[Report of cancer incidence and mortality in Jiangsu Province in 2013].

Objective: To estimate the cancer incidence and mortality in Jiangsu, 2013. Methods: Up to June 2016, registration data in 2013 from 35 cancer registries in Jiangsu was collected by Jiangsu Provincial Central Cancer Registry. All data were checked and evaluated by the method and criteria of data quality control making by the National Central Cancer Registry, data from 34 registries' data were eligible and accepted as pooled data. Stratified by urban and rural, gender, age and cancer site, crude incidence/mortality rate, age-specific incidence/mortality rate, age-standardized incidence/mortality rate by Chinese standard population, age-standardized incidence/mortality rate by world standard population, composition, cumulative incidence/mortality rate (0-74 age years old) and the 10 leading cancers were calculated. Cancer incidence and mortality were estimated by using provincial population of Jiangsu in 2013. Chinese population census in 2000 and World Segi's population were used to age-standardize incidence and mortality. Results: All 34 cancer registries (10 in urban and 24 in rural areas) covered a total of 38 938 470 population (19 682 921 in males and 19 255 549 in females), accounted for 51.12% of whole provincial population in 2013. It was estimated that new cancer cases and cancer deaths were 232.6 thousands (136.7 thousands in males and 95.9 thousands in females) and 155.3 thousands (99.7 thousands in males and 55.6 thousands in females), respectively. The crude incidence rate in Jiangsu in 2013 was 305.22/100 000, age-standardized incidence rate by Chinese standard population and by world standard population were 184.04/100 000 and 181.16/100 000, respectively, with cumulative incidence rate (0-74 age years old) of 21.38%. The crude mortality rate was 203.94/100 000, age-standardized mortality rate by Chinese standard population and by world standard population were 116.28/100 000 and 115.12/100 000, respectively, with cumulative mortality rate (0-74 age years old) of 13.11%. Cancers of lung, esophagus, stomach, liver, colorectum and female breast were the most common cancers in Jiangsu, accounting for about 71% of all new cancer cases in 2013. Lung cancer, esophageal cancer, stomach cancer, liver cancer and colorectal cancer were the leading cause of cancer death, accounting for about 74% of all cancer deaths. Conclusion: The crude incidence and mortality rate of cancer in Jiangsu Province were at a high level. For the most common cancers such as lung, esophagus, stomach, liver, colorectum and female breast cancer, effective prevention and control activities should be strengthened.目的： 估计2013年江苏恶性肿瘤发病和死亡情况。 方法： 江苏肿瘤登记中心收集截至2016年6月35个登记处提交的2013年肿瘤登记资料，采用国家肿瘤登记中心制定的质量评价方法对数据进行审核，共34个登记处资料符合入选标准。将入选登记处数据汇总后按城乡、性别、年龄组和癌种分层，分别计算发病/死亡率、年龄别发病/死亡率、中国人口标化率（中标率）、世界人口标化率（世标率）、构成比、0~74岁累积发病/死亡率，以及排序发病和死亡前10位的恶性肿瘤。结合2013年江苏人口数据，估计2013年江苏恶性肿瘤发病例数和死亡例数。采用2000年中国普查人口构成和Segi's世界标准人口构成进行标化。 结果： 2013年江苏34个肿瘤登记处中，城市10个，农村24个，覆盖人口38 938 470名（男性19 682 921名，女性19 255 549名），约占江苏2013年户籍人口的51.12%。据估算，2013年江苏新发恶性肿瘤病例约23.26万例（男性13.67万例，女性9.59万例），死亡约15.53万例（男性9.97万例，女性5.56万例）。江苏恶性肿瘤发病率为305.22/10万，中标率为184.04/10万，世标率为181.16/10万，0~74岁累积发病率为21.38%；恶性肿瘤死亡率为203.94/10万，中标率为116.28/10万，世标率为115.12/10万，0~74岁累积死亡率为13.11%。肺癌、食管癌、胃癌、肝癌、结直肠癌和女性乳腺癌是江苏最常见的恶性肿瘤，约占全部恶性肿瘤发病的71%；肺癌、食管癌、胃癌、肝癌和结直肠癌是主要的致死恶性肿瘤，约占全部恶性肿瘤死亡的74%。 结论： 2013年江苏恶性肿瘤发病率和死亡率均处于较高水平，其中肺癌、食管癌、胃癌、肝癌、结直肠癌和女性乳腺癌等高发癌种应进行重点防治。.