前列腺癌治疗后的二次膀和结直肠癌:一个基于人口的研究研究
Patricia Grisel Quintana Bárcena1,2, Armen Garo Aprikian1,3, Alice Dragomir1,2,4
1Urology, Department of Surgery, McGill University, Montreal, Quebec, Canada.
Cancer medicine
|February 14, 2024
概括
前列腺癌治疗方法,如外部束辐射疗法 (EBRT) 和雄激素剥夺疗法 (ADT),与二次膀和结直肠癌的风险增加有关. 在这项研究中,支臂疗法 (BT) 也显示出与结直肠癌的相关性.
科学领域:
- 在瘤学瘤学.
- 癌症流行病学 癌症流行病学
- 辐射瘤学 辐射瘤学
背景情况:
- 接受放射治疗的前列腺癌 (PCa) 患者可能面临患二次恶性瘤的风险增加.
- 了解各种PCa治疗对二次癌症风险的长期影响对于患者护理至关重要.
研究的目的:
- 研究不同前列腺癌 (PCa) 治疗方法与二次膀和结直肠癌的发病率之间的关联.
- 为了比较与急性前列腺切除术 (RP) 相关的二次恶性瘤的风险,外部束辐射疗法 (EBRT),支架疗法 (BT) 和雄激素剥夺疗法 (ADT).
主要方法:
- 一项队列研究利用北克行政数据库 (Med-Echo,RAMQ) 对2000年至2016年期间诊断和治疗的PCa患者进行了研究.
- 以前患有膀或结直肠癌的患者被排除在外. 随访持续到二次癌症诊断,死亡或2016年底.
- 治疗权重的反向概率 (IPTW) 和考克斯比例危险模型被用于控制混因素.
主要成果:
- 外部光束辐射疗法 (EBRT) 和带有雄激素剥夺疗法 (ADT) 的EBRT与增加二次膀癌风险显著相关.
- 二次结直肠癌与EBRT,支臂治疗 (BT) 和ADT有显著的关联.
- 单独使用抗雄激素剥夺疗法 (ADT) 显着与二次膀和结直肠癌的风险增加有关.
结论:
- 与RP相比,包括EBRT和ADT (单独或联合) 在内的前列腺癌治疗与二次膀癌的风险增加有关.
- EBRT,BT和ADT都与二次结直肠癌的发病率较高有关.
- 这些发现强调了在选择前列腺癌治疗方法时考虑二次癌症风险的重要性.
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