rate for stomach cancer in 22 Chinese cancer registry areas (2000-2012)
图 4 2012年中国城市和农村胃癌年龄别死亡率
Figure 4. Age-specific mortality of stomach cancer in urban and rural areas in China (2012)
图 5 2000年至2012年中国22个肿瘤登记地区胃癌死亡率变化趋势
Figure 5. Time trend of mortality rate for stomach cancer in 22 Chinese cancer registry areas (2000-2012)
图 6 2000年至2012年中国22个肿瘤登记地区胃癌世标死亡率变化趋势
Figure 6. Time trend of age-standardized mortality rate for stomach cancer in 22 Chinese cancer registry areas（2000-2012）
表 1 2012 年全国胃癌发病情况
Table 1. Stomach cancer incidence in China in 2012
表 2 2012 年全国胃癌年龄别发病率（1/10万）
Table 2. Age-specific incidence rate of stomach cancer in China in 2012 (1/100 000)
表 3 2012 年全国胃癌死亡情况
Table 3. Stomach cancer mortality in China in 2012
表 4 2012 年全国胃癌年龄别死亡率（1/10万）
Table 4. Age-specific mortality of stomach cancer in China in 2012 (1/100 000)
表 5 2003 年至2005 年中国17 个肿瘤登记地区胃癌生存率
Table 5. Survival rate of stomach cancer in 17 registries of China, 2003-2005
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