目的　分析 1991～ 1998年重庆市城市老年人的癌谱。　方法　采用整群抽样的方法 ,计算其死亡率、死因别死亡率及死因顺位等指标。　结果　老年人首位死因为恶性肿瘤 ,死亡率为811 95 / 10万人口 ,占全死因的 2 1 2 5 %。死亡率居前 5位的癌症为 :肺癌 (2 82 45 / 10万人口 )、食管癌(119 47/ 10万人口 )、肝癌 (10 8 41/ 10万人口 )、胃癌 (73 75 / 10万人口 )和肠癌 (5 5 31/ 10万人口 )。在老年男、女之间或社区之间 ,癌谱尚有较大差异。　结论　加强环境保护 ,提倡健康的生活方式 ,对降低城市老年人恶性肿瘤死亡率有十分重要的意义 Objective To analyze the cancer profile of urban elderly in Chongqing from 1991 to 1998. Methods The cluster sampling method was used to calculate the mortality, death-related mortality, and the cause of death. Results The elderly died because of malignant tumors, the mortality rate was 81 1 1 95 / 10 000 people, accounting for 2 1 2 5 % of the total cause of death. The top five cancers in terms of mortality were: lung cancer (2,850,000/100,000), esophageal cancer (119, 47/100,000), liver cancer (108,411/100,000), stomach cancer (73,75/100,000) Population) and Intestine Cancer (5 5 31/100,000 Population). There is still a big difference in the cancer profile among older men and women or between communities. Conclusion Strengthening environmental protection and advocating a healthy lifestyle are very important for reducing the mortality of elderly patients with malignant tumors.