胃食道结腺癌的独立阶段分类
Yuki Hirata1, Yi-Ju Chiang1, Jeannelyn S Estrella2
1Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
胃食道结腺癌的预后取决于手术前的治疗,而不仅仅是ypTNM阶段. 手术前的化疗放射治疗显示总生存期 (OS) 比化疗更短,这表明治疗影响了结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 癌症预后 癌症预后
背景情况:
- 胃食道结 (GEJ) 腺癌的预后通常基于ypTNM分期.
- 术前治疗可以显著影响分期和患者的结果.
- GEJ癌症包括腹部/食道下部和胃心脏腺癌.
研究的目的:
- 评估手术前治疗对GEJ腺癌的整体存活期 (OS) 的影响.
- 开发和验证一个包含手术前治疗的OS预测名录.
- 为了在GEJ癌症中比较不同ypTNM组的OS.
主要方法:
- 来自国家癌症数据库 (2006-2017) 的25463名患者的回顾性分析.
- 瘤被分为四个ypTNM总组进行OS比较.
- 考克斯回归分析和名图开发用于OS预测.
主要成果:
- GEJ腺癌组在ypTNM组中显示了类似的OS率,与其他食道或胃癌不同.
- 与术前化疗相比,术前化疗与较短的生存期有关 (HR 1.31,p < 0.001).
- 开发的名图表显示出良好的预测性能 (C指数为0.833,Td-AUC为0.669).
结论:
- 术前治疗方案是GEJ腺癌中OS预测的关键因素.
- 开发的诺米图为GEJ腺癌患者的OS预测提供了一个合理的工具.
- 建议进一步验证操作系统预测名录.
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