摘要: |
目的:探讨上海市原卢湾区2004—2011年居民甲状腺癌的发病率和死亡率。方法:系统整理2004年1月至2011年12月上海市肿瘤登记报告中原卢湾区户籍人群甲状腺癌发病和死亡资料,并进行统计分析,计算甲状腺癌发病率及死亡率,并以2000年全国第5次人口普查的标准人口年龄构成进行标化,应用年均变化百分率计算其年均率值并进行趋势分析。结果:上海市原卢湾区2004—2011年共报告甲状腺癌新发病例413例,占同期全区恶性肿瘤的3.96%。2004—2011年甲状腺癌粗发病率区间为7.49/10万~34.86/10万,中标发病率区间为6.02/10万~23.63/10万,发病率呈显著上升趋势。女性发病率显著高于男性,女性发病高峰在40~55岁。2004—2011年死亡病例共24例,粗死亡率区间为0.63/10万~1.61/10万,标化死亡率区间为0.13/10万~0.46/10万,8年间死亡率无明显波动。结论:2004—2011年上海市原卢湾区户籍人群男性与女性的甲状腺癌发病率增幅明显,但死亡率极低,其中女性发病率与死亡率均高于男性;应积极寻找甲状腺癌高发原因,控制发病趋势。 |
关键词: 甲状腺癌 发病率 死亡率 社区 |
DOI:10.12025/j.issn.1008-6358.2017.20160850 |
分类号:R581 |
基金项目:上海市黄浦区优秀学科带头人项目(HPXD-05).Supported by Outstanding Academic Leader Project of Huangpu District in Shanghai (HPXD-05). |
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Abstract: |
Objective:To analyze the incidence and mortality of thyroid cancer among permanent residents in Luwan district of Shanghai from January 2004 to December 2011.Methods: The data of thyroid cancer in permanent residents of Luwan district were collected from the database of cancer registration and management system in Shanghai. The incidence and mortality of thyroid cancer were calculated. The rates were standardized by the demographic composition developed in the Fifth Nationwide Census in the year 2000. The temporal trend in the incidence and mortality of thyroid cancer was assessed using average annual percent change. Results:A total of 413 cases of thyroid cancer were diagnosed from 2004 to 2011, accounting for 3.96% of the total patients with malignant diseases. During 2004 to 2011, the crude incidence rates ranged from 7.49/105 to 34.86/105, and the standardized incidence rates ranged from 6.02/105 to 23.63/105, displaying a significant increasing trend. The incidence rate in females was significantly higher than that of males. The incidence rate of females peaked at 40-55 years of age. A total of 24 cases died of thyroid cancer during this period. During 2004 to 2011, the crude mortality rates ranged from 0.63/105 to 1.61/105, and the standardized mortality rates ranged from 0.13/105 to 0.46/105. The mortality rate remained stable during the eight year period. Conclusions:There were significant increases of thyroid cancer occurrence from 2004 to 2011 among permanent residents in Luwan district of Shanghai. The mortality rate of thyroid cancer is low. Both the incidence and mortality rates of females were significantly higher than those of males. It is important to identify risk factors of thyroid cancer, so effective control measures can be taken to control its rapid increase. |
Key words: thyroid cancer incidence rate mortality rate community |