摘要
目的:了解1990-2019年中国女性生殖系统肿瘤流行情况及趋势分析。方法:利用2019年全球疾病负担数据库,分析不同年龄组和不同年份女性生殖系统肿瘤的发病率和死亡率,并对1990-2019年女性生殖系统肿瘤的发病率和死亡率趋势进行分析。结果:2019年,女性生殖系统肿瘤发病顺位从高到低依次为宫颈癌(7.72/10万)、子宫体癌(4.69/10万)和卵巢癌(3.20/10万)。死亡顺位从高到低依次为宫颈癌(3.76/10万)、卵巢癌(2.05/10万)和子宫体癌(0.86/10万)。宫颈癌在15岁年龄组开始出现发病和死亡病例,子宫体癌在20岁年龄组开始出现发病和死亡病例,卵巢癌在5岁年龄组开始出现发病和死亡病例。在大部分年龄组范围内,宫颈癌的发病率和死亡率大于子宫体癌和卵巢癌,子宫体癌的发病率大于卵巢癌,但卵巢癌死亡率大于子宫体癌。1990-2019年,无论发病率和标化发病率,宫颈癌、子宫体癌和卵巢癌均有升高趋势。宫颈癌和卵巢癌死亡率呈升高趋势,子宫体癌无明显变化。调整了年龄结构后,宫颈癌和子宫体癌标化死亡率呈降低趋势,卵巢癌升高趋势相对降低。与全球平均水平比较,我国女性宫颈癌、子宫体癌和卵巢癌标化发病率和标化死亡率均较低。结论:1990-2019年我国女性宫颈癌、子宫体癌和卵巢癌标化发病率仍呈升高趋势,虽然我国女性生殖系统肿瘤疾病负担低于全球平均水平,但中国人口基数大,应继续采取积极的预防措施以减轻女性生殖系统肿瘤的疾病负担。
Objective:To understand the prevalence and trend of female reproductive system tumors in China from 1990 to 2019.Methods:The global disease burden database 2019 was used to analyze the incidence and death rate of female reproductive system tumors in different age groups and years,and the incidence and death rate trends of female reproductive system tumors from 1990 to 2019 were analyzed.Results:In 2019,the order of incidence of female reproductive system tumors was cervical cancer(7.72/100000),uterine cancer(4.69/100000)and ovarian cancer(3.20/100000).The death rate order from high to low was cervical cancer(3.76/100000),ovarian cancer(2.05/100000)and uterine cancer(0.86/100000).Cervical cancer began to occur in the 15-year-old age group,uterine cancer in the 20-year-old age group,and ovarian cancer in the 5-year-old age group.In most age groups,the incidence and death rate of cervical cancer was higher than that of uterine cancer and ovarian cancer.The incidence rate of uterine cancer was higher than that of ovarian cancer,but the death rate of ovarian cancer was higher than that of uterine cancer.From 1990 to 2019,no matter the incidence rate or the standardized incidence rate,cervical cancer,uterine cancer and ovarian cancer had an upward trend.The mortality rate of cervical cancer and ovarian cancer increased,but there was no significant change in uterine cancer.After adjusting the age structure,the standardized mortality rate of cervical cancer and uterine cancer showed a downward trend,while the rising trend of ovarian cancer was relatively lower.Compared with the global average,the standardized incidence rate and standardized death rate of cervical cancer,uterine cancer and ovarian cancer in women in China were lower.Conclusion:From 1990 to 2019,the standardized incidence rate of cervical cancer,uterine cancer and ovarian cancer in women in China still showed an upward trend.Although the disease burden of female reproductive system tumors in China was lower than the global average,the population base in Ch
作者
姜丹凤
朱孟秀
赵清娟
李江秋
孙惠昕
JIANG Danfeng;ZHU Mengxiu;ZHAO Qingjuan;LI Jiangqiu;SUN Huixin(Department of Oncology and Hematology,Harbin 242 Hospital,Heilongjiang Harbin 150060,China;The Second Department of Oncology,Mudanjiang Cancer Hospital,Heilongjiang Mudanjang 157009,China;Department of Oncology,Harbin First Hospital,Heilongjiang Harbin 150010,China;Institute of Cancer Prevention and Treatment,Harbin Medical University,Heilongjiang Harbin 150081,China)
出处
《现代肿瘤医学》
CAS
北大核心
2023年第23期4426-4431,共6页
Journal of Modern Oncology
基金
2021年度黑龙江省自然科学基金优秀青年项目(编号:YQ2021H021)。
关键词
宫颈癌
子宫体癌
卵巢癌
女性生殖系统
发病率
死亡率
cervical cancer
uterine cancer
ovarian cancer
female reproductive system
incidence
death rate
