成年人头肉瘤的全球频率和分布:系统性审查
Giuditta Mannelli1,2, Sara Bassani1,3, Ginevra Cosi1,2
1Young Confederation of European ORL-HNS, Y-CEORL-HNS, Vienna, Austria.
概括
头部瘤 (HNS) 是一种罕见且多样化的癌症. 本综述详细介绍了它们的全球频率,亚型和治疗变异,强调需要标准化指导方针来改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 癌症研究 癌症研究
背景情况:
- 头部肉瘤 (HNS) 是一种罕见而异质的癌症群体,由于其多样化的亚型和生物行为,这给癌症的管理带来了重大挑战.
- 了解HNS在成人中的全球频率和分布对于有效的临床管理和研究优先考虑至关重要.
研究的目的:
- 系统地审查和描述成年人头部和部肉瘤的全球频率和分布.
- 分析流行病学数据并确定HNS发病率和患者特征的模式.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 使用PICOTS策略搜索了70,653个出版物.
- 在21个国家的47项研究中评估了2428名患者中的15个变量.
主要成果:
- 骨肉瘤是最常见的HNS亚型,其次是软骨肉瘤.
- 早期阶段的疾病很常见 (80%),在发展中国家普遍存在高级阶段.
- 在90.1%的患者中进行了手术,50.8%的患者经历了复发,欧洲报告的死亡率最低 (29.9%).
结论:
- 头部和部肉瘤的异质性导致了一般的不良预后.
- 由于不同国家的HNS治疗方法存在显著的多样性,因此需要制定统一的治疗指南.
- 标准化指导方针对于改善患者管理和提高头部和部肉瘤的生存结果至关重要.
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