教科书 欧洲胃肠数据中的瘤结果
Katarzyna Sędłak1, Karol Rawicz-Pruszyński1, Radosław Mlak2
1Department of Surgical Oncology, Medical University of Lublin, Lublin, Poland.
教科书结局 (TO) 在68.5%的胃癌患者中实现,新辅助化疗和D2淋巴切除术改善了结果. 教科书瘤结局 (TOO) 达到了22.8%,突出显示化疗坚持不良.
科学领域:
- 在瘤学瘤学.
- 外科手术质量评估的质量评估
- 胃癌治疗方法 胃癌治疗方法
背景情况:
- 教科书结果 (TO) 是指手术质量的复合参数,与改善胃癌生存率相关.
- 教科书瘤结局 (TOO) 作为一种质量指标,用于局部晚期胃癌的最佳多式治疗.
研究的目的:
- 评估欧洲胃癌患者队列中教科书结果 (TO) 和教科书瘤结果 (TOO) 的比率.
- 确定影响胃癌患者达到TO和TOO的因素.
主要方法:
- 来自GASTRODATA注册表的1700名患者的分析,评估TO和TOO的标准.
- 使用后勤回归来确定影响TO和TOO成就的因素的统计分析.
主要成果:
- 在68.5%的患者中实现了TO;新辅助化疗和D2/D2+淋巴切除术对TO产生了积极的影响.
- 老年,晚期瘤阶段 (pT3/4),较高的ASA得分 (3/4),和全胃切除术对TO有负面影响.
- 在22.8%的患者中实现了TOO;年龄较大,瘤晚期和ASA得分较高对TOO产生了负面影响.
结论:
- 尽管手术改善,但对胃癌的术后化疗指南的遵守仍然不足于最佳水平.
- 未来的瘤质量指标应该优先考虑外科手术期间的化疗遵守和彻底的淋巴切除术.
更多相关视频
07:29Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
10:28Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
相关概念视频
Cancer Survival Analysis
Treatment Resistant Cancers
Gastroesophageal Reflux Disease II: Clinical Features and Management
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
