深圳市南山区2013-2020年甲状腺癌发病特征变化趋势分析

Trend Analysis of Thyroid Cancer Incidence Characteristics in Shenzhen Nanshan District from 2013 to 2020

目的:探讨深圳市南山区2013-2020年甲状腺癌发病特征变化趋势分析。方法:回顾性提取2013年1月-2020年12月在深圳市干部人才健康管理中心进行健康体检的深圳市南山区人群393 252例资料,其中438例诊断为甲状腺癌,分析甲状腺癌的发病趋势及动态特征。结果:2013年检出甲状腺癌患者占比最低,为1.83%(8/438),检出率为2.14(8/37 412);2020年占比最高,为21.23%(93/438),检出率为19.83(93/46 909),2020年检出率比2013年上升了8.27倍;2013-2020年检出率为11.14(438/393 252)。2013年1月1日-2016年12月31日甲状腺癌病例数为127例,2017年1月1日-2020年12月31日甲状腺癌病例数为311例,后4年较前4年增长144.88%。438例甲状腺癌患者中女性、男性病例分别占57.31%(251/438)、42.69%(187/438),患病比为1.34∶1;发病年龄主要集中在30~49岁,占比为67.35%(295/438);病理类型主要为乳头状癌,占比88.36%(387/438)。结论:2013-2020年深圳市南山区甲状腺癌发病率大致呈逐年上升态势,以乳头状甲状腺癌为主,女性甲状腺癌发病率高于男性,本研究结果可为深圳地区医疗卫生服务机构对甲状腺癌的预防和干预提供临床参考。

Objective:To explore the changing trend of thyroid cancer incidence characteristics in Shenzhen Nanshan District from 2013 to 2020.Method:The clinical data of 393 252 cases in Nanshan District of Shenzhen City who underwent physical examination in Shenzhen Cadres and Talents Health Management Center from January 2013 to December 2020 were retrospectively extracted.Among them,438 patients were diagnosed as thyroid cancer,and the incidence trend and dynamic characteristics of thyroid cancer were analyzed.Result:In 2013,the proportion of the diagnosed cases to the total cases was the lowest,which was 1.83% (8/438),and the detectable rate was 2.14 (8/37 412).In 2020,the proportion of the diagnosed cases to the total cases was the highest,which was 21.23% (93/438),and the detectable rate was 19.83 (93/46 909),which was 8.27 times higher than that of 2013.From 2013 to 2020,the detectable rate was 11.14 (438/393 252).From January 1,2013 to December 31,2016,the number of thyroid cancer cases was 127,and from January 1,2017 to December 31,2020,the number of thyroid cancer cases was 311,the last 4 years increased by 144.88% compared with the first 4 years.Among the 438 thyroid cancer patients,57.31% (251/438) and 42.69% (187/438) were female and male,respectively,with a incidence ratio of female to male was 1.34∶1;the age of onset was mainly from 30 to 49 years old,accounting for 67.35% (295/438);the pathological type of thyroid carcinoma was mainly papillary carcinoma,accounting for 88.36% (387/438).Conclusion:From 2013 to 2020,patients with thyroid cancer in Shenzhen Nanshan District have basically increased year by year,with papillary thyroid cancer predominantly.The incidence of thyroid cancer in women is higher than that in men.The results of this study can provide clinical references for the prevention and intervention of thyroid cancer by medical and health service institutions in Shenzhen.