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目的:探讨新疆地区人群中甲状腺癌发病状况及病理学特征。方法:对1997年至2006年期间新疆医科大学第一附属医院收治的199例甲状腺癌患者病理学特征进行分析。结果:2004年-2006年新疆地区人群甲状腺癌的年均收治患者人数比以前6年高30%以上;女性患者人数比男性高约2.3倍,不同民族之间无显著差异;50岁以下女性患者为52.56%,男性为37.07%;汉族患者占129例(64.82%),维吾尔族患者47例(23.62%),其他少数民族23例(11.56%);根据甲状腺肿瘤的组织病理学分型情况,乳头状腺癌居首位,136例(68.34%),其类型依次为滤泡癌47例(23.62%),髓样癌11例(5.53%),未分化癌5例(2.51%);参加手术和放/化疗治疗的患者为150例(75.38%),癌症转移并直接进行放/化疗患者28例(14.07%)。结论:过去10年当中我院收治甲状腺癌患者逐年增多,说明新疆地区人群中甲状腺癌的发病率呈逐年上升趋势。其中乳头状癌居首位;女性甲状腺癌的高发年龄分布30岁-50岁,男性人群高发年龄在60岁-69岁,维、汉两族人群甲状腺癌的男女发病比例有明显差异;但甲状腺癌的亚类在维、汉两民族之间无显著性差异。
Objective: To investigate the incidence and pathological features of thyroid cancer in Xinjiang population. Methods: The pathological features of 199 thyroid cancer patients admitted to the First Affiliated Hospital of Xinjiang Medical University from 1997 to 2006 were analyzed. Results: The average annual number of patients with thyroid cancer in Xinjiang from 2004 to 2006 was 30% higher than that of the previous 6 years. The number of female patients was 2.3 times higher than that of men and there was no significant difference among different ethnic groups. Female patients under 50 years old (52.56%) and male (37.07%). There were 129 Han patients (64.82%), 47 Uygur patients (23.62%) and 23 other ethnic minorities (11.56%). According to the histopathological classification of thyroid tumors, Among them, there were 136 cases (68.34%) with adenocarcinoma, followed by follicular carcinoma in 47 cases (23.62%), medullary carcinoma in 11 cases (5.53%) and undifferentiated carcinoma in 5 cases (2.51% There were 150 patients (75.38%) with radiotherapy and chemotherapy and 28 patients (14.07%) with cancer metastasis and radiotherapy / chemotherapy directly. Conclusion: The incidence of thyroid cancer in our hospital increased year by year in the past 10 years, which indicates that the incidence of thyroid cancer in Xinjiang is increasing year by year. Among them, papillary carcinoma ranks the first place. The incidence of thyroid cancer in women is 30-50 years old. The prevalence of thyroid cancer in men and women is 60-69 years old. There is a significant difference in the incidence of thyroid cancer between the two groups. However, There was no significant difference in the subtypes of cancer between Victoria and Han nationalities.