基于SEER数据库的初级恶性心脏瘤的生存率和预后因素分析
Xiaoxiao Chen1, Yizhou Chen1, Fangping Xiao1
1The Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan, Nanjing, China.
Journal of cancer research and clinical oncology
|September 4, 2023
概括
原发性恶性心脏瘤 (PMCTs) 的数量增加,生存率仍然很低. 年龄,晚期AJCC阶段,转移,缺乏化疗和较大的瘤大小是PMCT患者预后不佳的关键风险因素.
科学领域:
- 在瘤学瘤学.
- 心血管医学 心血管医学
- 流行病学 流行病学
背景情况:
- 主要恶性心脏瘤 (PMCTs) 是一种罕见但具有攻击性的瘤.
- 了解它们的发病率,生存率和预后因素对于改善患者的治疗结果至关重要.
研究的目的:
- 使用监测,流行病学和最终结果 (SEER) 数据库分析PMCT的发生率.
- 评估生存率并确定与PMCT预后相关的风险因素.
- 评估近年来PMCT病例数的趋势.
主要方法:
- 使用SEER 22注册表来确定PMCT病例数.
- 从SEER 17注册表收集了患者人口统计,瘤特征,病期 (AJCC),治疗和生存率的数据.
- 使用卡普兰-梅尔估计和多变量考克斯回归来分析生存和预后因素.
主要成果:
- 与2004年之前相比,PMCT的年平均发病率近年来显著增加.
- 整体1年,3年和5年的生存率分别为45.6%,18.8%和11.2%.
- 预后不佳的独立风险因素包括年龄较大,AJCC晚期,远程转移,没有化疗,以及较大的瘤大小 (>99毫米).
结论:
- 在每年的PMCT病例数量中,有显著的上升趋势.
- 鉴于化疗的进步,PMCTs的传统分期和预后指标需要重新评估以提高临床效用.
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