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泰国妇科癌症的流行病学状况。

The epidemiologic status of gynecologic cancer in Thailand.

作者信息

Wilailak Sarikapan, Lertchaipattanakul Nuttapong

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Department of Academics and Culture, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

出版信息

J Gynecol Oncol. 2016 Nov;27(6):e65. doi: 10.3802/jgo.2016.27.e65.

Abstract

Between the years of 2010-2012, it was estimated there were a total of 112,392 new cases of cancers in Thailand, thus, the total age-standardized rate (ASR) per 100,000 is 137.6. In regards to the most prevalent types of cancer in female, breast cancer has the highest ASR, followed by cervical cancer (ASR=14.4); liver and bile duct cancer; colon and rectum cancer; trachea, bronchus and lung cancer; ovarian cancer (ASR=6.0); thyroid cancer; non-Hodgkin lymphoma and uterine cancer (ASR=4.3). The trend of cervical cancer in Thailand is decreasing, one key factor in making this possible was the employment of dual tract strategy (Pap smear and visual inspection with acetic acid [VIA]) by the government in 2005. In the future, the government is also considering integrating human papillomavirus (HPV) vaccination into the national immunization program, which may assist in the prevention of cervical cancer. By studying the statistical data of gynecologic cancer, it will be possible to formulate measures for the prevention, control and treatment of gynecologic cancer. Eventually, it will potentially improve the quality of life (QoL) of patients as well as decrease the mortality rate caused by gynecologic cancer.

摘要

在2010年至2012年期间,据估计泰国共有112,392例新发癌症病例,因此,每10万人的年龄标准化发病率(ASR)总计为137.6。就女性中最常见的癌症类型而言,乳腺癌的年龄标准化发病率最高,其次是宫颈癌(ASR = 14.4);肝癌和胆管癌;结肠癌和直肠癌;气管、支气管和肺癌;卵巢癌(ASR = 6.0);甲状腺癌;非霍奇金淋巴瘤和子宫癌(ASR = 4.3)。泰国宫颈癌的发病趋势正在下降,促成这种情况的一个关键因素是政府在2005年采用了双轨战略(巴氏涂片检查和醋酸目视检查[VIA])。未来,政府还在考虑将人乳头瘤病毒(HPV)疫苗接种纳入国家免疫计划,这可能有助于预防宫颈癌。通过研究妇科癌症的统计数据,将有可能制定出预防、控制和治疗妇科癌症的措施。最终,这可能会提高患者的生活质量(QoL),并降低妇科癌症导致的死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a38/5078827/7bb35aaf407a/jgo-27-e65-g001.jpg

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