前言1

及时章 概述2

1 登记系统介绍2

2 中国肿瘤登记的发展3

2.1 全国肿瘤登记项目3

2.2 肿瘤登记目标3

2.3 随访与生存率分析4

3 本年报数据4

3.1 覆盖地区4

3.2 时间范围4

3.3 覆盖人群5

3.4 登记数据质量5

3.5 本年报内容5

第二章 方法与指标6

1 建立肿瘤登记处6

2 登记资料收集方法7

2.1 建立信息收集渠道7

2.2 开展病例核实工作7

2.3 开展随访工作7

3 登记资料收集内容9

3.1 新发病例资料9

3.2 死亡资料9

3.3 人口资料9

4 登记的质量控制10

4.1 可比性10

4.2 完整性10

4.3 有效性11

4.4 时效性11

5 登记资料的审核流程11

6 统计分类13

6.1 癌症分类13

6.2 自然地区分类16

7 常用统计指标17

7.1 年均人口数17

7.2 性别、年龄别人口数17

7.3 发病(死亡)率17

7.4 性别、年龄别发病(死亡)率17

7.5 年龄调整率(标准化率)18

7.6 分类构成19

7.7 累积发病(死亡)率19

7.8 截缩发病(死亡)率19

8 生存率20

8.1 观察生存率20

8.2 调整生存率/净生存率20

8.3 相对生存率21

第三章 数据质量评价22

1 数据来源22

2 年报数据质量分级25

3 2013年肿瘤登记资料评价26

3.1 覆盖人口、发病数和死亡数26

3.2 各肿瘤登记地区数据质量评价36

3.3 肿瘤登记地区2008~2013年癌症发病率逐年比较47

4 年报收录登记地区的选取与数据质量评价56

4.1 年报收录登记地区的选取56

4.2 全国肿瘤登记地区数据质量评价56

第四章 2013年全国肿瘤登记地区癌症发病与死亡58

1 全国肿瘤登记地区覆盖人口58

2 全部癌症(ICD-10:C00-C96)发病与死亡61

2.1 全部癌症(ICD-10:C00-C96)发病情况61

2.2 全部癌症(ICD-10:C00-C96)年龄别发病率63

2.3 全部癌症(ICD-10:C00-C96)死亡情况66

2.4 全部癌症(ICD-10:C00-C96)年龄别死亡率69

3 全国肿瘤登记地区前10位癌症发病与死亡72

3.1 前10位癌症发病情况72

3.2 前10位癌症死亡情况74

3.3 城市肿瘤登记地区前10位癌症发病情况76

3.4 城市肿瘤登记地区前10位癌症死亡情况78

3.5 农村肿瘤登记地区前10位癌症发病情况80

3.6 农村肿瘤登记地区前10位癌症死亡情况82

3.7 东部肿瘤登记地区前10位癌症发病情况84

3.8 东部肿瘤登记地区前10位癌症死亡情况86

3.9 中部肿瘤登记地区前10位癌症发病情况88

3.10 中部肿瘤登记地区前10位癌症死亡情况90

3.11 西部肿瘤登记地区前10位癌症发病情况92

3.12 西部肿瘤登记地区前10位癌症死亡情况94

第五章 各部位癌症的发病与死亡96

1 口腔和咽喉(除外鼻咽)(C00-C10；C12-C14)96

2 鼻咽(C11)101

3 食管(C15)105

4 胃(C16)110

5 结直肠肛门(C18-C21)115

6 肝脏(C22)122

7 胆囊及胆道其他(C23-C24)126

8 胰腺(C25)130

9 喉(C32)135

10 气管，支气管，肺(C33-C34)139

11 骨(C40-C41)144

12 女性乳腺(C50)149

13 子宫颈(C53)154

14 子宫体及部位不明(C54-C55)159

15 卵巢(C56)163

16 前列腺(C61)167

17 肾及泌尿系统部位不明(C64-C66，C68)171

18 膀胱(C67)179

19 脑及中枢神经系统(C70-C72)194

20 甲状腺(C73)188

21 恶性淋巴瘤(C81-C85,88,90,96)193

22 白血病(C91-C95)198

第六章 附录206

1 2013年全国肿瘤登记地区癌症发病和死亡主要结果206

2 2013年全国东、中、西部肿瘤登记地区癌症发病和死亡主要结果242

3 2013年全国不同城市化肿瘤登记地区癌症发病和死亡主要结果260

4 2013年全国各肿瘤登记处癌症发病与死亡296

Foreword1

Chapter 1 Background2

1 Introduction of the cancer registration system2

2 Development of cancer registries in China3

2.1 National cancer registration program3

2.2 Objective of cancer registration in China3

2.3 Follow-up and survival analysis4

3 Data in this cancer registry annual report4

3.1 Coverage area4

3.2 Time scope4

3.3 Population coverage5

3.4 Registration data quality5

3.5 Contents of the report5

Chapter 2 Data collection method and indices6

1 Establishing a cancer registry6

2 Methods of data collection7

2.1 Data collecting channels7

2.2 Cancer case certification7

2.3 Follow-up practice7

3 Contents of data collection 9

3.1 Incidence9

3.2 Mortality9

3.3 Population data9

4 Quality control of registration10

4.1 Comparability10

4.2 Completeness10

4.3 Validity11

4.4 Timeliness11

5 Flow diagram of data quality11

6 Classification and coding13

6.1 Cancer classification13

6.2 Area classification16

7 Statistical indicators17

7.1 Average annual population17

7.2 Sex- and age-specific population17

7.3 Incidence(mortality) rates17

7.4 Sex- and age-specific incidence(mortality) rates17

7.5 Age-standardized rate or age-adjusted rate(ASR)18

7.6 Proportions19

7.7 Cumulative rate19

7.8 Truncated incidence(mortality) rate19

8 Survival20

8.1 Observed survival20

8.2 Corrected survival/net survival20

8.3 Relative survival21

Chapter 3 Evaluation of data quality22

1 Data sources22

2 Classification of data quality25

3 Evaluation of cancer registration data of 201326

3.1 Population coverage，new cancer cases and cancer deaths26

3.2 Evaluation of data quality in cancer registries36

3.3 Trend analysis of cancer incidence in cancer registries from 2008 to 201347

4 Selection of cancer registries and evaluation of data quality56

4.1 Evaluation of the data quality for qualified cancer registries in annual report56

4.2 Evaluation of data quality in national cancer registries56

Chapter 4 Incidence and mortality of cancers in registration areas of China，201358

1 Population source in selected cancer registries58

2 Incidence and mortality of all cancer sites(ICD-10:C00-C96)61

2.1 Incidence of all cancer sites(ICD-10:C00-C96)61

2.2 Age-specific incidence rate of all cancer sites(ICD-10:C00-C96)63

2.3 Mortality of all cancer sites(ICD-10:C00-C96)66

2.4 Age-specific mortality of all cancer sites(ICD-10:C00-C96)69

3 The 10 most common cancers in national cancer registration areas 72

3.1 Incidence of the 10 most common cancers72

3.2 Mortality for the top 10 leading causes of cancer death74

3.3 Incidence of the 10 most common cancers in urban registration areas76

3.4 The top 10 leading causes of cancer death in urban registration areas78

3.5 Incidence of the 10 most common cancers in rural registration areas80

3.6 Mortality for the top 10 leading causes of cancer death in rural registration areas82

3.7 Incidence of the 10 most common cancers in Eastern registration areas84

3.8 Mortality for the top 10 leading causes of cancer death in Eastern registration

areas86

3.9 Incidence of the 10 most common cancers in Middle registration areas88

3.10 Mortality for the top 10 leading causes of cancer death in Middle registration

areas90

3.11 Incidence of the 10 most common cancers in Western registration areas92

3.12 Mortality for the top 10 leading causes of cancer death in Western registration

areas94

Chapter 5 Cancer incidences and mortalities by site96

1 Oral Cavity & Pharynx but Naspharynx(C00-C10；C12-C14)96

2 Nasopharynx(C11) 101

3 Esophagus(C15) 105

4 Stomach(C16) 110

5 Colon，Rectum & Anus(C18-C21)115

6 Liver(C22)122

7 Gallbladder & Extrahepatic Bile Ducts(C23-C24)126

8 Pancreas(C25)130

9 Larynx(C32)135

10 Trachea，Bronchus & Lung (C33-C34)139

11 Bone(C40-C41)144

12 Female Breast(C50)149

13 Cervix(C53)154

14 Corpus Uterus & Unspecified(C54-C55)159

15 Ovary(C56)163

16 Prostate(C61)167

17 Kidney & Unspecified Urinary Organs(C64-C66，C68)171

18 Bladder(C67)179

19 Brain & Central Nervous System(C70-C72)184

20 Thyroid Gland(C73)188

21&n