儿科逆关节非器官起源的恶性瘤:基于SEER数据库的分析
Wei Shen1, Hongqiong Geng, Yin Zhou
1Department of Pediatric Surgery, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan City, P.R. China.
Medicine
|October 6, 2023
概括
儿科逆皮质非器官起源的恶性瘤很罕见. 早期诊断和完整的手术切除对于更好的生存结果至关重要,因为晚期和不完整的治疗大大恶化了预后.
科学领域:
- 儿科瘤学 儿科瘤学
- 手术瘤学手术瘤学
- 瘤生物学 瘤生物学
背景情况:
- 逆皮质非器官起源的恶性瘤是罕见的儿科瘤.
- 诊断和治疗存在重大挑战.
研究的目的:
- 分析这些罕见的儿科瘤的临床病理特征,治疗策略和预后.
- 确定影响受影响儿童生存结果的因素.
主要方法:
- 从监测,流行病学和最终结果数据库中对443例儿科逆关节非器官起源的恶性瘤 (2000-2019) 进行了回顾性分析.
- 卡普兰-梅尔对总生存率 (OS) 和癌症特定生存率 (CSS) 的生存分析.
- 考克斯比例危险和细灰竞争性危险模型用于风险评估.
主要成果:
- 大多数患者 (77.7%) 在诊断时呈现局部晚期或转移性疾病.
- 神经母细胞瘤和生殖细胞瘤是最常见的类型.
- 10年后的OS和CSS分别为70.7%和73.1%,转移性疾病的结果较差 (54.4%的OS,56.6%的CSS).
- 高龄,晚期,不完全切除和延迟治疗与更糟糕的存活率相关.
- 辅助放射治疗和化疗并没有改善不完全切除的患者的预后.
结论:
- 儿科逆关节非器官起源的恶性瘤,特别是转移时,会带来治疗挑战.
- 在早期诊断后进行完整的手术切除对于改善患者存活率至关重要.
- 目前的辅助疗法无法补偿不完全去除瘤.
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