基于临床病理学分类和分级的高度差异化胃神经内分泌瘤的个性化治疗:一个多中心的回顾性研究
Ju Huang1,2, Huimin Liu3, Dekun Yang4
1Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China.
Chinese medical journal
|February 22, 2024
概括
胃神经内分泌瘤 (G-NET) 的个性化治疗计划可以降低复发率. 内镜下粘膜切割 (ESD) 和体静止素类型 (SSA) 治疗显示复发率低于内镜粘膜切除 (EMR).
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
背景情况:
- 分化良好的胃神经内分泌瘤 (G-NET) 的发生率正在上升.
- 尽管预后良好,但高复发率使G-NET治疗复杂化.
- 本研究研究了个性化G-NET治疗与复发风险之间的联系.
研究的目的:
- 确定个性化治疗计划与G-NET复发之间的关系.
- 确定与G-NET复发相关的风险因素.
主要方法:
- 这是一项针对94名G-NET患者的多中心回顾性研究.
- 从2015年11月到2023年9月收集的数据.
- 奇二测试和后勤回归分析了复发风险因素.
主要成果:
- 平均49个月的随访后,总体G-NET复发率为14%.
- 复发率因治疗不同而有所不同:EMR (43%),ESD (10%),SSA (5%),手术 (11%).
- 较高的治疗前胃素水平和治疗类型与复发有显著的相关性.
结论:
- 个性化治疗策略可以减少G-NET复发.
- 长期的索马托斯坦类型 (SSA) 治疗对1型G-NET具有多重病变是有效的.
- SSA治疗显著降低了治疗后复发的发生率.
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