青少年和年轻人的甲状腺癌:全球185个国家的基于人口的研究
Mengmeng Li1, Luigino Dal Maso2, Margherita Pizzato3
1Department of Cancer Prevention, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-Sen University Cancer Center, Guangzhou, China.
The lancet. Diabetes & endocrinology
|November 22, 2025
概括
全球青少年和年轻成年人 (AYA) 甲状腺癌发病率正在迅速增加,但死亡率仍然很低. 这表明过度诊断的增加,需要重新评估诊断实践.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 青少年和年轻成年人 (AYA) 癌症负担上升,甲状腺癌是显著的驱动因素.
- 全球趋势和目前AYA (15-39岁) 甲状腺癌的负担需要全面评估.
研究的目的:
- 评估全球趋势和目前青少年和年轻人 (AYA) 中甲状腺癌的负担.
主要方法:
- 利用了五大洲加癌症发病率和世卫组织死亡率数据库的发病率和死亡率数据 (2003-2017).
- 从GLOBOCAN提取了185个国家的2022年全球甲状腺癌数据.
- 分析了发病率与死亡率的比率和与甲状腺癌率相关的人类发展指数 (HDI).
主要成果:
- 自2000年代以来,AYA的甲状腺癌发病率在全球范围内急剧增加,死亡率稳定,低.
- 在中国,韩国,塞浦路斯,厄瓜多尔和土耳其观察到显著的发病率增加.
- 在2022年,甲状腺癌是AYA的主要诊断,特别是女性,发病率因地区和HDI而异,但死亡率保持一致.
结论:
- 在AYA人群中甲状腺癌发病率的上升表明,在这个人口群体中过度诊断的增加.
- 迫切需要制定战略,防止由于过度诊断程序而导致的不必要的诊断和治疗.
相关概念视频
Synthesis and Regulation of Thyroid Hormones
7.1K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
7.1K
The Thyroid Gland
6.6K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
6.6K
Functions of Thyroid Hormones
4.9K
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
4.9K
Prevalence and Incidence
1.5K
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
1.5K
Longitudinal Research
13.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
13.0K
Cancer Prevention
7.6K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
7.6K


