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中国癌症防治杂志

中国癌症防治杂志 ›› 2025, Vol. 17 ›› Issue (2): 133-138.doi: 10.3969/j.issn.1674-5671.2025.02.01

• 癌情监测 • 上一篇    下一篇

2019年广西肿瘤登记地区甲状腺癌流行特征及2012—2019年变化趋势分析

  

  1. 广西医科大学附属肿瘤医院；广西医科大学公共卫生学院；广西医科大学附属口腔医院；广西壮族自治区卫生健康委员会肿瘤分子医学重点（培育）实验室；广西壮族自治区肿瘤分子医学工程研究中心
  • 出版日期:2025-04-25 发布日期:2025-05-15
  • 通讯作者: 余红平 E-mail： yuhongping@stu.gxmu.edu.cn

Epidemic characteristics of thyroid cancer in Guangxi cancer registration areas in 2019 and trends analysis from 2012 to 2019

  • Online:2025-04-25 Published:2025-05-15

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摘要：  目的 分析广西肿瘤登记地区2019年甲状腺癌发病与死亡特征以及2012—2019年甲状腺癌变化趋势。方法 根据相关质控标准，2012—2019年广西符合质控要求的56个肿瘤登记处甲状腺癌发病和死亡数据，按年龄、性别、地区分别计算粗发病率、粗死亡率及其标化率等指标。采用Joinpoint回归模型计算平均年度变化百分比（average annual percentage change，AAPC），分析2012—2019年甲状腺癌变化趋势。 结果  2019年广西肿瘤登记地区报告甲状腺癌新发病例数为2 282例，中标发病率为6.49/10万；报告死亡病例为137例，中标死亡率为0.32/10万。女性甲状腺癌中标发病率（10.36/10万）是男性（2.89/10万）的3.6倍，中标死亡率（0.38/10万vs 0.25/10万）也略高。城市地区甲状腺癌的中标发病率和中标死亡率（9.45/10万、0.39/10万）均高于农村地区（4.46/10万、0.27/10万）。甲状腺癌发病率和死亡率高峰分别在50~59岁和70岁及以上年龄组。2012—2019年广西甲状腺癌中标发病率呈上升趋势（AAPC=13.68%，P<0.001），其中女性、男性和城市地区人群发病率均呈上升趋势（均P<0.05）；但中标死亡率无明显趋势变化（AAPC=-4.94%,P=0.116）。 结论 2012—2019年广西甲状腺癌的发病率呈上升趋势，城市地区、女性、中青年人群高发，但死亡率相对平稳。应加强甲状腺癌防治工作，推进健康宣教和精准筛查。

关键词: 甲状腺癌, 发病率, 死亡率, 趋势, 广西

Abstract: Objective To analyze the characteristics of the incidence and mortality of thyroid cancer in Guangxi cancer registration areas in 2019 and evaluate their trends from 2012 to 2019. Methods According to relevant quality control standards, the incidence and death data of thyroid cancer from 56 tumor registries meeting the quality control requirements in Guangxi from 2012 to 2019， and the crude incidence rate, crude mortality rate and standardized rate were calculated according to age, gender and region,  respectively.  The annual average percentage change (AAPC) was calculated by Joinpoint regression model to analyze the trends of thyroid cancer from 2012 to 2019. Results In 2019, Guangxi registries reported 2,282 new thyroid cancer cases, with age⁃standardized incidence rate by Chinese standard population (ASIRC) of 6.49/105, and reported 137 deaths, with age⁃standardized mortality rate by Chinese standard population (ASMRC) of 0.32/105. The ASIRC of thyroid cancer in females (10.36/105) was 3.6 times higher than in males (2.89/105), with slightly higher female ASMRC (0.38 /105 vs  0.25/105). Urban areas showed significantly higher ASIRC and ASMRC of thyroid cancer (9.45/105 and 0.39/105) than in rural areas (4.46/105 and 0.27/105).  The peak incidence and mortality rates were in the 50-59 and 70-79 age groups, respectively. From 2012 to 2019, the ASIRC of thyroid cancer in Guangxi showed an upward trend (AAPC=13.68%, P<0.001),  particularly in females, males, and urban populations (all P<0.05). However, there was no significant change in ASMRC (AAPC=-4.94%, P=0.116). Conclusions The incidence of thyroid cancer in Guangxi demonstrates an upward trend from 2012 to 2019, with higher rates observed in urban areas, females, and middle⁃aged and young populations, though the mortality rate remains relatively stable. Efforts should be enhanced to prevent and control thyroid cancer by conducting multi⁃dimensional health education and implementing targeted precision screening strategies. 

Key words: Thyroid cancer, Incidence rate, Mortality rate, Trend, Guangxi

中图分类号: 

  • R736.1