杭州市萧山区1988年至2009年甲状腺癌发病分析

Analysis of the incidence of thyroid cancer from 1988 to 2009 in Xiaoshan district, Hangzhou

目的 了解杭州市萧山区1988年至2009年甲状腺癌的发病情况及变化趋势.方法 利用萧山区1988年至2009年甲状腺癌发病数据及历年人口资料,计算分年及分年龄段粗发病率、应用线性趋势检验作时间趋势分析.结果 近20年来,萧山区甲状腺癌发病率呈显著上升趋势,女性尤其明显;2009年女性甲状腺癌发病率达23.81/10万,占女性恶性肿瘤发病的7.66%,居女性恶性肿瘤发病第3位.甲状腺癌发病年龄男性和女性有较大区别,女性45～59岁为发病高峰,发病占恶性肿瘤总发病人数的40.26%,男性则随着年龄增长发病率逐步增加.结论 萧山区甲状腺癌尤其是女性甲状腺癌发病近年来明显上升,其预防与控制应该成为萧山肿瘤控制计划制定和实施的重点之一.

Objective To investigate the incidence, characteristic distribution, and trends of thyroid cancer in Xiaoshan district, Hangzhou. Methods The thyroid cancer data were statistically analyzed using the related data of Xiaoshan from 1988 to 2009. Results During the past 20 years, the incidence of thyroid cancer was increased with an upward trend, especially in females. The incidence in females was 23.81/105 in 2009. It took the third place among all female malignancies. The ages of onset of thyroid cancers between the males and females were significantly different. The incidence of thyroid cancer in females aged 45-59 reached the highest one, being 40.26% of all the malignancies; while in males, it was increasing gradually with the age. Conclusion Thyroid cancer is becoming one of the most common malignant neoplasm in Xiaoshan. The prevention and control of the disease will be emphasized in the future.