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[目的]了解厦门市居民恶性肿瘤发病水平、确定恶性肿瘤发病的分布状态,探讨厦门市居民恶性肿瘤发病流行病学特征,为科学实施肿瘤防治措施和规划提供依据,促进肿瘤的预防与控制。[方法]对2007~2009年厦门市二级以上医院登记报告的居民恶性肿瘤发病资料进行ICD-10分类,按地区、时间、年龄、性别、恶性肿瘤类型等进行描述性分析。[结果]2007~2009年厦门市恶性肿瘤累计发病数14506例。粗发病率278.37/10万,中标率183.35/10万。男女性恶性肿瘤中标率分别为211.30/10万和150.87/10万。男女性别比1.47。各年龄组发病率不同,35岁以上发病数占总病例数的93.03%。思明区发病率占全厦门市恶性肿瘤发病数的46.79%。厦门市居民最常见的4种恶性肿瘤为肺癌、肝癌、肠癌和食管癌,约占全部病例的43.41%;其中男性恶性肿瘤主要为肺癌,女性为乳腺癌。[结论]厦门市恶性肿瘤发病率处于全国中高水平,且发病呈上升趋势,应有针对性地采取预防措施。
[Objective] To understand the incidence of malignant tumors in Xiamen residents, determine the distribution of malignant tumors, explore the epidemiological characteristics of malignant tumors in Xiamen residents, and provide basis for scientific implementation of cancer prevention measures and plans to promote the prevention and control of tumors. [Methods] The ICD-10 classification of residents with malignant tumor from 2007 to 2009 registered at the second-class hospitals in Xiamen was performed. Descriptive analysis was made by region, time, age, gender and type of malignant tumor. [Results] The cumulative incidence of malignant tumors in Xiamen from 2007 to 2009 was 14,506. The crude incidence of 278.37 / 100,000, the successful rate of 183.35 / 100,000. The winning rates of male and female malignant tumors were 211.30 / 100000 and 150.87 / 100000 respectively. Male to female ratio of 1.47. The incidence of different age groups, the number of cases over the age of 35 accounted for 93.03% of the total number of cases. The incidence of Siming District accounted for 46.79% of the total number of malignant tumors in Xiamen City. The four most common malignant tumors in Xiamen city are lung cancer, liver cancer, intestinal cancer and esophageal cancer, accounting for 43.41% of all cases. Among them, male malignant tumors are mainly lung cancer and female is breast cancer. [Conclusion] The incidence of malignant tumors in Xiamen is at the middle and high level in the country, and the incidence is on the rise. Precautionary measures should be taken accordingly.