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[1999 - 2013年北京软组织肉瘤发病率趋势及特征分析]

[An analysis of incidence trends and characteristics of soft tissue sarcoma in Beijing, 1999-2013].

作者信息

Yang L, Fang Z W, Fan Z F, Wang N, Yuan Y N, Li H C, Liu S

机构信息

Key laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Beijing Office for Cancer Prevention and Control.

Department of Bone and Soft Tissue Tumor, Beijing 100142, China.

出版信息

Zhonghua Zhong Liu Za Zhi. 2017 Jun 23;39(6):471-476. doi: 10.3760/cma.j.issn.0253-3766.2017.06.013.

Abstract

To analyze the incidence trends and to describe the characteristics of soft tissue sarcoma (STS) among residents in Beijing from 1999 to 2013. Medical information of the cases diagnosed as STS(ICD10: C47&C49) from 1999 to 2013 in Beijing was extracted from the population-based database of Beijing Cancer Registry.Crude incidence rate, age-standardized incidence rates to Chinese population (ASRC)and the world population(ASRW) were calculated. The characteristics of the STS cases in different gender and age groups from urban and rural areas were respectively analyzed.The incidence trends and annual percentage changes (APC) during last 15 years were analyzed by using JoinPoint 3.4.3 software. A total of 2 048 cases were diagnosed as STS during the study period and the incidence rate of STS was 1.15 per 100 000 person-years. The ASRC was 0.74 per 100 000 person-years and ASRW was 0.86 per 100 000 person-years, respectively. Except for the impact of changes in the age composition, the APC of ASRW from 1999 to 2013 was 3.95%. For males, the incidence rate was increased from 0.65 per 100 000 in 1999 to 1.51 per 100 000 in 2013, and the APC was 4.27% (<0.05); For females, the incidence rate was increased from 0.61 per 100 000 in 1999 to 0.91 per 100 000 in 2013, and the APC was 3.38% (<0.05). In urban area, the incidence rate increased from 1.14 per 100 000 in 2000 to 1.35 per 100 000 in 2013, and the APC was 2.70% (=0.05); In rural area, the incidence rate increased from 0.57 per 100 000 in 2000 to 0.98 per 100 000 in 2013, and the APC was 4.66% (=0.04). 85.89%cases were pathologically diagnosed.Among them, undifferentiated pleomorphic sarcoma was the most common subtype, which accounting for 19.22%, followed by liposarcoma (19.04%), malignantnerve sheath tumor (10.18%), fibrosarcoma (10.06%)and sarcoma without definite type(7.22%). The incidence rate of STS is still increasing, especially in the rural area of Beijing. The most common subtypes of STS in different age-groups were different. Further study is needed to explore the high risks of STS in the population with specific characteristics.

摘要

分析1999年至2013年北京居民软组织肉瘤(STS)的发病趋势并描述其特征。从北京癌症登记处的人群数据库中提取1999年至2013年在北京诊断为STS(ICD10:C47和C49)的病例的医疗信息。计算粗发病率、中国人群年龄标准化发病率(ASRC)和世界人群年龄标准化发病率(ASRW)。分别分析城乡不同性别和年龄组的STS病例特征。使用JoinPoint 3.4.3软件分析过去15年的发病趋势和年度百分比变化(APC)。研究期间共诊断出2048例STS病例,STS发病率为每10万人年1.15例。ASRC为每10万人年0.74例,ASRW分别为每10万人年0.86例。除年龄构成变化的影响外,1999年至2013年ASRW的APC为3.95%。男性发病率从1999年的每10万人年0.65例增加到2013年的每10万人年1.51例,APC为4.27%(<0.05);女性发病率从1999年的每10万人年0.61例增加到2013年的每10万人年0.91例,APC为3.38%(<0.05)。在城市地区,发病率从2000年的每10万人年1.14例增加到2013年的每10万人年1.35例,APC为2.70%(=0.05);在农村地区,发病率从2000年的每10万人年0.57例增加到2013年的每10万人年0.98例,APC为4.66%(=0.04)。85.89%的病例经病理诊断。其中,未分化多形性肉瘤是最常见的亚型,占19.22%,其次是脂肪肉瘤(19.04%)、恶性神经鞘瘤(10.18%)、纤维肉瘤(10.06%)和未明确类型的肉瘤(7.22%)。STS的发病率仍在上升,尤其是在北京农村地区。不同年龄组中STS最常见的亚型不同。需要进一步研究探索具有特定特征人群中STS的高风险因素。

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