某院近10年甲状腺癌临床病理特点和发病趋势研究  

Clinicopathological characteristics and incidence trends of thyroid cancer in a hospital in the past 10 years

作　　者：章远江[1] 金科[1] 许健[1] 陈偲 ZHANG Yuan-jiang;JIN Ke;XU Jian;CHEN Si(Department of Thyroid and Breast Surgery,Changshu Second People's Hospital,Changshu 215500,China)

机构地区：[1]江苏省常熟市第二人民医院甲状腺乳腺外科,常熟215000

出　　处：《中国肿瘤临床与康复》2021年第7期798-801,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨某院近10年甲状腺癌临床病理特点和发病趋势。方法选取2010年1月至2019年12月间江苏省常熟市第二人民医院收治的586例甲状腺癌患者,通过查阅病案资料系统,收集患者年龄、性别、居住地、病理类型、肿瘤直径人口学和临床病理资料,对甲状腺癌临床病理特点和发病趋势进行统计学分析。结果甲状腺患者中,男性患者占比低于女性(1∶3.1),<45岁患者低于≥45岁,城市居民患者高于农村居民,病理类型主要为乳头状甲状腺癌(91.3%),其次为滤泡性甲状腺癌(5.1%),肿瘤直径≤1cm患者高于肿瘤直径>1cm者。患者发病率有增加趋势,发病年龄有降低趋势,差异均有统计学意义(均P<0.05)。随着时间推移,甲状腺癌患者发病年龄趋于年轻化,尤其在21~40岁年龄段发病率不断提高,差异均有统计学意义(均P<0.05)。体检时发现甲状腺癌所占比例逐年提高,差异均有统计学意义(均P<0.05)。结论甲状腺癌病理类型以乳头状甲状腺癌为主,女性发病率高,发病年龄有年轻化趋势,体检诊断率不断提高。对甲状腺癌高危人群应进行定期筛查,做到早发现、早治疗,提高预后。Objective To investigate the clinicopathological characteristics and incidence trends of thyroid cancer in a hospital in the past 10 years.Methods The clinical data of a total of 586 patients with thyroid cancer treated at Changshu Second People’s Hospital from January 2010 to December 2019 were collected.The demographic and clinical pathological data including age,gender,residence,pathological type,and tumor diameter were collected by consulting the medical record data system.Statistical analysis was performed to investigate the clinicopathological characteristics and incidence trends of thyroid cancer.Results The proportion of male patients was higher than that of female patients(1:3.1).The proportion of patients aged<45 years was lower than that of patients aged≥45 years.The proportion of urban inhabitants was higher than that of rural inhabitants.The primary pathologic types of thyroid cancer was papillary thyroid cancer(91.3%)followed by follicular thyroid cancer(5.1%).The proportion of patients with tumor diameter≤1 cm was higher than the proportion of patients with tumor diameter>1 cm.The incidence was prone to increasing and the onset age was prone to decreasing.The onset age tended to be young over time and the incidence.Expecially,the incidence was increased gradually in patients aged 21 to 40 years(all P<0.05).During the physical examination,the proportion of thyroid cancer was found to increase year by year(P<0.05).Conclusion Papillary thyroid cancer is the main pathological type of thyroid cancer.The incidence of thyroid cancer is comparatively high in women.The onset age is decreasing year by year,which is prone to be young,and the diagnosis rate is continuously increasing in physical examination.It is suggested that regular screening should be carried out for people at high risk of thyroid cancer in order to achieve early detection and treatment,and improve the prognosis.

关 键 词：甲状腺肿瘤 临床病理 流行趋势 预后 

分 类 号：R736.1[医药卫生—肿瘤]