患有单独幼年息肉的患者的癌症风险和死亡率-一项全国性队列研究与匹配的对照
Anne Marie Jelsig1, Laus Wullum2, Tine Plato Kuhlmann3
1Department of Clinical Genetics, University Hospital of Copenhagen, Rigshospitalet, Copenhagen, Denmark.
United European gastroenterology journal
|July 27, 2023
概括
患有单独结直肠青春性息肉 (JPs) 的患者没有长期增加癌症或死亡风险. 这一发现表明,对于单个JP的个体,可以安全地省略常规内镜后续检查.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 孤独结肠直肠幼年息肉 (JPs) 具有不清楚的长期癌症风险,尽管有报道称出现了发育不良.
- 关于联合实验室致癌潜力的先前研究是有限的,需要进一步调查.
研究的目的:
- 研究被诊断为单独结直肠青少年多的患者的长期癌症和死亡风险.
- 为了比较单独JP患者和匹配的对照队列之间的癌症发病率和死亡率.
主要方法:
- 利用来自丹麦国家病理学登记册 (DNPR) 的数据,识别了1781名孤独性JP患者.
- 将这些患者与83713名对照人匹配,并通过丹麦癌症登记处分析癌症风险和通过丹麦死亡原因登记处分析死亡率.
主要成果:
- 在JP队列和对照之间没有观察到癌症风险 (危险比率[HR]:1.15,p=0.162) 或死亡率 (HR:1.07,p=0.486) 的显著差异.
- 分析显示,不同年龄组或性别的风险没有增加.
- 随访平均为病例7.65年,对照为7.36年.
结论:
- 孤独性结直肠幼年息肉不会增加癌症或死亡的风险.
- 对于患有单独结直肠JP的患者,内镜监测可以安全地中止.
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