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  1. Home
  2. A Nomogram For Overall Survival Of Second Primary Cancers Following Upper-tract Urothelial Carcinoma: A Seer Population-based Study.
  1. Home
  2. A Nomogram For Overall Survival Of Second Primary Cancers Following Upper-tract Urothelial Carcinoma: A Seer Population-based Study.

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A nomogram for overall survival of second primary cancers following upper-tract urothelial carcinoma: a SEER

Xi Zhang1,2, Weikang Chen3, Chunming Li1,2

  • 1Department of Gynecology, Zhejiang University School of Medicine Women's Hospital, Hangzhou, China.

Translational Cancer Research
|September 12, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Second primary malignancies (SPMs) are increasingly identified in upper-tract urothelial carcinoma (UTUC) patients. This study developed a nomogram to predict survival for UTUC patients with SPMs, aiding in risk stratification.

Keywords:
Surveillance, Epidemiology, and End Results (SEER)Upper-tract urothelial carcinoma (UTUC)nomogramprognosissecond primary

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Area of Science:

  • Urology
  • Oncology
  • Cancer Epidemiology

Background:

  • Improving survival rates in upper-tract urothelial carcinoma (UTUC) have led to increased identification of second primary malignancies (SPMs).
  • Limited research exists on the incidence and prognostic factors of SPMs in UTUC survivors.
  • Understanding SPM risk is crucial for comprehensive patient management.

Purpose of the Study:

  • To evaluate the incidence and risk of SPMs in patients diagnosed with UTUC.
  • To develop and validate a predictive nomogram for overall survival (OS) in UTUC patients who develop SPMs.

Main Methods:

  • Utilized data from the Surveillance, Epidemiology, and End Results (SEER) database.
  • Assessed SPM prevalence and risk factors using univariate and multivariate Cox regression analyses.
  • Developed and validated an overall survival (OS) nomogram for SPM patients post-UTUC diagnosis.
  • Main Results:

    • The prevalence of SPMs among UTUC patients was 30.23%, with solid tumors being the most common type.
    • The overall risk of SPMs was significantly elevated across all subgroups.
    • The developed nomogram demonstrated good predictive performance for 3- and 5-year OS (C-index: 0.72 training, 0.71 validation).

    Conclusions:

    • This study provides the first comprehensive analysis of SPM incidence following UTUC.
    • A novel nomogram is introduced to predict the prognosis of SPMs in UTUC patients.
    • The findings aid in identifying high-risk individuals and tailoring follow-up strategies.