[Clinical characteristics and prognosis analysis of 108 cases of recurrent nasopharyngeal carcinoma from a single center]
- Qing Wang 1, Fusheng Lin 1, Ran Zhang 1, Lin Gao 1, Xingqian Zhao 1, Jie Yang 1, Xiaojiang Li 1
- Qing Wang 1, Fusheng Lin 1, Ran Zhang 1
- 1Department of Head and Neck,Yunnan Cancer Hospital,Kunming,650118,China.
- 0Department of Head and Neck,Yunnan Cancer Hospital,Kunming,650118,China.
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View abstract on PubMed
Summary
This summary is machine-generated.Age, chemotherapy, and specific biomarkers like D-dimer and IL-10 significantly impact nasopharyngeal carcinoma recurrence survival. These factors can guide prognosis and treatment strategies for recurrent NPC patients.
Area Of Science
- Oncology
- Cancer Research
- Clinical Medicine
Context
- Recurrent nasopharyngeal carcinoma (NPC) presents significant challenges in patient management and prognosis.
- Identifying reliable prognostic factors is crucial for tailoring treatment strategies and improving survival outcomes.
- Previous research has explored various clinicopathologic features, but a comprehensive analysis of recurrent NPC is needed.
Purpose
- To conduct a retrospective analysis correlating clinicopathologic features and related indexes with prognosis in patients with recurrent nasopharyngeal carcinoma (NPC).
- To identify independent risk factors influencing the overall survival of patients diagnosed with recurrent NPC.
- To explore potential new biomarkers for predicting prognosis in recurrent NPC.
Summary
- A study of 108 recurrent NPC patients revealed a median survival of 54 months. Age over 46 years was associated with significantly better 5-year overall survival (50.2% vs. 27.9%).
- Univariate analysis identified age, chemotherapy regimen, EBV early antigen IgA, plasma D-dimer, glycan antigen-125, IL-10, and IL-4 as significant factors. Multifactorial analysis confirmed age, chemotherapy regimen, EBV early antigen IgA, plasma D-dimer, glycan antigen-125, and IL-10 as independent prognostic influences.
- Chemotherapy regimens significantly affect prognosis. Elevated plasma D-dimer, glycan antigen 125, and IL-10 levels are identified as potential independent prognostic factors for recurrent NPC.
Impact
- The findings highlight the prognostic significance of specific biomarkers (D-dimer, CA125, IL-10) and patient age in recurrent nasopharyngeal carcinoma.
- Chemotherapy regimen choice is a critical factor influencing survival outcomes in recurrent NPC.
- These identified factors may serve as valuable biomarkers for predicting prognosis and guiding clinical decision-making in recurrent NPC management.
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