Epidemiological Analysis of 1234 Cases of Laryngeal Cancer in Shanxi Province, China.
Epidemiological Analysis of 1234 Cases of Laryngeal Cancer in Shanxi Province, China.
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山西省1234例喉癌流行病学分析
DOI：
10.1177/10732748211041236
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Wang B
中科院分区：
文献类型：
--
作者：
Qi H;Chen W;Zhang C;Zheng X;Peng C;Zhao Q;Guo Y;Wu Y;Gao W;Wang B
喉癌是头颈部常见的恶性肿瘤，尤其是在中国北方，包括山西省。本研究旨在描述中国山西省喉癌的流行病学特征，以支持预防和治疗工作。回顾性分析山西省医院2008—2012年诊断为喉癌的患者病历。山西省2008—2012年喉癌年均发病率为0.70/105，中国人口标准化发病率为0.57/105，世界人口标准化发病率为0.60/105。山西省喉癌发病率最高的城市是太原，其次是阳泉，发病率最低的是运城和晋城。其中农民723人（58.6%）、工人338人（27.4%）、机关干部95人（7.7%）、失业人员35人（2.8%）、教师30人（2.4%）、其他职业13人（1.1%）。农村喉癌发病率为0.78/105，城市为0.60/105。 1006名有吸烟饮酒情况的患者中，同时吸烟和饮酒238例（23.7%），仅吸烟不饮酒491例（48.8%），仅饮酒不吸烟4例（0.4%），既不吸烟又不饮酒273例（27.1%）（P<0.001），其中男性吸烟695例（95.3%），女性吸烟34例(4.7%) (P<0.001)。在已知原发癌部位的 879 例患者中，406 例（46.2%）为声门上型，428 例（48.7%）为声门型。在1009例已知病理分类的患者中，绝大多数为鳞状细胞癌（992例，98.3%）。综上所述，2008-2012年山西省喉癌发病率呈现相对稳定的趋势，历年男性发病率均高于女性。这项研究中吸烟者的高比例强调了吸烟作为喉癌危险因素的重要性，而饮酒率似乎没有相关性。农村地区喉癌发病率高于城市，这一模式与中国其他地区和国际不同。
Laryngeal cancer is a common malignancy of the head and neck, especially in northern China, including Shanxi province. This study intends to describe the epidemiological characteristics of laryngeal cancer in Shanxi Province, China, in order to support prevention and treatment efforts. Retrospective analysis of the medical records of patients diagnosed with laryngeal cancer in hospitals in Shanxi Province from 2008 to 2012. The average annual incidence rate of laryngeal cancer in Shanxi province from 2008 to 2012 was 0.70/105, the Chinese population standardized incidence rate was 0.57/105 and the world population standardized incidence rate was 0.60/105. The city with the highest incidence of laryngeal cancer in Shanxi Province is Taiyuan, followed by Yangquan, and the lowest incidence are Yuncheng and Jincheng. The cases included 723 farmers (58.6%), 338 workers (27.4%), 95 government cadres (7.7%), 35 unemployed individuals (2.8%), 30 teachers (2.4%) and 13 individuals with other occupations (1.1%). The incidence of laryngeal cancer in rural areas was 0.78/105, while urban areas was 0.60/105. Of 1006 patients with smoking and drinking status reported, there were 238 both smoking and drinking (23.7%), 491 only smoking but not drinking (48.8%), 4 only drinking but not smoking (0.4%), 273 both not smoking and not drinking (27.1%) (P<0.001), and there were 695 males smoking (95.3%), 34 females smoking (4.7%) (P<0.001). Of 879 patients for whom the primary cancer location was known, 406 cases (46.2%) were supraglottic and 428 cases (48.7%) were glottic. Among 1009 patients with known pathological classification, the vast majority had squamous cell carcinoma (992 cases, 98.3%). To sum up, the incidence of laryngeal cancer in Shanxi Province exhibited a relatively stable trend from 2008 to 2012, and the incidence is higher in men than in women in all years. The high percentage of smokers in this study underscores the importance of smoking as a risk factor for laryngeal cancer, whereas rates of drinking did not appear to be linked. Incidence of laryngeal cancer was higher in rural areas than in urban areas, a pattern that differs from other regions of China and internationally.
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