中国实用外科杂志2024，Vol.44Issue(9)：1062-1067,6.DOI:10.19538/j.cjps.issn1005-2208.2024.09.16
上海地区肝癌流行病学特征与诊疗模式演变:基于2016-2023年数据分析
Epidemiological characteristics and evolution of diagnosis and treatment modalities for liver cancer in Shanghai:an analysis of data from 2016 to 2023
摘要
Abstract
Objective To comprehensively investigate the epidemiological characteristics of liver cancer and the transformation of diagnosis and treatment modalities in Shanghai,based on analysis of registered data from Renji Hospital,Shanghai Jiao Tong University School of Medicine and Shanghai Municipality.Methods Epidemiological characteristics and diagnosis and treatment landscapes of liver cancer in Shanghai from 2019 to 2023 were analyzed based on statistical data from the Shengkang Medical Union Information System and registered clinical data repository of a tertiary hospital in Shanghai.Results With reference to municipal hospitals in Shanghai,a total of 98 960 liver cancer cases were managed from 2016 to 2021,43.3％of which were first-time surgery patients with annually increasing 3-year and 5-year survival rates.Taking Renji Hospital,Shanghai Jiao Tong University School of Medicine as sample,the study found that liver cancer cases increased overall from 2019 to 2023,with a majority of 45-to 74-year-old and rising proportion of younger patients.Hepatocellular carcinoma(HCC)is identified as the predominant histological subtype(93.1％),with combined hepatocellular-cholangiocarcinoma(cHCC-CCA)increased.Patients receiving minimally invasive surgeries and systemic treatment increased significantly.Participation in multidisciplinary team(MDT)consultations increased annually,with a high implementation rate of 98.9％.Conclusion The incidence of liver cancer in Shanghai is showing a trend towards younger ages,with an increasing prevalence of cHCC-CCA.There has been a significant expansion in minimally invasive surgical procedures and systemic treatments,accompanied by a notable enhancement in the involvement of multidisciplinary teams(MDT)in patient care.关键词
肝细胞肝癌/肝内胆管癌/流行病学/诊疗模式Key words
hepatocellular carcinoma/intrahepatic cholangiocarcinoma/epidemiology/diagnosis and treatment modalities分类
医药卫生引用本文复制引用
向雪琳,丁飞,冯浩,夏强..上海地区肝癌流行病学特征与诊疗模式演变:基于2016-2023年数据分析[J].中国实用外科杂志,2024,44(9):1062-1067,6.基金项目
上海市2023年度"科技创新行动计划"优秀学术带头人(青年)项目(No.23XD1423100) （青年）
