中国肿瘤登记年报:2013:2013

前言1 **章 概 述2 1 登记系统介绍2 2 中国肿瘤登记的发展3 2.1 全国肿瘤登记项目3 2.2 肿瘤登记目标3 2.3 五大洲癌症发病率 4 2.4 随访与生存率分析4 3 本年报数据5 3.1 覆盖地区5 3.2 时间范围5 3.3 覆盖人群5 3.4 登记数据质量5 3.5 本年报内容6 第二章 方法与指标7 1 建立肿瘤登记处7 2 登记资料收集方法8 3 登记资料收集内容10 4 登记的质量控制11 4.1 可比性11 4.2 完整性11 4.3 有效性12 4.4 时效性12 5 登记资料的审核流程12 6 统计分类14 6.1 癌症分类14 6.2 自然地区分类17 7 常用统计指标18 7.1 年均人口数18 7.2 性别、年龄别人口数18 7.3 发病（死亡）率18 7.4 性别、年龄别发病（死亡）率18 7.5 年龄调整率（标准化率）19 7.6 分类构成20 7.7 累积发病（死亡）率20 7.8 截缩发病（死亡）率20 第三章 数据质量评价21 1 数据来源21 2 年报数据质量分级23 3 2010年肿瘤登记资料评价24 3.1 覆盖人口、发病数和死亡数24 3.2 各登记地区数据质量评价30 3.3 2003~2010年全国肿瘤登记地区癌症发病率逐年比较36 4 年报收录登记地区的选取与数据质量评价42 4.1 年报收录登记地区的选取42 4.2 全国肿瘤登记地区数据质量评价42 第四章 2010年全国肿瘤登记地区癌症发病与死亡44 1 全国肿瘤登记地区覆盖人口44 2 全部癌症发病与死亡(ICD-10:C00-C96)47 2.1 全部癌症(ICD-10:C00-C96)发病情况47 2.2 全部癌症(ICD-10:C00-C96)年龄别发病率49 2.3 全部癌症(ICD-10:C00-C96)死亡情况52 2.4 全部癌症(ICD-10:C00-C96)年龄别死亡率55 3 全国肿瘤登记地区前10位癌症发病与死亡58 3.1 前10位癌症发病情况58 3.2 前10位癌症死亡情况60 3.3 城市肿瘤登记地区前10位癌症发病情况62 3.4 城市肿瘤登记地区前10位癌症死亡情况64 3.5 农村肿瘤登记地区前10位癌症发病情况66 3.6 农村肿瘤登记地区前10位癌症死亡情况68 3.7 东部肿瘤登记地区前10位癌症发病情况70 3.8 东部肿瘤登记地区前10位癌症死亡情况72 3.9 中部肿瘤登记地区前10位癌症发病情况74 3.10 中部肿瘤登记地区前10位癌症死亡情况76 3.11 西部肿瘤登记地区前10位癌症发病情况78 3.12 西部肿瘤登记地区前10位癌症死亡情况80 第五章 各部位癌症发病与死亡82 1 口腔和咽喉(除外鼻咽)(C00-C10；C12-C14)82 2 鼻咽(C11)87 3 食管(C15)91 4 胃(C16)96 5 结直肠肛门(C18-C21)101 6 肝脏(C22)108 7 胆囊及胆道其他(C23-C24)112 8 胰腺(C25)116 9 气管，支气管，肺(C33-C34)121 10 骨(C40-C41)126 11 女性乳腺(C50)131 12 子宫颈(C53)136 13 卵巢(C56)141 14 前列腺(C61)145 15 肾及泌尿系统部位不明(C64-C66，68)149 16 膀胱(C67)157 17 脑及中枢神经系统(C70-C72)162 18 甲状腺(C73)166 19 恶性淋巴瘤(C81-C85,88,90,96)171 20 白血病(C91-C95)176 第六章 附 录184 1 2010年全国肿瘤登记地区癌症发病和死亡184 2 2010年全国东、中、西部肿瘤登记地区癌症发病和死亡220 3 中国145个登记处2010年癌症发病和死亡238 Foreword1 Chapter 1 Summary2 1 Introduction of the cancer registration system2 2 Development of cancer registries in China3 2.1 National cancer registration program3 2.2 Objective of cancer registration in China3 2.3 Cancer incidence in 5 continents(CI5)4 2.4 Follow-up and survival analysis4 3 Data in this cancer registry annual report5 3.1 Coverage area5 3.2 Time scope5 3.3 Population coverage5 3.4 Registration data quality5 3.5 Contents of the report6 Chapter 2 Data collection method and indices7 1 Establishing cancer registry7 2 Methods of data collection8 3 Data collection 10 4 Quality control11 4.1 Comparability11 4.2 Completeness11 4.3 Validity12 4.4 Timeliness12 5 Flow diagram of data quality12 6 Classification and coding14 6.1 Cancer classification14 6.2 Area classification17 7 Statistical indicators18 7.1 Average annual population18 7.2 Sex- and age-specific population18 7.3 Incidence(mortality) rates18 7.4 Sex- and age-specific incidence(mortality) rates18 7.5 Age-standardized rate or age-adjusted rate(ASR)19 7.6 Proportions20 7.7 Cumulative rate20 7.8 Truncated incidence(mortality) rate20 Chapter 3 Evaluation of data quality21 1 Data sources21 2 Classification of data quality23 3 Evaluation of cancer registration data in 201024 3.1 Population coverage，number of new cancer cases and cancer deaths24 3.2 Evaluation of data quality in cancer registries30 3.3 Trend analysis of cancer incidence in registration areas of China from 2003 to 201036 4 Selection of cancer registries and evaluation of data quality42 4.1 Selection of cancer registries42 4.2 Evaluation of data quality in national cancer registries of 201042 Chapter 4 Incidence and mortality of cancers in registration areas of China，201044 1 Population source in selected cancer registries44 2 Incidence and mortality of all cancer sites(ICD-10:C00-C96)47 2.1 Incidence of all cancer sites(ICD-10:C00-C96)47 2.2 Age-specific incidence rate of all cancer sites(ICD-10:C00-C96)49 2.3 Mortality of all cancer sites(ICD-10:C00-C96)52 2.4 Age-specific mortality of all cancer sites(ICD-10:C00-C96)55 3 The 10 most common cancers in registration areas of China58 3.1 Incidence of the 10 most common cancers58 3.2 The top 10 leading causes of cancer death60 3.3 Incidence of the 10 most common cancers in urban registration areas62 3.4 The top 10 leading causes of cancer death in urban registration areas64 3.5 Incidence of the 10 most common cancers in rural registration areas66 3.6 The top 10 leading causes of cancer death in rural registration areas68 3.7 Incidence of the 10 most common cancers in Eastern registration areas70 3.8 The top 10 leading causes of cancer death in Eastern registration areas72 3.9 Incidence of the 10 most common cancers in Middle registration areas74 3.10 The top 10 leading causes of cancer death in Middle registration areas76 3.11 Incidence of the 10 most common cancers in Western registration areas78 3.12 The top 10 leading causes of cancer death in Western registration areas80 Chapter 5 Cancer incidences and mortalities by site82 1 Oral Cavity & Pharynx but Nasopharynx(C00-C10；C12-C14)82 2 Nasopharynx(C11)87 3 Esophagus(C15)91 4 Stomach(C16)96 5 Colon，Rectum & Anus(C18-C21)101 6 Liver(C22)108 7 Gallbladder & Extrahepatic Bile Ducts(C23-C24)112 8 Pancreas(C25)116 9 Trachea，Bronchus & Lung(C33-C34)121 10 Bone(C40-C41)126 11 Female Breast(C50)131 12 Cervix(C53)136 13 Ovary(C56)141 14 Prostate(C61)145 15 Kidney & Unspecified Urinary Organs(C64-C66，68)149 16 Bladder(C67)157 17 Brain & Central Nervous System(C70-C72) 162 18 Thyroid Gland(C73)166 19 Malignant Lymphoma(C81-C85,88,90,96)171 20 Leukemia(C91-C95)176 Chapter 6 Appendix184 1 Cancer incidence and mortality in registration areas of China，2010184 2 Cancer incidence and mortality in Eastern，Middle and Western registration areas of China，2010220 3 Cancer incidence and mortality from 145 selected cancer registries238