[在成年人中延迟诊断骨肉瘤:需要考虑的预后因素]
M A Clara-Altamirano1, D Y García-Ortega1, A Álvarez-Cano2
1Departamento De Piel y Partes Blandas, Instituto Nacional de Cancerología (INCan). Ciudad de México. México.
Acta ortopedica mexicana
|June 11, 2024
概括
成年骨髓瘤患者的诊断延迟显著影响了生存率. 延迟超过五个月与更糟糕的结果有关,强调需要迅速评估疑似骨髓瘤病例.
科学领域:
- 在瘤学瘤学.
- 整形外科手术 整形外科手术
背景情况:
- 骨髓瘤的预后受到瘤大小,位置和转移的影响.
- 诊断延迟是影响患者结果的潜在因素.
研究的目的:
- 评估成年骨髓瘤患者诊断延迟的预后意义.
- 在一个专门的肉瘤中心内分析墨西哥人口的诊断延迟.
主要方法:
- 对96名成年骨髓瘤患者 (年龄大于21岁) 的回顾性队列研究.
- 从2005年1月1日至2016年12月31日期间收集的数据.
- 接收器操作特征 (ROC) 曲线分析以确定诊断延迟切断.
主要成果:
- 诊断的中位时间为6个月 (范围:2-36个月).
- 诊断延迟超过五个月被确定为关键预后因素 (AUC = 0.93).
- 高灵敏度 (93.2%) 和特异性 (94.6%) 的五个月切断.
结论:
- 诊断延迟是影响成年骨髓瘤生存的关键因素.
- 延迟诊断与疾病进展和转移有关.
- 强调在疑似骨髓瘤病例中需要快速评估.
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