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生物化学因素的变化以及手术后甲状腺髓癌复发的影响
Fengli Guo1,2, Lijuan Li1, Pengfei Gu1,2
1Department of Thyroid and Neck Tumor, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Heliyon
|April 29, 2024
概括
手术后血清酸 (Ctn) 水平的正常化,而不是手术前水平,预测了髓性甲状腺癌 (MTC) 的长期生物化学治愈. 较大的瘤和多焦点性与复发有关.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 手术瘤学手术瘤学
背景情况:
- 骨髓甲状腺癌 (MTC) 是一种罕见的内分泌恶性瘤,其特征是分泌素 (Ctn).
- 了解Ctn动力学及其与治疗结果的关系对于管理MTC至关重要.
研究的目的:
- 分析MTC患者在不同时间点的Ctn水平之间的关系.
- 评估Ctn水平对疾病复发和长期结果的预测价值.
主要方法:
- 在中国北部对212名MTC患者进行了回顾性研究.
- 评估了手术前Ctn,手术后Ctn正常化 (NPS) 和长期生物化学治疗之间的相互关系.
- 对结构性复发的评估预测角色.
主要成果:
- NPS和缺乏结构性复发与生化治愈相关 (分别P < 0.001和P = 0.003).
- 非生物化学疗法,较大的瘤大小和多焦点性是复发和无疾病生存的不利预测因素 (P <0.05).
- 5年和10年无病生存率分别为81.5%和66.8%.
结论:
- 手术后血清Ctn正常化 (NPS) 是MTC中长期生化治愈的更强有力的预测因素,而不是手术前的Ctn水平.
- 瘤负担 (大小和多焦点性) 是MTC复发的显著负面预后因素.
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