复发性视网膜母细胞瘤患者的特征:生存分析
Nan Li1, Yi-Zhuo Wang1, Yi Zhang1
1Department of Pediatrics, Beijing Tongren Hospital, Capital Medical University, Yizhuang Economic and Technological Development Zone, No. 2, Xihuan South Road, Beijing, 100176, China.
BMC cancer
|March 4, 2024
概括
复发性视网膜母细胞瘤 (RB) 的生存率因位置而异;眼内和轨道复发的结果比转移更好. 对患有视网膜母细胞瘤的患者来说,终身随访至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 儿科瘤学 儿科瘤学
- 癌症研究 癌症研究
背景情况:
- 对复发性视网膜母细胞瘤 (RB) 的管理指南和生存数据有限.
- 这项研究解决了关于复发性RB的缺乏全面数据的问题.
- 了解复发模式对于改善患者治疗结果至关重要.
研究的目的:
- 总结复发性视网膜母细胞瘤 (RB) 患者的临床特征.
- 根据复发位置分析生存结果.
- 确定影响复发性RB生存的因素.
主要方法:
- 复发性RB的68名患者的回顾性分析 (2016年1月 - 2020年12月).
- 患者按复发地点分类:眼内,轨道和远程转移.
- 根据复发位置和临床因素评估的生存结果.
主要成果:
- 转移是最常见的复发部位 (47.1%),其次是轨道部位 (33.8%) 和眼内部位 (19.1%).
- 五年整体存活率为眼内病例的84.6%,轨道病例的69.6%,转移性复发病例的31.3% (P=0.001).
- 高风险因素,中枢神经系统入侵和缺乏组合疗法预测生存率较差.
结论:
- 复发性RB幸存者的眼睛保存率很低.
- 与眼内或轨道相比,转移性复发的生存率明显较低.
- 对于RB患者,建议对复发和二次恶性瘤进行终身监测.
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