最新中国和全球肿瘤发病率和死亡率解析.pptx

1、最新肿瘤发病率和死亡率解析中国&全球-2012中国肿瘤登记年报-Global Cancer Statistics 2011by IARCTang Jian 2013/3/12 MoticA.中国肿瘤发病率和死亡率总体情况B.中国肿瘤发病率和死亡率（按性别）C.中国肿瘤发病率和死亡率（按地域）D.中国肿瘤发病率和死亡率（按年龄）E.中国排名前十肿瘤病种的发病率和死亡率F.全球肿瘤发病率和死亡率具体情况目录 CONTENTSMotic中国肿瘤发病率和死亡率总体情况总体肿瘤发病率和死亡率较高：肿瘤发病率：每10万人中有286人患癌；一生中有22%的概率患癌症。肿瘤死亡率：每10万人有181人患癌死亡

2、；一生中有13%的概率患癌死亡；每分钟就有6人被确诊为癌症，平均每5位癌症患者有3人死亡。Motic中国肿瘤发病率和死亡率（按性别）相比女性，男性癌症发病率和死亡率都高：肿瘤发病率：男女之比1.3:1；肿瘤死亡率：男女之比1.65:1。一生中，男性患癌症概率为26%，女性19%一生中，男性因患癌死亡概率为17%，女性为9%患癌人群中，因患癌而死亡的概率，男性(71%)比女性(54%)高Motic中国肿瘤发病率和死亡率（按地域）城市人口与农村人口相比，癌症发病率要略高，但一生中因患癌症死亡率要低：肿瘤发病率：城市与农村之比1.2:1；肿瘤死亡率：城市与农村之比1.02:1。一生中，城市患癌症概率

3、为22.23%，农村21.76%。一生中，城市患癌死亡概率为12%，农村为15%。患癌人群中，因患癌而死亡的概率，城市人口(60%)比农村人口(71%)低Motic中国肿瘤发病率和死亡率（按年龄）肿瘤发病率随人群年龄逐渐上升，特别是50岁以上随年龄增加而大幅上升 50岁以上占全部发病的80%以上；80-85岁最高。Motic中国肿瘤发病率和死亡率（按年龄）肿瘤死亡率随人群年龄逐渐上升，特别是60岁以上随年龄增加而大幅上升 60岁以上约占全部死亡的63%以上；85岁以上达到最高。Motic中国排名前十肿瘤病种的发病率和死亡率（总体情况）发病率与死亡率最高的均是肺癌，排名前十病种的发病率占比76.

4、39%。排名前十病种的死亡率占比84.27%.Motic中国排名前十肿瘤病种的发病率（按性别）男性发病率最高的是肺癌，其次为胃癌、肝癌。排名前十病种的发病率占比84.14%。女性发病率最高的是乳腺癌，其次为肺癌、结直肠癌。排名前十病种的发病率占比77.57%。Motic中国排名前十肿瘤病种的死亡率（按性别）男性死亡率最高的是肺癌，其次为肝癌、胃癌。排名前十病种的死亡率占比88.33%。女性死亡率最高的是肺癌，其次为胃癌、肝癌。排名前十病种的死亡率占比81.12%。Motic全球肿瘤发病率和死亡率具体情况MoticWorldwide1.1 :11.26 :1Total:12,700,000Tot

5、al:7,600,000MoticDeveloped countriesMoticDeveloping countriesMoticMoticMoticIt should also be noted that cancer tends to be diagnosed at later stages in many developing countries compared with developed countries and this,combined with reduced access to appropriate therapeutic facilities and drugs(F

6、ig.3),has an adverse effect on survival.MoticMoticSelected CancersFemale Breast Cancer1MoticBreast cancer is the most frequently diagnosed cancer and the leading cause of cancer death in females worldwide,accounting for 23%(1.38 million)of the total new cancer cases and 14%(458,400)of the total canc

7、er deaths in 2008(Fig.2),About half the breast cancer cases and 60%of the deaths are estimated to occur in economically developing countries.MoticIn general,incidence rates are high in Western and Northern Europe,Australia/New Zealand,and North America;intermediate in South America,the Caribbean,and

8、 Northern Africa;and low in sub-Saharan Africa and Asia.MoticThe factors that contribute to the international variation in incidence rates largely stem from differences in reproductive and hormonal factors and the availability of early detection services.Reproductive factors that increase risk12345l

9、ong menstrual historyoral contraceptiveslate age at first birthnulliparityrecent use of postmenopausal hormone therapyMoticHow to reduce the risk of developing breast cancer?Maintaining a healthy body weightIncreasing physical activity Minimizing alcohol intake Early detection strategies include the

10、 promotion of awareness of early signs and symptoms and screening by clinical breast examinationBest available strategiesMoticSelected CancersColorectal Cancer2MoticColorectal cancer is the 3rd most commonly diagnosed cancer in males and the 2nd in females,with over 1.2 million new cancer cases and

11、608,700 deaths estimated to have occurred in 2008.MoticThe highest incidence rates are found in Australia and New Zealand,Europe,and North America,whereas the lowest rates are found in Africa and South-Central Asia.Rates are substantiallyhigher in males than in females.MoticTrends Risk FactorsRates

12、continue to increase in countries with limited resources and health infrastructure,particularly in Eastern Europe and Eastern AsiaWhile decreasing in several Western countries,particularly in UnitedStates,Canada,and AustraliaSmokingPhysical inactivityOverweight/ObesityRed and processed meat consumpt

13、ion Excessive alcohol consumption Population-based colorectal screening programs*According to a recent randomized trial in the United Kingdom,a one-time flexible sigmoidoscopy screening between 55 and 64 years of age reduced colorectal cancer incidence by 33%and mortality by 43%.MoticSelected Cancer

14、sLung Cancer3MoticLung cancer was the most commonly diagnosed canceras well as the leading cause of cancer death in males in 2008 globally.Among females,it was the 4th most commonly diagnosed cancer and the 2nd leading cause of cancer death.Lung cancer accounts for 13%(1.6 million)of the total cases

15、 and 18%(1.4 million)of the deaths in 2008.MoticIn males,the highest lung cancer incidence rates are in Eastern and Southern Europe,North America,and Eastern Asia,while rates are low in sub-Saharan Africa.In females,the highest lung cancer incidence rates are found in North America,Northern Europe,a

16、nd Australia/New Zealand.MoticSmoking accounts for 80%of the worldwide lung cancerburden in males and at least 50%of the burden in females.MoticMale lung cancer death rates are decreasing in most Western countries,including many European countries,North America,and Australia,where the tobacco epidemic peaked by the middle of the last century.In contrast,lung cancer rates are increasing in countries such as China and several other countries in Asia and Africa,where the epidemic has been establish