浙江省嘉善县1987～2016年甲状腺癌的发病趋势及病理分析

Time Trends and Pathological Characteristics of Thyroid Cancer in Jiashan County,1987～2016

[目的]了解嘉善县1987~2016年甲状腺癌的发病情况、变化趋势和病理特征,为制定防治措施提供依据。[方法]计算甲状腺癌发病率、中国人口标化发病率(中标率)、世界人口标化发病率(世标率),分析发病率变化趋势及分性别、病理类型甲状腺癌发病率的变化情况。[结果 ]1987~2016年嘉善县甲状腺癌新发病例1141例,粗发病率为10.05/10万,中标率为6.16/10万,世标率为7.21/10万,占全部恶性肿瘤发病的3.63%,在该县癌症发病构成中位居第4位;男、女性别比为1∶3.60;女性发病率上升更为明显,甲状腺癌占女性全部恶性肿瘤发病的6.97%,女性癌症发病构成中位居第10位。[结论]嘉善县甲状腺癌发病(尤其女性)呈明显上升趋势,乳头状癌(包括乳头状微小癌)在所有甲状腺癌病理类型中发病构成比增高。

[Purpose] To analyze the incidence,trend and pathological features of thyroid cancer in Jiashan during 1987~2016. [Methods] The incidence of thyroid cancer,Chinese population standardized incidence rate（ASR China）,world population standardized incidence rate（ASR world） were calculated. The trends of incidence rate,changes of pathological types of thyroid cancer were analyzed. [Results] Total 1141 new cases of thyroid cancer were reported in Jiashan county during 1987~2016. The crude incidence rate was 10.05/105,ASR China and ASR world were 6.16/105 and7.21/105,accounting for 3.63% of all cancer cases,ranking fourth in all cancer incidence in the county. The ratio of male to female was 1∶3.60. the incidence rate of female increased significantly,accounting for 6.97% of all cancer cases in female and ranking the tenth. [Conclusion] The incidence of thyroid cancer,especially in women,is significantly increasing in Jiashan county during 1987 to 2006,and the papillary carcinoma（papillary microcarcinoma included） is the highest type of thyroid cancer in all pathological types.