早期胃癌后多种原发性恶性瘤的风险和预测
1Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
Frontiers in oncology
|August 10, 2023
概括
患有早期胃癌的患者面临患多种原发性恶性瘤 (MPM) 的风险更高. 一个新的nomogram工具有助于预测MPM的发展,有助于早期检测和管理.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 癌症流行病学 癌症流行病学
背景情况:
- 早期胃癌幸存者患多重原发性恶性瘤 (MPM) 的风险增加.
- 改善的生存率有助于这些患者中二次癌症的发病率上升.
研究的目的:
- 评估MPM在早期胃癌患者中的临床病理特征.
- 开发一种预测工具,用于在早期胃癌诊断后识别患MPM高风险的个体.
主要方法:
- 对1025名早期胃癌患者的回顾性分析.
- 考克斯比例风险回归以确定MPM的独立风险因素.
- 开发和验证一个名谱来预测1年,2年和3年的MPM累积发病率.
主要成果:
- 6.4%的患者患有MPM,食道癌,肺癌和结直肠癌是最常见的.
- 独立的MPM风险因素包括男性性别,年龄≥65,吸烟史和淋巴结转移.
- 诺米图表显示出良好的预测准确性 (C指数=0.697) 和临床适用性.
结论:
- 治疗早期胃癌的患者需要对潜在的MPM发展进行警监测.
- 定期和彻底的随访对于早期发现和管理二次恶性瘤至关重要.
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