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黑色素瘤幸存者的第二次原发性恶性瘤风险:基于人口的研究
Javier Antoñanzas1, Ana Morello-Vicente1, Gloria Maria Garnacho-Saucedo2
1Dermatology Department, University Clinic of Navarra, 31008 Pamplona, Spain.
Cancers
|June 10, 2023
概括
患有黑色素瘤 (MM) 的患者面临第二次原发性瘤 (SPN) 的风险增加. 面部或部的初级MM,阴茎恶性亚型和年龄较大是发展SPN的关键风险因素.
科学领域:
- 在瘤学瘤学.
- 皮肤病学 皮肤病学
- 流行病学 流行病学
背景情况:
- 黑色素瘤 (MM) 幸存者患第二原发性瘤 (SPN) 的风险增加.
- 之前的研究报告了MM患者的SPN发病率,从1.5%到20%不等.
- 在MM幸存者中确定SPN的风险因素对于有针对性的随访至关重要.
研究的目的:
- 评估在有原发性MM病史的患者中SPN的发生率.
- 确定与SPNs风险增加相关的人口和MM相关因素.
主要方法:
- 从2005年到2021年,对529名MM幸存者的前性队列研究.
- 计算SPN的发病率和相对风险 (RR).
- 考克斯的比例危险模型用于确定影响因素.
主要成果:
- 在529名患者中,有89名患有SPN (62名皮肤患者,37名固体器官患者).
- 估计10年后SPNsMM后诊断的概率为19%.
- 与年龄较大,面部/部MM的位置以及lentigo恶性亚型相关的风险较高.
结论:
- 主要MM位于面部/部和lentigo恶性亚型的位置是SPNs的重要风险因素.
- 高龄独立地影响了MM幸存者的SPNs风险.
- 了解这些因素可以为MM对高风险个体的后续指南提供信息.
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