淋巴结转移和癌复发模式:10年的单一中心经验
Yamini Kansal1, Rajshekar S Kundargi1, Pallavi V R1
1Department of Gynecologic Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, India.
Indian journal of surgical oncology
|October 30, 2023
概括
这项研究确定了印度癌复发和存活率的关键预后因素. 晚期疾病阶段,淋巴结阳性,60岁以上的年龄都会对患者的治疗结果产生重大影响.
科学领域:
- 妇科瘤学 妇科瘤学
- 手术病理学手术病理学
- 癌症流行病学 癌症流行病学
背景情况:
- 癌很罕见,发展中国家对预后因素的数据有限.
- 了解这些因素对于改善患者治疗结果和治疗策略至关重要.
研究的目的:
- 确定影响癌患者复发和生存的预后因素.
- 分析人口统计,外科病理和治疗数据,了解疾病进展.
主要方法:
- 在2009年至2018年期间接受治疗的45名癌患者的回顾性观察性研究.
- 对人口统计数据,外科病理学发现,化疗,辐射和并发症的分析.
- 长期随访以评估复发和整体存活率.
主要成果:
- 大多数患者呈现I或II阶段疾病;由于淋巴结的参与,15.6%的患者患有III阶段.
- 12例 (26.7%) 复发;5年整体存活率为76.6%,无病存活率为69.6%.
- 负面预后因素包括年龄增长 (>60岁),淋巴结阳性,周节传播和疾病晚期.
结论:
- 对癌来说,个性化治疗与多学科合作至关重要.
- 疾病阶段,结节阳性和结节外传播是生存的重要预后指标.
- 淋巴结的阳性与瘤大小,淋巴血管入侵和患者年龄相关.
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