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喉癌患者的长期护理和随访:一个多中心的回顾性分析
Blažen Marijić1,2,3, Filip Tudor2,3, Stefan Janik4
1Institute of Head and Neck Diseases, Evangelical Hospital, 1180 Vienna, Austria.
Journal of personalized medicine
|June 28, 2023
概括
再发性喉平细胞癌 (LSCC) 不太常见,比二次原发性瘤 (SPT) 早发生. 长期跟踪至关重要,因为大约25%的LSCC患者在5-10年内会患上SPT.
科学领域:
- 在瘤学瘤学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 癌症研究 癌症研究
背景情况:
- 喉平细胞癌 (LSCC) 是一个重大的健康问题.
- 对LSCC的外科治疗结果需要进一步调查.
- 了解长期风险,如复发和次要原发性瘤,对于患者管理至关重要.
研究的目的:
- 分析手术治疗喉状细胞癌 (LSCC) 患者的结局.
- 开发一个可预测患者存活率的诺米克图.
- 为了比较疾病复发的时间与二次原发性瘤的发展.
主要方法:
- 一项多中心的回顾性研究,涉及352名LSCC患者.
- 开发一种包含年龄,T和N分类以及治疗细节的新型名ogram.
- 对复发率和二次原发性瘤 (SPT) 发展的分析.
主要成果:
- 在18.5%的患者中观察到复发,通常在16.5个月内.
- 60个月后,第二次原发性瘤 (SPTs) 在25.9%的患者中发生.
- 肺癌是最常见的SPT (8.2%),其次是其他头部和部癌症 (6.0%),头部和部SPT的延迟时间更长.
结论:
- 复发性LSCC的频率较低,比SPT更早发生.
- 建议长期监测,包括成像,因为SPT的发病率很高 (在5-10年内,每4名患者中就有1名).
- 开发的诺米图表在估计生存时间方面表现出实用性.
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