淋巴结比作为头部和部状细胞癌的生存预测因子,具有多种不良的病理特征
Ming-Hsien Tsai1,2,3, Hui-Ching Chuang1,2,4, Chih-Yen Chien1,2,4,5
1Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Head & neck
|June 10, 2023
概括
淋巴结比率 (LNR) 是头部和部状细胞癌 (HNSCC) 患者多种不良特征生存的重要预测因素. 高LNR (≥7%) 表示预后较差,表明需要加强治疗策略.
科学领域:
- 在瘤学瘤学.
- 手术病理学手术病理学
背景情况:
- 调查头部和部状细胞癌 (HNSCC) 的预后因素.
- 专注于多种不良病理特征的患者.
研究的目的:
- 在HNSCC患者中确定淋巴结比率 (LNR) 的预后意义.
- 评估LNR对整体存活率 (OS) 和癌症特定存活率 (CSS) 的影响.
主要方法:
- 对100名HNSCC患者的回顾性分析.
- 患者患有围神经侵袭,淋巴血管侵袭和外节延伸.
- 用彻底手术和辅助化疗或放射治疗治疗.
主要成果:
- 对生存预测的最佳LNR切断值为7%.
- LNR ≥7%是OS (HR: 2.689) 和CSS (HR: 3.162) 的显著不利预测因素.
- 考克斯模型证实了LNR作为一个独立的预后因素.
结论:
- 在具有多种不良病理特征的HNSCC患者中,LNR是一种独立的生存预测因子.
- 高LNR标识了需要新型,强化治疗方法的子组.
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