儿科和青少年黑色素瘤的性别差异:对4645例病例的回顾性分析
Jennifer M Fernandez1, Jenna E Koblinski2, Sabrina Dahak3
1Department of Dermatology, University of Nebraska Medical Center, Omaha, Nebraska.
Journal of the American Academy of Dermatology
|October 6, 2023
概括
男性儿科和青少年黑色素瘤患者的生存结果更差. 这项研究发现,与女性相比,男性的瘤更具攻击性,死亡风险更高.
科学领域:
- 在瘤学瘤学.
- 儿科瘤学 儿科瘤学
- 皮肤病学 皮肤病学
背景情况:
- 关于性别对儿科和青少年患黑色素瘤预后的影响的数据有限.
- 了解这些差异对于定制治疗策略至关重要.
研究的目的:
- 调查儿科和青少年黑色素瘤患者临床表现和生存率的基于性别的差异.
- 在这个年龄组中确定与性别相关的特定病理特征.
主要方法:
- 一项使用国家癌症数据库 (2004-2018) 的回顾性队列研究.
- 纳入标准: 0-21岁患者的初级侵袭性皮肤黑色素瘤.
- 对按性别分层的人口,临床和生存数据的分析.
主要成果:
- 在4645个分析病例中,女性占63.4%.
- 男性呈现的布雷斯洛深度显著更大 (P < .001),区域淋巴结阳性率更高 (27.9%对18.1%;P < .001),以及 (17.1%对11.4%;P < .001).
- 与女性相比,男性的五年总生存率 (92.0%) 较低 (95.9%;P <.001),男性性别独立增加死亡风险 (AHR 1.57).
结论:
- 男性儿科和青少年黑色素瘤患者表现出更具侵略性的病理特征.
- 男性性别是该人口中增加死亡率的独立风险因素.
- 对儿童黑色素瘤的性别特异性治疗方法进行进一步的研究是有必要的.
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