患有原发性逆皮质肉瘤的患者早期复发的风险因素
Fabio Tirotta1, Michael G Fadel2, Marco Baia3,4
1Department of Sarcoma and General Surgery, Midlands Abdominal and Retroperitoneal Sarcoma Unit, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK. Fabio.tirotta@uhb.nhs.uk.
Annals of surgical oncology
|July 9, 2023
概括
逆皮质肉瘤 (RPS) 的早期复发是常见的,并且与生存率低下有关. 高度瘤独立预测早期复发 (EREC),表明需要新的治疗方法.
科学领域:
- 手术瘤学手术瘤学
- 肉瘤研究研究 肉瘤研究
- 癌症复发的可能
背景情况:
- 手术后复发的逆皮质肉瘤 (RPS) 是很常见的.
- 早期复发 (EREC) 显著影响患者的预后.
- 识别EREC预测因子对于治疗策略至关重要.
研究的目的:
- 为了确定在RPS患者中EREC的发病率.
- 分析EREC和整体存活率 (OS) 之间的关联.
- 为了确定EREC的独立预测因素.
主要方法:
- 对接受初级RPS手术的657名患者的分析 (2008-2019).
- EREC定义为手术后6个月内通过CT扫描的复发/转移.
- 卡普兰-梅尔对OS和EREC预测器的多变量分析.
主要成果:
- 在9.9%的患者中发生了EREC,其5年生存率为3%,而非EREC患者的76%为3%.
- 与ECOG状态,瘤组织学,等级,放射治疗和并发症相关的EREC.
- 3级瘤是EREC的唯一独立预测因子 (OR 14.8,p < 0.001).
结论:
- 在RPS中,EREC是预后不佳的重要指标.
- 高瘤等级 (等级3) 是EREC的一个关键独立预测指标.
- 患有EREC的患者可能会受益于新的治疗方法,如新辅助化疗.
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