相关实验视频
Updated: Jun 23, 2025

03:36
Development of Compendium for Esophageal Squamous Cell Carcinoma
Published on: April 12, 2024
400
患有病态T1-T2N+食道状细胞癌的患者的预后因素:一项具有外部验证的回顾性研究
Kai-Yuan Jiang1, Sheng-Xuan Zhang2, Wen-Long Hu2
1Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China; Department of Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Surgery
|June 20, 2024
概括
确定了带有淋巴结转移的食道状细胞癌 (ESCC) 的预后因素. 一个名图准确地预测了早期ESCC患者的存活率,有助于临床决策.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 癌症预后 癌症预后
背景情况:
- 淋巴结转移是早期食道状细胞癌 (ESCC) 的关键负面预后指标.
- 准确的生存预测对于指导局部ESCC治疗策略至关重要.
研究的目的:
- 确定患有病态T1-2N+ESCC的患者的独立预后因素.
- 开发和验证用于预测该患者队列的生存率的诺姆图.
主要方法:
- 对268名pT1-2N+ESCC患者进行了食道切除术与淋巴切除术 (2014-2022) 的回顾性审查.
- 使用单变量和多变量考克斯回归分析确定的独立预后因素.
- 使用接收机操作特征 (ROC) 和校准曲线开发和验证的Nomogram.
主要成果:
- 体重指数,手术方法 (左侧与其他),T阶段和Clavien-Dindo分类是独立的预后因素.
- 命名图显示出良好的区分,ROC曲线下的面积在1,3,5年内从0.679到0.810不等.
- 校准曲线表明预测和实际生存概率之间有很好的一致性.
结论:
- 下肢体质量指数,左手术方法,T2阶段和更高的克拉维恩-丁多等级 (III-V) 与pT1-T2N+ ESCC的预后较差有关.
- 开发的诺米图为患有早期ESCC和淋巴结转移的患者的个人生存预测提供了准确的工具.
相关概念视频
Barrett Esophagus-I: Introduction
85
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
85
Barrett Esophagus-II: Clinical Manifestations and Management
136
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
136
Esophageal Strictures-I: Introduction
81
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
81
Cancer Survival Analysis
342
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
342
Esophageal Strictures-II: Clinical Features and Management
61
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
61

