Roszkowska Hanna, Goryński Paweł
Zakład Statystyki Medycznej, Państwowego Zakładu Higieny w Warszawie.
Przegl Epidemiol. 2004;58(2):369-76.
The objective of this paper was to assess the occurrence of thyroid cancer in Poland between 1980 and 2000 concerning incidence, hospitalisation and mortality. The frequency of thyroid cancer is relatively low - 0.5% in men and above 2% in women among all malignant. Mortality of thyroid cancer is on the low, stable level - 0.45 death per 100 000 in men and 1.05 in women. Hospital morbidity caused by thyroid cancer is almost three-fold higher then incidence. In the framework of 1980-2000 the substantial increase of incidence was observed especially since 1991 in women and in 1992-1993 and 1999-2000 in men. It could be associated with the pause in iodine prophylactic in 1980. Factors such radiation from medical treatment, ionising radiation as well as environmental, nutrition and genetic conditions may play role as a risk factors. In the last years slightly increase of incidence of thyroid cancer was observed in the population of 0-15. It could be possible caused by radiation after accident of the Chernobyl.
本文的目的是评估1980年至2000年间波兰甲状腺癌在发病率、住院率和死亡率方面的发生情况。甲状腺癌的发病率相对较低——在所有恶性肿瘤中，男性为0.5%，女性超过2%。甲状腺癌的死亡率处于较低的稳定水平——男性为每10万人中有0.45人死亡，女性为1.05人。甲状腺癌导致的住院发病率几乎是发病率的三倍。在1980年至2000年期间，观察到发病率大幅上升，尤其是自1991年起女性发病率上升，1992 - 1993年以及1999 - 2000年男性发病率上升。这可能与1980年碘预防措施的暂停有关。诸如医疗辐射、电离辐射以及环境、营养和遗传条件等因素可能作为风险因素发挥作用。近年来，在0至15岁人群中观察到甲状腺癌发病率略有上升。这可能是由切尔诺贝利事故后的辐射引起的。
