不分化形肉瘤的自然史:来自美国肉瘤协作组织的经验
Eleftherios A Makris1, Thuy B Tran1, Daniel J Delitto1
1Surgical Oncology, Stanford University, Stanford, California, USA.
Journal of surgical oncology
|April 2, 2024
概括
完整的手术切除 (R0) 和辐射疗法改善了不分化形肉瘤 (UPS) 患者的生存率. 瘤大小和正边缘对结果产生负面影响,无论瘤的位置如何.
科学领域:
- 在瘤学瘤学.
- 手术病理学手术病理学
- 肉瘤研究研究 肉瘤研究
背景情况:
- 不分化形肉瘤 (UPS) 是一种具有攻击性且罕见的癌症.
- 了解生存预测因素对于管理UPS患者至关重要.
研究的目的:
- 在美国大型UPS患者队列中确定生存和复发的预测因素.
- 分析UPS手术切除后的复发模式.
主要方法:
- 从2000年至2016年,在七个学术机构对534名初级UPS患者进行了回顾性审查.
- 分析整体存活率 (OS),无复发存活率 (RFS),时间到地方区域 (TTLR) 和时间到距离复发率 (TTDR).
- 评估临床病理学因素,包括源地,切除边缘状态和辐射治疗.
主要成果:
- 平均生存期为109个月;平均RFS为49个月.
- R0切除和辐射治疗是改善OS和RFS的独立预测因素.
- 阳性切除边缘和缺乏辐射与较短的TTLR有关.
结论:
- 瘤大小大于5厘米和阳性切除边缘预测UPS的结果更差,无论位置如何.
- 实现R0切除和利用放射治疗是改善UPS患者生存的关键.
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