瘤芽作为皮肤状细胞癌中淋巴结转移的危险因素:系统性审查和元分析
Pedro Gil-Pallares1,2, Maria Eugenia Gil-Pallares3, Alba Navarro-Bielsa4,5
1Department of Dermatology, Complejo Hospitalario Universitario de Ferrol, Ferrol, Spain.
Clinical and experimental dermatology
|April 30, 2024
概括
瘤芽 (TB) 是皮肤状细胞癌 (cSCC) 淋巴结转移的重要预测因素. 高结核病 (≥5个芽) 与风险增加有很强的相关性,有助于对高风险cSCC患者进行分层.
科学领域:
- 在瘤学瘤学.
- 皮肤病理学 皮肤病理学
- 癌症研究 癌症研究
背景情况:
- 目前皮肤状细胞癌 (cSCC) 的分期系统在准确分层高风险病例方面存在局限性.
- 瘤芽 (TB) 是各种癌症类型的新兴预后因素.
研究的目的:
- 研究瘤芽 (TB) 在预测cSCC中淋巴结转移 (NM) 的预后意义.
- 评估结核病作为高风险cSCC的潜在生物标志物.
主要方法:
- 进行了系统的分析,包括六项追溯研究,涉及793名cSCC患者.
- 在PubMed,Web of Science,Embase和Cochrane数据库中搜索了关于cSCC中结核病 (5芽切断) 和NM的研究.
- 几率比率 (OR) 用于评估TB和NM之间的关联.
主要成果:
- 在cSCC中发现高瘤芽 (≥5个芽) 和淋巴结转移之间存在显著的关联.
- 分析显示,在高结核病患者中,NM的强几率比率为13.29 (95% CI:5.55-31.86).
结论:
- 瘤芽是预测cSCC中淋巴结转移的有希望的组织病理学特征.
- 高结核病是NM的强烈风险因素,支持其在临床实践中用于高风险cSCC分层和管理.
- 需要进一步的研究,以建立cSCC中结核病的标准化报告准则.
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