临床和病理预测者对上皮层癌的死亡
Eduardo Pato1, Victor Srougi1, Claudia Zerbini2
1Division of Urology, Hospital das Clínicas, University of São Paulo School of Medicine, São Paulo, SP 05403-010, Brazil.
Journal of the Endocrine Society
|February 22, 2024
概括
上皮层癌 (ACC) 的死亡率是由荷尔蒙过分分泌,晚期瘤阶段和特定的病理特征预测的. 识别这些风险因素可以指导这种罕见癌症的治疗决策.
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:
- 皮上腺癌 (ACC) 是一种罕见的内分泌恶性瘤,死亡率高.
- 关于ACC特定死亡的综合性风险因素的数据有限.
研究的目的:
- 在大量成年ACC患者中确定死亡率的独立预测因子.
- 分析来自转诊中心的41年经验,以了解ACC预后.
主要方法:
- 对150名成年ACC患者的回顾性分析,这些患者在1981年至2022年期间被诊断为ACC.
- 评估临床,荷尔蒙,病理和分期数据作为潜在的死亡风险因素.
主要成果:
- 总的死亡率为54.6%. 死亡的独立预测因素包括荷尔蒙过分分泌 (皮质醇,安德罗二,雌激素,17-OH孕激素,11-脱氧皮质醇),先进的ENSAT阶段,较高的瘤分级得分 (韦斯,修饰的韦斯,赫尔辛基),较大的瘤大小,Ki-67升高,不完全切除,高线粒分裂数,异常线粒分裂,合流性,静脉入侵和囊入侵.
- 荷尔蒙过分分泌存在于78.6%的患者.
结论:
- 几种临床,荷尔蒙和病理因素显著预测上腺皮癌的死亡率.
- 了解这些风险因素对于优化治疗策略和改善ACC患者的治疗结果至关重要.
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