甲状腺癌和骨转移患者在呈现时的预后因素
Zhaonong Yao1,2, Yuhong Yao1,2, Xiaowei Zhou1,2
1Nursing Department, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Frontiers in endocrinology
|June 20, 2024
概括
年龄较大,瘤规模较大和骨外转移是影响甲状腺癌 (TC) 患有骨转移 (BM) 患者生存的关键因素. 这些发现表明,为了改善结果,应该把重点放在系统治疗上,而不是手术.
科学领域:
- 在瘤学瘤学.
- 癌症研究 癌症研究
- 转移研究 转移研究
背景情况:
- 骨转移 (BMs) 是甲状腺癌 (TC) 的严重并发症,严重影响患者的预后和生活质量.
- 虽然在初始诊断时不太常见,但在TC中BM的流行率和影响需要彻底调查.
研究的目的:
- 为了确定总体存活率 (OS) 和癌症特异性存活率 (CSS) 的独立预后因素,在TC患者中具有BMs.
- 提供基于证据的治疗建议,用于管理TC与BMs.
主要方法:
- 追溯队列研究82名TC患者的BMs,补充了SEER数据库中的287名患者的数据.
- 卡普兰-梅尔分析用于生存估计.
- 单变量和多变量考克斯比例危险模型,以确定预后因素.
主要成果:
- 年龄较大,原发性瘤大于5厘米和骨外转移的存在被确定为两组患者中CSS恶化的独立预后因素.
- 这些因素的危险比率 (HR) 在主要队列和SEER数据库中始终显著.
结论:
- 年龄,原发性瘤大小和骨外转移是TC患者的生存结果的关键指标.
- 治疗策略应优先考虑系统整合疗法,而不是手术干预这组患者.
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