Objective: To estimate the incidence and mortality of nasopharyngeal carcinoma in China based on cancer registration data in 2014, collected by the National Central Cancer Registry (NCCR). Methods: 449 cancer registries submitted nasopharyngeal carcinoma incidence and deaths occurred in 2014 to NCCR. After evaluating the data quality, 339 registries' data were accepted for analysis and stratified by area (urban/rural) and age group. Combined with data on national population in 2014, the nationwide incidence and mortality of nasopharyngeal carcinoma were estimated. Chinese population census in 2000 and Segi's population were used for age-standardized incidence and mortality rates. Results: The estimates of new nasopharyngeal carcinoma incident cases and deaths were 44.6 thousands and 24.2 thousands, respectively. The crude incidence rate was 3.26/100 000 (Male 4.51/100 000, Female 1.94/100 000). Age-standardized incidence rates by Chinese standard population (ASIRC, 2000) and by world standard population (ASIRW) were 2.48/100 000 and 2.33/100 000, respectively. Male to female ratio was 2.32∶1. The ASIRC in urban and rural areas were all 2.48/100 000. The crude mortality rate of nasopharyngeal carcinoma was 1.77/100 000 (Male 2.55/100 000, Female 0.95/100 000). Age-standardized mortality rates by Chinese standard population (ASMRC, 2000) and by world standard population(ASMRW) were 1.23/100 000 and 1.20/100 000, respectively. The ASMRC in urban and rural areas were all 1.23/100 000. The cumulative incidence and mortality rates(0-74 years old)were 0.25% and 0.14%, respectively. Conclusions: Incidence and mortality of nasopharyngeal carcinoma in China in 2014 were at high levels in the world. Corresponding prevention and control measures should be established according to the epidemic characteristics and risk factors of nasopharyngeal carcinoma.
目的: 分析全国肿瘤登记中心收集的肿瘤登记数据,估计2014年中国鼻咽癌的发病和死亡情况。 方法: 对2017年全国肿瘤登记中心449个登记处上报的2014年肿瘤登记数据进行评估,其中339个肿瘤登记处的数据符合入选标准,按城乡和年龄分层,结合2014年中国人口数据,估计中国鼻咽癌的发病和死亡情况。中国人口标化率(中标率)采用2000年全国人口普查的标准人口年龄构成,世界人口标化率(世标率)采用Segi′s标准人口年龄构成。 结果: 2014年中国鼻咽癌新发病例估计为4.46万例,死亡病例2.42万例。中国鼻咽癌发病率为3.26/10万(其中男性为4.51/10万,女性为1.94/10万),中标发病率为2.48/10万,世标发病率为2.33/10万,男女发病率之比为2.32∶1。全国城市和农村地区的鼻咽癌中标发病率均为2.48/10万。中国鼻咽癌死亡率为1.77/10万(其中男性2.55/10万,女性0.95/10万),中标死亡率为1.23/10万,世标死亡率为1.20/10万。全国城市和农村地区的鼻咽癌中标死亡率均为1.23/10万。中国鼻咽癌0~74岁累积发病率和死亡率分别为0.25%和0.14%。 结论: 中国鼻咽发病和死亡仍处于世界较高水平,应针对中国鼻咽癌流行特点和危险因素制定相应的防控措施。.
Keywords: China; Incidence; Mortality; Nasopharyngeal neoplasms; Neoplasms registration.