在可切除局部先进的口腔状细胞癌中生存结果和影响生存的因素
Rathindra Nath Bera1, Richik Tripathi2
1Department of Oral and Maxillofacial Surgery, Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, India.
概括
对于局部发达的口腔癌,存活率受到囊外扩散 (ECS),外科边缘,围神经侵入 (PNI),淋巴血管侵入 (LVI) 和淋巴结 (LN) 大小的影响. 这些因素指导了辅助治疗决策.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 辐射瘤学 辐射瘤学
背景情况:
- 局部发达的口腔状细胞癌 (OSCC) 的管理涉及多种治疗方式,包括手术,放射治疗和化疗.
- 诱导化疗在切除的OSCC中的作用仍在争论中,手术往往是主要选择.
研究的目的:
- 评估局部发达OSCC患者的生存率并确定影响生存的因素.
- 在这个患者队列中确定整体生存 (OS) 和无病生存 (DFS) 的独立预后因素.
主要方法:
- 进行了对患者病历的回顾性审查.
- 用Kaplan-Meier方法进行OS和DFS分析.
- 使用Log-rank测试和Cox回归 (单变量和多变量) 来评估生存差异和确定风险因素.
主要成果:
- 3年的OS率为56.80%,3年的DFS率为52.4%.
- 囊外扩散 (ECS),积极的外科边缘,围神经入侵 (PNI),淋巴血管入侵 (LVI) 和淋巴结 (LN) 大小被确定为低生存率的独立风险因素.
结论:
- 在局部发达的OSCC中,ECS,积极的外科边缘,PNI,LVI和LN大小显著影响生存结果.
- 这些确定的预后因素支持当前的辅助放射治疗或化学辐射指南.
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