国际骨髓甲状腺癌分级系统:一个印度的三级护理中心经验
Varnika Rai1, Anurag Saha1, Shailee Mehta2
1Onco-Pathology Department, Gujarat Cancer and Research Institute, Ahmedabad, India.
概括
国际骨髓甲状腺癌分级计划 (IMTCGS) 有效预测骨髓甲状腺癌 (MTC) 的结果. 通过IMTCGS识别的高度MTC与较差的存活率和远程转移的增加有关.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 骨髓癌 (MTC) 是一种罕见的神经内分泌甲状腺瘤.
- 国际骨髓甲状腺癌分级方案 (IMTCGS) 有预后意义.
- 这项研究评估了印度队列中的IMTCGS.
研究的目的:
- 使用IMTCGS对MTC案件进行分级.
- 评估IMTCGS在印度研究队列中的预后意义.
- 根据IMTCGS进行低等级 (LG) 和高等级 (HG) MTC 的比较.
主要方法:
- 在6年内对32例MTC甲状腺切除术病例进行了回顾性分析.
- 基于IMTCGS标准的LG和HGMTC的比较.
- 生存分析包括总生存率 (OS),局部区域自由生存率和远程转移自由生存率 (DMFS).
主要成果:
- 31.25%的病例是HG MTC,68.75%是LG MTC.
- HG MTC患者年龄较大,表现出高度核特征,突出的核细胞和远程转移.
- 在多变量分析中,IMTCGS与OS (HR 28.30) 和DMFS (HR 15.70) 有显著的关联.
结论:
- IMTCGS是一个简单方便的MTC分级系统.
- 在高级核形态病例中,建议对Ki 67进行IHC和勤奋寻找亡.
- HG MTC 队列与较差的 OS 和 DMFRS 有关.
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