2003—2012年上海市头颈部恶性肿瘤发病特征分析

发布时间：2018-07-05 10:31

本文选题：头颈部 + 唇、口腔和咽　；参考：《中国癌症杂志》2017年06期

【摘要】：背景与目的:全球范围内头颈部恶性肿瘤发病较为常见。该研究描述了2003—2012年上海市头颈部恶性肿瘤的主要发病特征及其变化,为探寻病因学研究线索,制定和评估相关癌症预防、研究与控制的规划和措施提供依据。方法:根据上海市恶性肿瘤患者报告登记系统收集的唇、口腔和咽的恶性肿瘤发病资料,描述2003—2012年的发病概况、性别和年龄分布;对诊断依据、病理类型及诊断时期别等诊断特征进行具体描述,并分析前后5年的变化。结果:2003—2012年,上海全市年均新诊断头颈部恶性肿瘤患者1 105例,占所有部位恶性肿瘤的2.08%,发病率为8.01/10万,标化发病率为4.45/10万,鼻咽癌患者数最多,占50.81%。男性发病率和标化发病率均大于女性。病理诊断比例达到85.77%,病理组织学类型以鳞癌为主,占57.58%。鼻咽癌标化发病率呈现下降趋势。结论:近10年上海头颈部恶性肿瘤发病率较低,男性比女性多发,病理组织学类型以鳞癌为主。鼻咽癌患者约占一半,且发病集中的年龄较年轻,诊断时期别相对较晚。
[Abstract]:Background and purpose: the incidence of head and neck malignant tumors in the world is more common. This study describes the main characteristics and changes of the head and neck malignant tumors in Shanghai from 2003 to 2012. It provides the basis for exploring the clue of the etiology research, formulating and evaluating the related cancer prevention, research and control planning and measures. Methods: according to Shanghai City malignant tumor patients report the data of malignant tumor of lip, mouth and pharynx collected by the registration system, describe the incidence of 2003 - 2012, sex and age distribution, describe the diagnostic basis, pathological type and diagnosis period, and analyze the changes of the first 5 years. Results: 2003 - 2012, Shanghai City's annual average 1105 cases of malignant tumors of the head and neck were diagnosed, accounting for 2.08% of all the malignant tumors of the region, the incidence was 8.01/10 million, the standardized incidence rate was 4.45/10 million, the number of nasopharyngeal carcinoma patients was the most, and the incidence and the standardized incidence of 50.81%. were greater than those of women. The proportion of pathological diagnosis was 85.77%, and the histopathology type was mainly squamous carcinoma, accounting for 57.58%. nose. The incidence of the standardized incidence of cancer of the pharynx cancer shows a downward trend. Conclusion: the incidence of malignant tumors in the head and neck region of Shanghai is low in the last 10 years, and the male is more prone than women. The types of histopathology are mainly squamous cell carcinoma.
【作者单位】：上海市疾病预防控制中心慢性非传染病和伤害防治所肿瘤防治科;复旦大学附属肿瘤医院;
【基金】：上海市第四轮公共卫生三年行动计划慢病重点学科项目(15GWZK0801)
【分类号】：R739.91

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