在美国人口中对类脏细胞癌的人口结构模式和临床病理学分析
Asad Ullah1, Abdul Qahar Khan Yasinzai2, Om V Sakhalkar3
1Department of Pathology, Texas Tech University Health Sciences Center, Lubbock, TX.
Clinical genitourinary cancer
|August 7, 2023
概括
类细胞癌 (RCC) 主要影响老年白人男性. 晚年,远期和大型瘤与预后不佳有关,而手术改善了生存结果.
科学领域:
- 在瘤学瘤学.
- 尿道瘤学 尿道瘤学
- 癌症流行病学 癌症流行病学
背景情况:
- 类细胞癌 (RCC) 是一种罕见的癌变体,其特征是存在类成分.
- 了解影响肉 Sarcomatoid RCC 预后的临床,人口和病理因素对于患者管理至关重要.
研究的目的:
- 总结了sarcomatoid RCC患者的临床,人口和病理因素.
- 为了确定影响类RCC预后和存活率的人口差异.
- 分析一大群类RCC患者的治疗结果和生存率.
主要方法:
- 使用了监测,流行病学和最终结果 (SEER) 数据库.
- 汇编了2000年至2018年期间被诊断患有类RCC的2695名患者的数据.
- 进行多变量分析以确定死亡率的独立风险因素.
主要成果:
- 类RCC主要诊断在白人男性 (82.6%白人,68.2%男性) 中,平均年龄为62.8岁.
- 在诊断时,显著比例的瘤是大 (>10厘米,36.4%) 和远程 (55.8%) 的.
- 整体5年生存率为18.1%,但在接受手术的患者中改善到27.1%. 独立的死亡风险因素包括年龄> 60,远程阶段和瘤大小> 10厘米.
结论:
- 类RCC最常影响70多岁的白人男性.
- 增加的年龄,遥远的阶段和更大的瘤大小 (>10厘米) 与不良的预后有关.
- 手术干预,特别是在局部疾病中,以及多模式治疗与改善的生存结果相关.
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