and rectum,esophagus,cervix,uterus,pancreas and ovary were the most common cancers,accounting for about 75 of all cancer new cases. Lung cancer,liver

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1 2011,,,, (, ) :[ ] 2011 [ ] , 177, ( ), 2011, 2000 Segi s [ ] ( 77, 100 ), , , 56.10, , (MV) 70.14, (DCO) 2.44, (M/I) 0.63, , /10 ( /10, /10 ), /10, /10, (0~74 ) /10, /10 ; /10, / /10 ( / 10, /10 ), /10, /10, (0~74 ) /10, / /10, /10, 75, 84 [ ],,, : ; ; ; :R73-31 :A : (2015) doi: /j.issn a001 Report of Cancer and in,2011 CHEN Wan-qing,ZHENG Rong-shou,ZENG Hong-mei,et al. (National Cancer Institute,Beijing ,) : :, prof.hejie@263.net Abstract:[Purpose] To estimate the cancer incidence and mortality in in [Methods] On basis of the methods and criteria of data quality control made by NCCR,177 registries data qualified from 234 submitted registries after data clearance and assessment as pooled data. The data was stratified by area (urban/rural),gender,age group and cancer site,incidence and mortality were calculated combined with national population in Chinese population census in 2000 and Segi s population were used for age-standardized incidence/mortality rates.[results] All 177 cancer registries (77 in urban and 100 in rural) covered a total of population ( in urban areas and in rural areas),accounted for of whole national population in The morphology verified cases(mv) accounted for 70.14,and 2.44 of incident cases were identified through death certifications only(dco) with mortality to incidence ratio (MI ratio) of It was estimated that new cancer cases and cancer deaths were and in 2011,respectively. The crude incidence in was /10 5 (male /10 5,female /10 5 ), age-standardized incidence by Chinese standard population( ) and by world standard population ( world) were /10 5 and /10 5 with the cumulative incidence (0~74 age years old) of The cancer incidence and were /10 5 and /10 5 in urban areas, whereas /10 5 and /10 5 in rural areas,respectively. The crude mortality in was /10 5 (male /10 5,female /10 5 ),age-standardized mortalities by Chinese standard population ( ) and by world standard population ( world) were /10 5 and /10 5 with the cumulative mortality (0~74 age years old) of The crude cancer mortality and were /10 5 and /10 5 in urban areas, and /10 5 and /10 5 in rural areas,respectively. Cancers of lung cancer,female breast,stomach,liver,colon 1

82/10, (0~74 ) 12.69 154.37/10, 108.20/10 159.42/10, 117.97/10, 75, 84 [ ],,, : ; ; ; :R73-31 :A :1004-0242(2015)01-0001-10 doi:10.11735/j.issn.1004-0242.2015.01.a001 Report of Cancer and in,2011 CHEN Wan-qing,ZHENG Rong-shou,ZENG Hong-mei,et al.

2 and rectum,esophagus,cervix,uterus,pancreas and ovary were the most common cancers,accounting for about 75 of all cancer new cases. Lung cancer,liver cancer,gastric cancer,esophageal cancer,colorectal cancer,breast cancer,pancreatic cancer,brain tumor,cervical cancer and leukemia were the leading causes of cancer death,accounted for about 80 of all cancer deaths. [Conclusions] The coverage of cancer registration population had a greater increase than that in the last year. The data quality and representativeness are gradually improved. As the basic work of cancer prevention and control,cancer registry is playing an irreplaceable role. The disease burden of cancer is increasing,the health department has to take effective measures to contain the increased cancer burden in. Key words:cancer registry;malignant tumor;incidence;mortality; 1/4 [1] [7], (MV) (DCO) /, (M/I), 2008,, A, ( B D,A B,D ), , A 75, 32.05; B , 177 ( , 77, 100 ), 32, , , 98, , , , ( , ), ( , ) , / 0.67(Table 1) [2], 9 (Cancer 1.3 in Five Continents Volume ) [3] (IARC)/ (IACR) [4~6], MS-FoxPro MS-Excel SAS ICRC/IACR IARCcrgTools 78, 33.33; 24 B, C, 10.26,, ;D 57, 24.36, , , 56.10, , (MV) 70.14, (DCO) 2.44, / (M/I) 0.63; 72.92, 2.17, / 0.61; 65.34,, 2000~2011,

for about 80 of all cancer deaths. [Conclusions] The coverage of cancer registration population had a greater increase than that in the last year.

3 Table 1 Quality evaluation for cancer registries,2011 Sites All areas Urban Rural MV DCO M/I MV DCO M/I MV DCO M/I Oral and pharyngeal Nasopharynx Esophagus Stomach Colon-rectum Liver Gallbladder Pancreas Throat Lung Other organs in chest Bone Skin melanoma Breast Cervix Uterus Ovary Prostate Didymus Kidney Bladder Brain Thyroid gland Lymphoma Leukemia Other cancers Total , , , /10 ( /10, ( /10 ), /10, ), /10, (0~74 ) ( ) ( ) /10 ( / ( ) (0~74 ) 10, /10 ), /10, 2000 ( ), /10, (0 ~74 ) Segi s /10 ( ) ( /10, /10 ), /10, /10, (0~74 2 ) 21.08, (Table 2) 2.1, ( , ), , 2.2 0~39,40,80~, 3

34 0.48 79.70 1.85 0.51 Liver 36.92 4.39 0.91 39.25 4.15 0.91 34.04 4.69 0.91 Gallbladder 48.55 3.29 0.81 50.62 3.33 0.82 43.61 3.20 0.78 Pancreas 39.90 4.30 0.92 41.70 4.24 0.93 35.71 4.44 0.

4 Table 2 The incidence of cancer registries in,2011 Area Gender No. cases Crude incidence world Cumulative rate(0~74)() All areas Both Male Female Urban Both Male Female Rural Both Male Female ~, /10 ), /10,, 80~ /10, (0~74 ) 12.69, 35,35~ /10, (0~74 ) 11.79,70, /10 ( /10, (Table 3 Figure 1) 2.3, , ( , ), , 50.47, , /10 ( /10, /10 ( /10, /10 ), /10, /10 ), /10, /10, (0~74 ) (Table 4) ,45~, Table 3 Age-specific incidence for all cancers (ICD-10:C00~C97) in,2011 Age groups All areas Urban Rural 0~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Total

60 182.10 179.24 21.08 Male 924858 273.57 215.54 214.38 25.55 Female 641693 201.49 150.57 146.02 16.51 75~,80 116.81/10 ), 112.88/10,, 80~ 111.82/10, (0~74 ) 12.69, 35,35~69 107.14/10, (0~74 ) 11.

5 Figure 1 Urban male Urban female Rural male Rural female 1 0~ 5~ 10~ 15~ 20~ 25~ 30~ 35~ 40~ 45~ 50~ 55~ 60~ 65~ 70~ 75~ 80~ 85 + Age(years) Age-specific cancer incidence in urban and rural areas,2011 Table 4 Cancer mortality in, , 80~ 45~, 50~,,, 0~4 80~,,,, 75~, (Table 5 Figure 2) Area Gender Death cases rate world Cumulated rate (0~74)() All areas Both Male Female Urban Both Male Female Rural Both Male Female Table 5 Age-specific mortality in,2011 Age group All areas Urban Rural 0~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Total

83 112.88 111.82 12.69 Male 1345998 194.88 148.28 147.44 16.72 Female 767050 116.81 79.42 78.31 8.67 Urban Both 1066408 154.37 108.20 107.14 11.79 Male 671063 190.31 141.00 140.36 15.

6 Figure 2 Urban male Urban female Rural male Rural female 1 0~ 5~ 10~ 15~ 20~ 25~ 30~ 35~ 40~ 45~ 50~ 55~ 60~ 65~ 70~ 75~ 80~ 85 + Age(years) Age-specific cancer mortality in urban and rural areas, ; 5 (Table 10) 1, 25, 5 ; 1, (Table 11) 前 10 位恶性肿瘤发病与死亡 ,, 65,,, ; 1, 2008 ; 1, (Table 6) , 20, 52, / 1, ; 1, 12 (Table 7),, 城市地区前 10 位恶性肿瘤发病与死亡 1, 34, 1,, 234 ; 1, ,, (Talbe 8) 2011, (Table 9) 农村地区前 10 位恶性肿瘤发病与死亡,, 31, 5,,,,, 10, [8,9], , 177 1, 28,, 1, 2010, [10], 2010, ;,2011 6

; 5 (Table 10) 1, 25, 5 ; 1, (Table 11) 3 2.5 2.5.1 前 10 位恶性肿瘤发病与死亡 2011 1,, 65,,, ; 1, 2008 ; 1, (Table 6) 2011 1, 20, 52, / 1, ; 1, 12 (Table 7),,22 2.

7 Rank Table 6 The top 10 cancer incidence in, Lung Lung Breast Breast Stomach Lung Stomach Liver Colorectum Liver Oesophagus Stomach Colorectum Colorectum Liver Oesophagus Bladder Cervix Cervix Prostate Oesophagus Uterus Pancreas Thyroid Prostate Brain,CNS Uterus Ovary Lymphoma Ovary Rank Table 7 The top 10 cancer mortality in, Lung Lung Lung Liver Liver Stomach Stomach Stomach Liver Oesophagus Oesophagus Oesophagus Colorectum Colorectum Colorectum Breast Pancreas Breast Pancreas Brain,CNS Pancreas Brain,CNS Leukaemia Cervix Cervix Lymphoma Brain,CNS Leukaemia Bladder Leukaemia

71 22.47 Stomach 124070 18.89 8.54 13.21 5 Colorectum 310243 23.03 9.20 16.79 Colorectum 178404 25.83 9.30 19.70 Liver 90960 13.85 6.26 9.64 6 Oesophagus 291238 21.62 8.64 15.58 Bladder 53073 7.68 2.

8 Rank Table 8 The top 10 common cancer incidence in urban areas, Lung Lung Breast Breast Stomach Lung Colorectum Liver Colorectum Stomach Colorectum Stomach Liver Oesophagus Thyroid Cervix Prostate Cervix Oesophagus Bladder Liver Prostate Pancreas Uterus Thyroid Kidney Ovary Uterus Lymphoma Brain,CNS Rank Table 9 The top 10 common cancer mortality in urban areas, Lung Lung Lung Liver Liver Stomach Stomach Stomach Colorectum Colorectum Oesophagus Liver Oesophagus Colorectum Breast Breast Pancreas Pancreas Pancreas Leukaemia Oesophagus Prostate Lymphoma Gallbladder Leukaemia Prostate Ovary Lymphoma Brain,CNS Cervix

68 19.99 Colorectum 111594 31.65 11.23 23.53 Stomach 59075 17.47 7.28 12.04 5 Liver 164528 23.82 9.11 17.07 Oesophagus 69386 19.68 6.98 14.62 Thyroid 48883 14.45 6.02 11.61 6 Cervix 48250 14.27 2.

9 Rank Table 10 The top 10 common cancer incidence in rural areas, Lung Lung Lung Stomach Stomach Breast Oesophagus Liver Stomach Liver Oesophagus Oesophagus Breast Colorectum Liver Colorectum Brain,CNS Colorectum Cervix Bladder Cervix Uterus Leukaemia Uterus Brain,CNS Pancreas Brain,CNS Ovary Lymphoma Thyroid Rank Table 11 The top 10 common cancer mortality in rural areas, Lung Lung Lung Liver Liver Stomach Stomach Stomach Liver Oesophagus Oesophagus Oesophagus Colorectum Colorectum Breast Breast Pancreas Colorectum Pancreas Brain,CNS Cervix Brain,CNS Leukaemia Pancreas Cervix Lymphoma Brain,CNS Leukaemia Bladder Uterus

20 Oesophagus 136174 40.28 14.72 30.93 Oesophagus 62068 19.49 9.67 13.39 5 Breast 90533 28.43 5.88 22.59 Colorectum 66810 19.76 7.22 15.56 Liver 50726 15.93 7.91 11.36 6 Colorectum 115127 17.54 7.

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, 12 2,, 6486 22372 ( IARC) / ( IACR) 41528 (CIFC), 1993 1997 89489 31307,,, 1, 1996 1997 2, 1993 1997 5 ; + 4, 19931997, ( 19961997 ) ; () 19931997 1

, 12 2,, 6486 22372 ( IARC) / ( IACR) 41528 (CIFC), 1993 1997 89489 31307,,, 1, 1996 1997 2, 1993 1997 5 ; + 4, 19931997, ( 19961997 ) ; () 19931997 1 12 1993 1997 1, 2, 1, 1 3, (1., 100021 ;2., 100044 ;3., 100021) :[ ], [ ] /, 12 1993 1997 [ ], 12 108 915 759, 230 024, 161 602 88 %, 0. 578,,,,12 14/ 10 21/ 10 11/ 10 15/ 10 ; 169. 3/ 10 359. 7/ 10 48.