| 周燕1 王忠超1 岳晓燕2 王颜刚1 赵文娟1△.青岛地区某医院12 年甲状腺癌发病模式变迁*[J].,2014,14(20):3938-3942 |
| 青岛地区某医院12 年甲状腺癌发病模式变迁* |
| The Variant Trend of Thyroid Cancer in a Certain Hospitalin Qingdao during 12 Years* |
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| DOI： |
| 中文关键词: 甲状腺癌 病理类型 碘营养 |
| 英文关键词: Thyroid cancer Pathological type Iodine nutrition |
| 基金项目:山东省卫生厅基金（2007HZ031） |
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| 中文摘要: |
| 摘要目的：探讨青岛地区某医院12年甲状腺癌的发病趋势和病理类型分布。方法：回顾性分析2001-2012 年于青岛大学附属医
院行手术切除的甲状腺癌患者的发病年龄、性别比例、手术数量以及病理类型构成比的变化。结果：12年来手术治疗甲状腺癌
2421 例，其中乳头状癌(PTC)占94.13 %，滤泡状癌(FTC)占3.02 %，髓样癌(MTC)占2.15 %，未分化癌(ATC)占0.70 %。甲状腺癌手
术数量呈逐年递增趋势，尤以近4 年升高显著，其病理类型以PTC 为主，构成比例由79.63 %上升至97.47 %。四类甲状腺癌均以
女性多见(男女比例1：1.38-1：4.37)。甲状腺癌的平均确诊年龄为46.80 岁，PTC最低(46.48 岁)，ATC 最高(64.25 岁)。结论：青岛地
区甲状腺癌发病数量呈逐年递增趋势，PTC 是最常见的病理类型，其构成比例上升明显，其他类型相对下降。PTC 的发病可能与
高碘有关。 |
| 英文摘要: |
| ABSTRACT Objective:To explore the incidence trends and the pathological types of thyroid cancer in a certain hospital in Qingdao
during 12 years. Methods:The patients who received thyroidectomy due to the thyroid cancer in the affiliated hospital of Qingdao
University between January 2001 and December 2012 were collected. A retrospective analysis was carried out to review the onset age,
sex ratio, number of thyroid cancer surgery and pathological type composition ratio of patients.Results: The total number of thyroid
cancer surgery were 2421 during 12 years, in which the papillary thyroid carcinoma (PTC) accounted for 94.13%, the follicular thyroid
carcinoma (FTC) accounted for 3.02 %, the medullary thyroid carcinoma (MTC) accounted for 2.15 %, and the anaplastic thyroid
carcinoma (ATC) accounted for 0.70 %. The number of thyroid cancer surgery showed an increasing trend year by year, especially in the
past four years. Most of the pathological type was PTC, the composition ratio of which had increased from 79.63% to 97.47%. The
incidence of woman was higher than that of man in four types of thyroid cancer (the ratio of male to female was 1:1.38-1:4.37). The
average diagnosed age of thyroid cancer was 46.80 years. PTC was the lowest (46.48 years), and ATC was the highest (64.25 years).
Conclusion:The number of thyroid cancer showed a rising trend year by year in Qingdao. PTC was the most common pathological type
of thyroid cancer, and it had an obvious increasing trend, while other types of thyroid cancer were relatively rare. The occurrence of PTC
may be associated with high iodine intake. |
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