Cervix (C53)
In 2016, cervical cancer cases accounted for 3.84% of all cancer cases in Henan cancer registration areas with the crude incidence of 21.27/105, ASR for China 17.22/105 and ASR for World 16.12/105.The crude incidence in urban areas was 18.66/105, and 21.96/105 in urban areas.It was 1.27 times in rural areas as that in urban areas.The crude mortality of cervical cancer in 2016 was 6.97/105, ASR for China was 5.27/105 and ASR for World 5.08/105.The cumulative rates of incidence and mortality from 0 to 74 years old were 1.74% and 0.55%, respectively.(Table 5-13)
表5-13 河南省肿瘤登记地区子宫颈恶性肿瘤发病与死亡
子宫颈恶性肿瘤年龄别发病率和死亡率在0~19 岁年龄段处于较低水平，20 岁以后快速上升，发病在50 岁组达到峰值，死亡在80 岁组最高。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5-13a ～图5-13b）
图5-13a 河南省肿瘤登记地区子宫颈恶性肿瘤年龄别发病率，2016
在8 个城市肿瘤登记地区中，发病率最高的是濮阳市华龙区（18.92/10 万），其次是鹤壁市和漯河市。死亡率最高的是漯河市（9.95/10万）。（图5-13c）
The age-specific incidence rates of cervical cancer were relatively low before 20 years old and increased dramatically since 20 years old, reaching the peak at the age group of 50.The age-specific mortality rate increased dramatically since 20 years old, reaching the peak at the age group of 80.In rural areas, the age-specific incidence and mortality rates had the similar trends with the whole population.(Figure 5-13a~figure 5-13b)
图5-13b 河南省肿瘤登记地区子宫颈恶性肿瘤年龄别死亡率，2016
Among the 8 urban cancer registration areas, the ASR China incidence rate of cervical cancer was the highest in Hualong District of Puyang City (18.92/105),followed by Hebi City and Luohe City.The highest ASR China mortality in females was also in Luohe City (9.95/105).(Figure 5-13c)(https://www.daowen.com)
图5-13c 城市肿瘤登记地区子宫颈恶性肿瘤发病率与死亡率
在27 个农村肿瘤登记地区中，发病率最高的是济源市（37.32/10 万），其次是巩义市和商丘市睢县。死亡率最高的是禹州市（20.75/10 万）。（图5-13d）
Among the 27 rural cancer registration areas,the ASR China incidence rate of cervical cancer was the highest in Jiyuan City (37.32/105), followed by Gongyi City and Sui County of Shangqiu City.The highest mortality was also in Yuzhou City (20.75/105).(Figure 5-13d)
图5-13d 农村肿瘤登记地区子宫颈恶性肿瘤发病率与死亡率
2016 年肿瘤登记地区子宫颈癌发病病例中有确切解剖学亚部位（C53.0，C53.1，C53.8）信息的占32.8%，亚部位未特指（C53.9）的占67.2%。在有亚部位的子宫颈癌病例中，发生在子宫颈内膜（C53.0）的占78.9%，外宫颈（C53.1）的占18.0%，子宫颈交搭跨越（C53.8）的占3.1%。（图5-13e）
Among all the reported cervical cancer cases in 2016, 32.8% had specified subcategories (C53.0,C53.1, C53.8) and the rest 67.2% had unspecified anatomic site (C53.9).The specified subcategories of cervical cancer included endometria (C53.0) (78.9%),exocervix (C53.1) (18.0%), and overlapping parts(C53.8) (3.1%).(Figure 5-13e)
图5-13e 河南省女性子宫颈癌发病亚部位构成（%）