Objective: Lung cancer incidence and mortality were estimated by sorting and analyzing the national cancer registration data in 2013. Methods: Lung cancer data of 2013 were retrieved from the database of 255 qualified cancer registries. Lung cancer incidence and mortality rates in cancer registration areas in 2013 were estimated by areas (urban/rural), gender and age groups, new lung cancer cases and deaths were estimated using age-specific rates by areas and gender using the corresponding population in 2013. Lung cancer incidence and mortality rates in China in 2013 were calculated based on the estimated new cancer cases and deaths and the corresponding population. The Chinese population in 2000 and Segi's world population were used to calculate age-standardized rates. Results: It was estimated that there were about 732.8 thousand new lung cancer cases and 580.7 thousand deaths occurred in China in 2013. The crude incidence rate was 53.86/10(5)(males 70.10/10(5,) females 36.78/10(5)), while age-standardized incidence rate by Chinese standard populations (ASIRC) and by world standard populations (ASIRW) were 36.19/10(5) and 36.09/10(5) with the cumulative incidence rate (0-74 years old) of 4.42%.The crude mortality rate was 43.41/10(5)(males 57.64/10(5,) females 28.45/10(5)), and age-standardized mortality rate by Chinese standard populations (ASMRC) and by world standard populations (ASMRW) were 28.64/10(5) and 28.41/10(5) with the cumulative incidence rate (0-74 years old) of 3.34%.Both incidence and mortality rates were higher in males than in females. Crude incidence and mortality rates were slightly higher in urban areas than in rural areas, but after age standardized, the results were opposite. Conclusions: Lung cancer is the common cancer, which both incidence and mortality rates are ranking first in China, and the burden of the disease is heavy. Comprehensive measures towards risk factors control, cancer early diagnosis and treatment should be strengthened continuously.
目的： 分析2013年全国肿瘤登记中心收集的数据，估计2013年全国肺癌发病和死亡情况。 方法： 在2013年全国肿瘤登记中心数据库中，提取符合纳入标准的255个登记处的肺癌数据资料，分城乡、性别和年龄别计算全国肿瘤登记地区人群2013年肺癌发病率和死亡率，结合2013年人口数，估计2013年肺癌发病人数和死亡人数。利用估计的发病数、死亡数和2013年人口数，计算发病率和死亡率，应用2000年全国人口普查人口和Segi′s标准人口结构计算标化率。 结果： 2013年全国肺癌新发病例约73.28万例，死亡病例约58.07万例。肺癌发病率为53.86/10万(男性70.10/10万，女性36.78/10万)，中国人口标化率(中标率)为36.19/10万，世界人口标化率(世标率)为36.09/10万，累积发病率(0～74岁)为4.42%。肺癌死亡率43.41/10万(男性57.64/10万，女性28.45/10万)，中标率为28.64/10万，世标率为28.41/10万，累积死亡率(0～74岁)为3.34%。男性肺癌发病率和死亡率显著高于女性，城市地区肺癌发病率和死亡率略高于农村地区，年龄调整后，农村地区略高于城市地区。 结论： 肺癌是我国常见的恶性肿瘤，发病和死亡均位于恶性肿瘤首位，疾病负担严重，应进一步加强针对肺癌危险因素的控制以及肺癌早诊早治的综合防治工作。.
Keywords: Cancer registration; China; Incidence; Lung neoplasms; Mortality.