Bone，Joints and Articular Cartilage(C40-C41)
In 2016, malignant cancer cases of bone, joints and articular cartilage (bone cancer for short below)accounted for 0.95% of all cancer cases in Henan cancer registration areas with the crude incidence of 2.55/105, ASR for China 2.22/105 and ASR for World 2.22/105.The incidence in males was 2.82/105, and 2.25/105 in females.It was 1.42 times in males as high as that in females and it was 2.04 times in rural areas as that in urban areas.The crude mortality of bone cancer in 2016 was 1.36/105, ASR for China was 1.08/105and ASR for World 1.07/105.The mortality in males was 1.41/105, and 1.30/105 in females.The cumulative rates of incidence and mortality from 0 to 74 years old were 0.23% and 0.11%, respectively.(Table 5-11)
表5-11 河南省肿瘤登记地区骨恶性肿瘤发病与死亡
骨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70 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5-11a ～图5-11f）
The age-specific incidence and mortality rates of bone cancer were relatively low before 45 years old and increased dramatically since 45 years old, reaching the peak at the age group of 70 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 5-11a~figure 5-11f)
图5-11a 河南省肿瘤登记地区骨恶性肿瘤年龄别发病率，2016
图5-11d 河南省肿瘤登记地区骨恶性肿瘤年龄别死亡率，2016
图5-11b 城市肿瘤登记地区骨恶性肿瘤年龄别发病率，2016
图5-11e 城市肿瘤登记地区骨恶性肿瘤年龄别死亡率，2016(https://www.daowen.com)
图5-11c 农村肿瘤登记地区骨恶性肿瘤年龄别发病率，2016
图5-11f 农村肿瘤登记地区骨恶性肿瘤年龄别死亡率，2016
在8 个城市肿瘤登记地区中，男性骨恶性肿瘤标化发病率最高的是漯河市（2.31/10 万），其次是三门峡市湖滨区和平顶山市；女性发病率最高的是漯河市（1.87/10 万），其次是濮阳市华龙区和湖滨区。男性标化死亡率最高的是平顶山市（1.29/10 万），女性死亡率最高的是濮阳市华龙区（1.02/10 万）。（图5-11g）
Among the 8 urban cancer registration areas,the ASR China incidence rate of bone cancer in males was the highest in Luohe City (2.31/105), followed by Hubin District of Sanmenxia City and Pingdingshan City.In females, it was the highest in Luohe City(1.87/105), followed by Hualong District of Puyang City and Hubin District of Sanmenxia City.The ASR China mortality rate were highest in Pingdingshan City for males (1.29/105) and in Hualong District of Puyang City for females (1.02/105).(Figure 5-11g)
图5-11g 城市肿瘤登记地区骨恶性肿瘤发病率与死亡率
在27 个农村肿瘤登记地区中，男性骨恶性肿瘤标化发病率最高的是开封市祥符区（7.05/10万），其次是洛阳市宜阳县和巩义市；女性发病率最高的是洛阳市栾川县（4.53/10 万），其次是洛阳市宜阳县和商丘市睢县。男性标化死亡率最高的是开封市祥符区（3.44/10 万），女性死亡率最高的是洛阳市嵩县（2.99/10 万）。（图5-11h）
Among the 27 rural cancer registration areas,the ASR China incidence rate of bone cancer in males was the highest in Xiangfu District of Kaifeng City(7.05/105), followed by Yiyang County of Luoyang City and Gongyi City.For females, it was the highest in Luanchuan County of Luoyang City (4.53/105),followed by Yiyang County of Luoyang City and Sui County of Shangqiu City.The age-specific mortality rate was the highest in Xiangfu District of Kaifeng City for males (3.44/105) and in Song County of Luoyang City for females (2.99/105).(Figure 5-11h)
图5-11h 农村肿瘤登记地区骨恶性肿瘤发病率与死亡率