中国甲状腺癌术后随访和临床研究现状反思

Reflections on current problems in postoperative follow-up and clinical study of thyroid carcinoma in China

甲状腺癌发病率逐年增长,但长期以来,由于缺乏基于中国人群的临床研究数据,诊疗方案的制定受到严重制约。因此,近年来我国学者对甲状腺癌的术后随访和临床研究给予更多的关注和重视。尽管我国人口基数庞大、临床病例丰富,但受基础条件制约,多年来肿瘤登记工作进展缓慢,覆盖人口比例较少,尤其是甲状腺癌的长期随访研究存在极大缺陷。笔者参考国外先进的肿瘤登记随访模式结合自己的临床工作、研究中的相关经验,分析中国肿瘤登记工作现状和甲状腺癌随访、科研中的困境。

The incidence of thyroid cancer is growing larger each year. However, the development of diagnostic and treatment programs in this field has been severely constrained for quite a long time, due to the lack of clinical registry data based on Chinese population. Therefore, the postoperative follow-up and clinical study of thyroid cancer have drawn increasing attention from Chinese scholars in recent years. Despite the large population base and abundant clinical cases in China, the cancer registry work has been proceeding slowly and coverage of the population is still low, especially the long-term follow-up study of thyroid cancer is greatly problematic under the weak basic conditions. The authors analyze the current status of cancer registry and the difficulties in follow-up and investigative work for thyroid cancer in China, based on reference to advanced cancer registry and follow-up models in foreign countries combined with personal experience in clinical practice and basic research.