2025年美国癌症统计数据解读及对中国癌症防治工作的借鉴意义

牟思博; 周昌明; 郑莹

doi:10.19401/j.cnki.1007-3639.2025.06.001

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2025年美国癌症统计数据解读及对中国癌症防治工作的借鉴意义

专家述评 | 更新时间：2025-12-31

- 2025年美国癌症统计数据解读及对中国癌症防治工作的借鉴意义
- Interpretation of US cancer statistics 2025 and its implications for cancer prevention and treatment in China
- 中国癌症杂志 2025年35卷第6期页码：523-530
- 作者机构：
  
  1. 复旦大学公共卫生学院，上海 200032
  2. 复旦大学附属肿瘤医院肿瘤预防部，复旦大学上海医学院肿瘤学系，上海 200032
  3. 上海肿瘤疾病人工智能工程技术研究中心，上海 200032
- 作者简介：
  
  [ "牟思博（ORCID: 0009-0005-7716-6863），学士。" ]
  [ "郑莹，复旦大学附属肿瘤医院肿瘤预防部主任，主任医师，教授，硕士研究生导师。曾担任上海市重点公共卫生项目《社区居民大肠癌筛查项目》的技术负责人，组织编写和发布上海市抗癌协会《居民常见恶性肿瘤筛查和预防推荐》。以第一作者或通信作者发表论文100余篇，主编和参编20余部专著，获中华预防医学科技奖2项、上海市科技进步奖1项、上海医学科技奖1项、上海抗癌科技奖1项。主要学术兼职：上海市抗癌协会常务理事、癌症预防与筛查专业委员会主任委员，中国抗癌协会乳腺癌专业委员会康复学组组长，中国临床肿瘤学会肿瘤大数据专家委员会常务委员，中国抗癌协会多原发和不明原因肿瘤专业委员会常务委员，中国抗癌协会乳腺癌专业委员会、科普专业委员会、肿瘤流行病学专业委员会、筛查和早诊早治专业委员会委员，中国控制吸烟协会控烟与肺癌防治专业委员会常务委员。" ]
- 基金信息：
  
  上海市2024年度“科技创新行动计划“科普专项(24DZ2300300);上海市公共卫生研究专项(2024GKM32);上海市徐汇区院地合作项目(23XHYD-04);上海市加强公共卫生体系建设三年行动计划优青项目(GWVI-11.2-YQ37)
- DOI：10.19401/j.cnki.1007-3639.2025.06.001
  中图分类号： R737.1
- 收稿：2025-03-13，
  
  修回：2025-05-10，
  
  纸质出版：2025-06-30
- 稿件说明：
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牟思博, 周昌明, 郑莹. 2025年美国癌症统计数据解读及对中国癌症防治工作的借鉴意义[J]. 中国癌症杂志, 2025,35(6):523-530.

Sibo MU, Changming ZHOU, Ying ZHENG. Interpretation of US cancer statistics 2025 and its implications for cancer prevention and treatment in China[J]. China Oncology, 2025, 35(6): 523-530.
牟思博, 周昌明, 郑莹. 2025年美国癌症统计数据解读及对中国癌症防治工作的借鉴意义[J]. 中国癌症杂志, 2025,35(6):523-530. DOI： 10.19401/j.cnki.1007-3639.2025.06.001.

Sibo MU, Changming ZHOU, Ying ZHENG. Interpretation of US cancer statistics 2025 and its implications for cancer prevention and treatment in China[J]. China Oncology, 2025, 35(6): 523-530. DOI： 10.19401/j.cnki.1007-3639.2025.06.001.

摘要

2025年1月，美国癌症协会发布了最新的癌症统计数据，2025年美国预计新增约2 041 910例癌症病例和618 120例死亡病例。美国癌症死亡率持续下降，出现性别差异逆转以及中青年人群癌症负担加重的趋势。美国因不同地区和人群中人群特征、干预筛检措施、医疗服务可及性和政策因素的不同导致发病率、死亡率存在显著差异。中国癌症发病谱与美国不同，且年轻女性中肺癌和乳腺癌的发病率迅速上升，年均增速超3%。中国感染相关的癌症发病率水平较高，2022年胃癌、肝癌和宫颈癌粗发病率分别为25.4/10万，26.0/10万和21.8/10万，远高于美国。中国2018—2020年适龄女性HPV疫苗累计接种率仅2.24%，癌症防控面临筛查覆盖率与依从性双重挑战。应进一步加强癌症一级预防与全面风险因素控制，重视对青年和女性群体的癌症预防策略，制定人群优先防控策略，并加强个性化筛查多方筹资协同，以实现“健康中国2030”癌症防控目标，为全球癌症治理贡献中国方案。

Abstract

In January 2025

American Cancer Society released the latest cancer statistics

projecting approximately 2 041 910 new cancer cases and 618 120 cancer-related deaths in the United States (U.S.). The cancer mortality rate in the U.S. continues to decline

with a reversal in gender disparities and an increasing cancer burden among middle-aged and young populations. Significant differences in incidence and mortality rates are attribute

d to variations in population characteristics

intervention screening measures

healthcare accessibility

and policy factors across different regions and populations within the U.S. Compared with the U.S.

the cancer spectrum in China is different

and the incidence rates of lung cancer and breast cancer are rapidly rising among young women

with an average annual growth rate exceeding 3%. Infection-related cancer incidence rates are relatively high

with the incidence of gastric cancer

liver cancer and cervix cancer in China being 25.4/10

26.0/10

and 21.8/10

in 2022 respectively

surpassing U.S. incidence levels. Alarmingly

the cumulative HPV vaccination coverage among eligible Chinese women during 2018-2020 was merely 2.24%

reflecting dual barriers of low screening compliance and inadequate prevention infrastructure. There is a need to further enhance primary cancer prevention and comprehensive risk factor control

prioritize cancer prevention strategies for young and female populations

formulate population-tailored prioritized prevention frameworks and strengthen multi-stakeholder financing mechanisms for personalized screening programs

with the aim of achieving the "Healthy China 2030" cancer prevention and control goals and contributing China's approach to global cancer governance.

关键词

Keywords

references

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