肺腺癌中的cribriform模式的临床病理学意义
Jung-Soo Pyo1, Byoung-Hoon Lee2, Kyueng-Whan Min1
1Department of Pathology, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Gyeonggi-do, Republic of Korea.
Pathology, research and practice
|January 3, 2024
概括
肺腺癌中的cribriform模式与更大的瘤和淋巴结扩散等侵略性特征有关. 这种模式表明整体存活率更差,突出其预后意义.
科学领域:
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 肺腺癌是癌症死亡的主要原因之一.
- 形模式是一种组织学亚型,需要进一步调查其临床意义.
研究的目的:
- 调查肺腺癌中cribriform模式的临床病理学和预后意义.
- 为了确定在LUAD中cribriform模式的流行率.
- 评估cribriform模式与瘤特征,遗传变化和患者结果的关联.
主要方法:
- 进行了一项元分析,以综合现有研究的数据.
- 使用不同的标准 (5%和10%) 估计了cribriform模式的流行率.
- 使用元回归分析来评估与临床病理特征和遗传改变 (ALK,KRAS,EGFR) 的相关性.
主要成果:
- 在LUAD中,cribriform模式的整体估计率为15.0%.
- 形模式与较大的瘤大小 (>30毫米),通过空气空间传播和淋巴结转移显著相关.
- 患有cribriform模式的患者的整体存活率明显降低 (HR 2.051),ALK重组的频率更高.
结论:
- 形图案是肺腺癌中临床病理学特征的重要预测因素.
- 它作为一个有价值的预后标记,表明患者的治疗结果较差.
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