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Current cancer situation in China:good or bad news from the 2018 Global cancer Statistics?

cancer Communications 2019年第1期39卷 202-213页

作者： Rui-Mei Feng Yi-Nan Zong Su-Mei Cao Rui-Hua Xu Department of cancer Prevention Research Center State Key Laboratory of Oncology in South ChinaCollaborative Innovation Center for Cancer MedicineSun Yat-Sen University Cancer Center651 Dongfeng Road EastGuangzhou 510060GuangdongP.R.China Department of Medical Oncology State Key Laboratory of Oncology in South ChinaCollaborative Innovation Center for Cancer MedicineSun Yat-Sen University Cancer Center651 Dongfeng Road EastGuangzhou 510060GuangdongP.R.China

cancer is the leading cause of death in China and depicting the cancer pattern of China would provide basic knowhows on how to tackle it more *** this study we have reviewed several reports of cancer burden,including the Global cancer statistics 2018 and cancer statistics in China,2015,along with the GLOBCAN 2018 online database,to investigate the differences of cancer patterns between China,the United States(USA)and the United Kingdom(UK).An estimated 4.3 million new cancer cases and 2.9 million new cancer deaths occurred in China in *** to the USA and UK,China has lower cancer incidence but a 30%and 40%higher cancer mortality than the UK and USA,among which 36.4%of the cancer-related deaths were from the digestive tract cancers(stomach,liver,and esophagus cancer)and have relatively poorer *** comparison,the digestive cancer deaths only took up≤5%of the total cancer deaths in either USA or *** reasons for the higher mortality in China may be the low rate of early-stage cancers at diagnosis and non-uniformed clinical cancer treatment strategies performed by different *** is undergoing the cancer transition stage where the cancer spectrum is changing from developing country to developed country,with a rapidly increase cancer burden of colorectal,prostate,female breast cancers in addition to a high occurrence of infection-related and digestive *** incidence of westernized lifestyle-related cancers in China(*** cancer,prostate,bladder cancer)has risen but the incidence of the digestive cancers has decreased from 2000 to *** estimated 40%of the risk factors can be attributed to environmental and lifestyle factors either in China or other developed *** smoking is the single most important carcinogenic risk factor in China,contributing to~24.5%of cancers in *** infection is another important preventable cancer contributor which is responsible for~17%of *** prevent

关键词： GLOBCAN 2018 cancer pattern China USA UK Carcinogenic risk factor Tobacco smoking Chronic infection Westernized lifestyles cancer control strategies

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