个人癌症史作为第二次肺癌的风险因素:对肺癌查的影响
Sara Nofal1,2, Jiangong Niu1, Paul Resong1
1Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
癌症史,特别是头癌,显著增加肺癌的风险. 这一发现表明,癌症史应该是肺癌查资格的标准.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 个人癌症史是已知的肺癌发展的独立风险因素.
- 目前的肺癌查资格标准不考虑先前的癌症诊断.
- 这项研究调查了癌症幸存者的肺癌风险.
研究的目的:
- 为了评估癌症幸存者的肺癌风险.
- 评估癌症史在肺癌查指南中的潜在纳入.
主要方法:
- 对监测,流行病学和最终结果 (SEER) 登记册和MD安德森癌症中心 (MDACC) 数据的回顾性分析.
- 通过使用SEER数据,根据原发性癌症部位估计肺癌的标准化发病率 (SIR).
- 在MDACC的头癌幸存者中评估肺癌风险,根据查资格对风险比率 (RR) 进行比较.
主要成果:
- 癌症幸存者有头部和部癌症史 (SIR: 3.71) 显示出患第二种原发性肺癌的风险最高,在考虑之前的肺癌后.
- 与国家肺部查试验 (572/100,000人年) 的受试者相比,头癌幸存者患肺癌的发病率更高 (781/100,000人年).
- 没有资格接受肺癌查的头癌幸存者比SEER数据库中的患者有明显更高的肺癌风险 (RR: 1.9).
结论:
- 个人癌症史,特别是头癌,是肺癌的重要独立风险因素.
- 考虑先前的癌症诊断,特别是头癌,作为肺癌查的资格标准是合理的.
- 未来的肺癌查建议可能受益于将癌症史纳入资格标准.
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