怀孕和分化甲状腺癌的进展:一个倾向性得分匹配的回顾性队列研究
Wu-Cai Xiao1, Xin Li2, Rui Shan1
1Department of Maternal and Child Health, School of Public Health, Peking University, Beijing 100191, China.
The Journal of clinical endocrinology and metabolism
|September 22, 2023
概括
怀孕似乎不会影响手术前分化甲状腺癌 (DTC) 的进展. 这项研究发现,孕妇和非孕妇在DTC无进展生存率上没有显著差异.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 生殖医学 生殖医学
背景情况:
- 分化甲状腺癌 (DTC) 在生育年龄的女性中很常见.
- 怀孕对手术前DTC进展的影响尚不清楚.
研究的目的:
- 为了研究怀孕和分化甲状腺癌在手术治疗前的进展之间的关联.
主要方法:
- 在北京大学第三医院 (2012-2022) 对311名女性 (20-45岁) 进行了回顾性队列研究.
- 倾向分数匹配 (PSM) 用于比较48名孕妇和154名非孕妇.
- 考克斯的比例风险模型分析了DTC进展,瘤扩大和淋巴结转移 (LNM).
主要成果:
- 在孕妇和非孕妇组之间,PSM确保了可比的基线特征.
- 在DTC无进展存活率 (HR=0.96),无瘤扩大存活率 (HR=0.99) 或无LNM存活率 (HR=0.67) 之间没有观察到显著差异.
- 术后病理特征在两组之间也相似.
结论:
- 在手术治疗前,怀孕似乎与差异化甲状腺癌进展无关.
- 建议进行进一步的前性研究,以验证这些发现的临床应用.
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