Trachea, Bronchus ＆amp; Lung (C33-C34)
In 2016, lung cancer cases accounted for 18.26% of all cancer cases in Henan cancer registration areas with the crude incidence of 48.98/105, ASR for China 37.49/105 and ASR for World 37.51/105.The incidence in males was 64.91/105, and 32.05/105 in females.The ASR China incidence was 2.28 times in males as high as that in females and it was 1.09 times in urban areas as that in rural areas.The crude mortality of lung cancer in 2016 was 38.17/105, ASR for China was 28.72/105 and ASR for World 28.79/105.The mortality in males was 51.73/105, and 23.76/105 in females.The cumulative rates of incidence and mortality from 0 to 74 years old were 4.57% and 3.27%, respectively.(Table 5-10)
表5-10 河南省肿瘤登记地区气管、支气管、肺恶性肿瘤发病与死亡
气管、支气管、肺恶性肿瘤年龄别发病率和死亡率在0~44 岁年龄段处于较低水平，45 岁以后快速上升，在80~岁或85+岁组达到高峰，男性高于女性。城乡和不同地区年龄别率的水平虽然有一定的差异，但总体趋势类同。（图5-10a ～图5-10f）
The age-specific incidence and mortality rates of lung cancer were relatively low before 45 years old and increased dramatically since 45 years old,reaching the peak at the age group 80~ and 85+respectively.Incidence and mortality rates in males were generally higher than those in female.The age-specific incidence and mortality rates varied in urban and rural areas with similar curves.(Figure 5-10a~figure 5-10f)
图5-10a 河南省肿瘤登记地区气管、支气管、肺恶性肿瘤年龄别发病率，2016
图5-10d 河南省肿瘤登记地区气管、支气管、肺恶性肿瘤年龄别死亡率，2016
图5-10b 城市肿瘤登记地区气管、支气管、肺恶性肿瘤年龄别发病率，2016
图5-10e 城市肿瘤登记地区气管、支气管、肺恶性肿瘤年龄别死亡率，2016
图5-10c 农村肿瘤登记地区气管、支气管、肺恶性肿瘤年龄别发病率，2016
图5-10f 农村肿瘤登记地区气管、支气管、肺恶性肿瘤年龄别死亡率，2016(https://www.daowen.com)
在8 个城市肿瘤登记地区中，男性气管、支气管、肺恶性肿瘤标化发病率最高的是濮阳市华龙区（82.90/10 万），其次是漯河市和信阳市浉河区；女性发病率最高的是濮阳市华龙区（45.92/10 万），其次是洛阳市和信阳市浉河区。男性标化死亡率最高的是濮阳市华龙区（74.57/10万），女性死亡率最高的是濮阳市华龙区（22.87/10万）。（图5-10g）
Among the 8 urban cancer registration areas, the age-specific incidence rate of lung cancer in males was the highest in Hualong District of Puyang City(82.90/105), followed by Luohe City and Shihe District of Xinyang City.In females, it was the highest in Hualong District of Puyang City (45.92/105), followed by Luoyang City and Shihe District of Xinyang City.The highest age-standardized mortality rates in both males (74.57/105) and female (22.87/105) were in Hualong District of Puyang City.(Figure 5-10g)
图5-10g 城市肿瘤登记地区气管、支气管、肺恶性肿瘤发病率与死亡率
在27 个农村肿瘤登记地区中，男性气管、支气管、肺恶性肿瘤标化发病率最高的是濮阳市濮阳县（80.69/10 万），其次是禹州市和周口市沈丘县；女性发病率最高的是商丘市虞城县（31.64/10 万），其次是巩义市和信阳市固始县。男性标化死亡率最高的是禹州市（68.20/10 万），女性死亡率最高的是商丘市虞城县。（25.97/10万）（图5-10h）
Among the 27 rural cancer registration areas,the ASR China incidence rate of lung cancer in males was the highest in Puyang County of Puyang City (80.69/105), followed by Yuzhou City and Shenqiu County of Zhoukou City.For females, it was the highest in Yucheng County of Shangqiu City (31.64/105), followed by Gongyi City and Gushi County of Xinyang City.The ASR China mortality was the highest in Yuzhou City for males (68.20/105)and in Yucheng County of Shangqiu City for females(25.97/105).(Figure 5-10h)
图5-10h 农村肿瘤登记地区气管、支气管、肺恶性肿瘤发病率与死亡率
2016 年肿瘤登记地区肺癌发病病例中有确切解剖学亚部位（C33，C34.0-C34.3，C34.8）信息的占45.0%，亚部位未特指（C34.9）的占55.0%。在有亚部位的肺癌病例中，发生在气管（C33）的占1.6%，主支气管（C34.0）的占13.0%，肺上叶（C34.1）的占39.1%，肺中叶（C34.2）的占24.6%，肺下叶（C34.3）的占20.8%，肺交搭跨越（C34.8）的占1.0%。（图5-10i）
Among all the reported lung cancer cases in 2016, 45.0% had specified subcategories (C33,C34.0-C34.3, C34.8) and the rest 55.0% had unspecified subcategory (C34.9).The specified subcategories of lung cancer included trachea (C33)(1.6%), main bronchus (C34.0) (13.0%), upper lobe(C34.1) (39.1%), middle lobe (C34.2) (24.6%),lower lobe (C34.3) (20.8%) and overlapping parts(C34.8) (1.0%).(Figure 5-10i)
图5-10i 河南省肺癌发病亚部位构成（%）
2016 年肿瘤登记地区肺癌发病病例中有明确组织病理学分型的占57.3%，组织学类型未特指的占42.7%。在有组织病理学分型的肺癌病例中，鳞状细胞癌占31.4%，腺癌占52.8%，腺鳞癌占0.6%，小细胞癌占9.8%，大细胞癌占0.1%，其他类型的肺癌占5.3%。（图5-10j）
Among all cases, 57.3% had specific pathological diagnostic information and the rest 42.7% had unspecified pathological type.Squamous cell carcinoma accounted for 31.4% of the cases with specified pathological diagnostic information, adenocarcinoma accounted for 52.8%, adenosquamous carcinoma for 0.6%, small cell carcinoma for 9.8%, big cell carcinoma for 0.1% and other pathologic type 5.3%.(Figure 5-10j)
图5-10j 河南省肺癌发病形态学构成（%）