中国肿瘤登记年报:2015:2015

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 随访与生存率分析4 3 本年报数据4 3.1 覆盖地区4 3.2 时间范围4 3.3 覆盖人群5 3.4 登记数据质量5 3.5 本年报内容5 第二章 方法与指标6 1 建立肿瘤登记处6 2 登记资料收集方法7 2.1 建立信息收集渠道7 2.2 开展病例核实工作7 2.3 开展随访工作7 3 登记资料收集内容9 3.1 新发病例资料9 3.2 死亡资料9 3.3 人口资料9 4 登记的质量控制10 4.1 可比性10 4.2 完整性10 4.3 有效性11 4.4 时效性11 5 登记资料的审核流程11 6 统计分类13 6.1 癌症分类13 6.2 自然地区分类16 7 常用统计指标17 7.1 年均人口数17 7.2 性别、年龄别人口数17 7.3 发病（死亡）率17 7.4 性别、年龄别发病（死亡）率17 7.5 年龄调整率（标准化率）18 7.6 分类构成19 7.7 累积发病（死亡）率19 7.8 截缩发病（死亡）率19 8 生存率20 8.1 观察生存率20 8.2 调整生存率/净生存率20 8.3 相对生存率21 第三章 数据质量评价22 1 数据来源22 2 年报数据质量分级25 3 2012年肿瘤登记资料评价26 3.1 覆盖人口、发病数和死亡数26 3.2 各肿瘤登记地区数据质量评价34 3.3 肿瘤登记地区2008~2012年癌症发病率逐年比较42 4 年报收录登记地区的选取与数据质量评价50 4.1 年报收录登记地区的选取50 4.2 全国肿瘤登记地区数据质量评价50 第四章 201２年全国肿瘤登记地区癌症发病与死亡52 1 全国肿瘤登记地区覆盖人口52 2 全部癌症(ICD-10:C00-C96)发病与死亡55 2.1 全部癌症(ICD-10:C00-C96)发病情况55 2.2 全部癌症(ICD-10:C00-C96)年龄别发病率57 2.3 全部癌症(ICD-10:C00-C96)死亡情况60 2.4 全部癌症(ICD-10:C00-C96)年龄别死亡率63 3 全国肿瘤登记地区前10位癌症发病与死亡66 3.1 前10位癌症发病情况66 3.2 前10位癌症死亡情况68 3.3 城市肿瘤登记地区前10位癌症发病情况70 3.4 城市肿瘤登记地区前10位癌症死亡情况72 3.5 农村肿瘤登记地区前10位癌症发病情况74 3.6 农村肿瘤登记地区前10位癌症死亡情况76 3.7 东部肿瘤登记地区前10位癌症发病情况78 3.8 东部肿瘤登记地区前10位癌症死亡情况80 3.9 中部肿瘤登记地区前10位癌症发病情况82 3.10 中部肿瘤登记地区前10位癌症死亡情况84 3.11 西部肿瘤登记地区前10位癌症发病情况86 3.12 西部肿瘤登记地区前10位癌症死亡情况88 第五章 各部位癌症的发病与死亡90 1 口腔和咽喉(除外鼻咽)(C00-C10；C12-C14)90 2 鼻咽(C11)95 3 食管(C15)99 4 胃(C16)104 5 结直肠肛门(C18-C21)109 6 肝脏(C22)116 7 胆囊及胆道其他(C23-C24)120 8 胰腺(C25)124 9 喉(C32)129 10 气管，支气管，肺(C33-C34)133 11 骨(C40-C41)138 12 女性乳腺(C50)143 13 子宫颈(C53)148 14 子宫体及部位不明(C54-C55)153 15 卵巢(C56)157 16 前列腺(C61)161 17 肾及泌尿系统部位不明(C64-C66，C68)165 18 膀胱(C67)173 19 脑及中枢神经系统(C70-C72)178 20 甲状腺(C73)182 21 恶性淋巴瘤(C81-C85,88,90,96)187 22 白血病(C91-C95)192 第六章 附录200 1 2012年全国肿瘤登记地区癌症发病和死亡主要结果200 2 2012年全国东、中、西部肿瘤登记地区癌症发病和死亡主要结果236 3 2012年全国各肿瘤登记处癌症发病与死亡254 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 Follow-up and survival analysis4 3 Data in this cancer registry annual report4 3.1 Coverage area4 3.2 Time scope4 3.3 Population coverage5 3.4 Registration data quality5 3.5 Contents of the report5 Chapter 2 Data collection method and indices6 1 Establishing cancer registry6 2 Methods of data collection7 2.1 Data collecting channels7 2.2 Cancer case certification7 2.3 Follow-up practice7 3 Content of data collection 9 3.1 Incidence9 3.2 Mortality9 3.3 Population data9 4 Quality control of registration10 4.1 Comparability10 4.2 Completeness10 4.3 Validity11 4.4 Timeliness11 5 Flow diagram of data quality11 6 Classification and coding13 6.1 Cancer classification13 6.2 Area classification16 7 Statistical indicators17 7.1 Average annual population17 7.2 Sex- and age-specific population17 7.3 Incidence(mortality) rates17 7.4 Sex- and age-specific incidence(mortality) rates17 7.5 Age-standardized rate or age-adjusted rate(ASR)18 7.6 Proportions19 7.7 Cumulative rate19 7.8 Truncated incidence(mortality) rate19 8 Survival20 8.1 Observed survival20 8.2 Corrected survival/net survival20 8.3 Relative survival21 Chapter 3 Evaluation of data quality22 1 Data sources22 2 Classification of data quality25 3 Evaluation of cancer registration data in 201226 3.1 Population coverage，number of new cancer cases and cancer deaths26 3.2 Evaluation of data quality in cancer registries34 3.3 Trend analysis of cancer incidence in cancer registries from 2008 to 201242 4 Selection of cancer registries and evaluation of data quality50 4.1 Evaluation of the data quality for qualified cancer registries in annual report50 4.2 Evaluation of data quality in national cancer registries50 Chapter 4 Incidence and mortality of cancers in registration areas of China，201２52 1 Population source in selected cancer registries52 2 Incidence and mortality of all cancer sites(ICD-10:C00-C96)55 2.1 Incidence of all cancer sites(ICD-10:C00-C96)55 2.2 Age-specific incidence rate of all cancer sites(ICD-10:C00-C96)57 2.3 Mortality of all cancer sites(ICD-10:C00-C96)60 2.4 Age-specific mortality of all cancer sites(ICD-10:C00-C96)63 3 The 10 most common cancers in registration areas of China66 3.1 Incidence of the 10 most common cancers66 3.2 The top 10 leading causes of cancer death68 3.3 Incidence of the 10 most common cancers in urban registration areas70 3.4 The top 10 leading causes of cancer death in urban registration areas72 3.5 Incidence of the 10 most common cancers in rural registration areas74 3.6 The top 10 leading causes of cancer death in rural registration areas76 3.7 Incidence of the 10 most common cancers in Eastern registration areas78 3.8 The top 10 leading causes of cancer death in Eastern registration areas80 3.9 Incidence of the 10 most common cancers in Middle registration areas82 3.10 The top 10 leading causes of cancer death in Middle registration areas84 3.11 Incidence of the 10 most common cancers in Western registration areas86 3.12 The top 10 leading causes of cancer death in Western registration areas88 Chapter 5 Cancer incidences and mortalities by site90 1 Oral Cavity & Pharynx but Nasopharynx(C00-C10；C12-C14)90 2 Nasopharynx(C11) 95 3 Esophagus(C15) 99 4 Stomach(C16) 104 5 Colon，Rectum & Anus(C18-C21)109 6 Liver(C22)116 7 Gallbladder & Extrahepatic Bile Ducts(C23-C24)120 8 Pancreas(C25)124 9 Larynx(C32)129 10 Trachea，Bronchus & Lung (C33-C34)133 11 Bone(C40-C41)138 12 Female Breast(C50)143 13 Cervix(C53)148 14 Corpus Uterus & Unspecified(C54-C55)153 15 Ovary(C56)157 16 Prostate(C61)161 17 Kidney & Unspecified Urinary Organs(C64-C66，C68)165 18 Bladder(C67)173 19 Brain & Central Nervous System(C70-C72)178 20 Thyroid Gland(C73)182 21 Malignant Lymphoma(C81-C85,88,90,96)187 22 Leukemia(C91-C95)192 Chapter 6 Appendix201 1 Cancer incidence and mortality in registration areas of China，2012201 2 Cancer incidence and mortality in Eastern，Middle and Western registration areas of China，2012237 3 Cancer incidence and mortality in cancer registries of China，2012255