初级唾液腺癌后的复发:频率,存活率和危险因素
Lisa Nachtsheim1, L Jansen1, S Shabli1
1Department of Otorhinolaryngology - Head and Neck Surgery, Medical Faculty, University of Cologne, Cologne, Germany.
Head & neck
|July 29, 2024
概括
再发性唾液腺癌 (SGC) 影响21.7%的患者. 积极的切除边缘,血管侵袭和特定的瘤位置是SGC复发的关键风险因素.
科学领域:
- 在瘤学瘤学.
- 手术病理学手术病理学
背景情况:
- 唾液腺癌 (SGC) 很少见,难以治疗,特别是复发时.
- 了解复发模式对于改善患者治疗结果至关重要.
研究的目的:
- 确定SGC中瘤复发的发生率和分布.
- 为了确定与SGC复发相关的风险因素.
- 分析SGC患者的生存率.
主要方法:
- 分析了1992年至2020年期间接受SGC治疗的318名患者的数据.
- 卡普兰-梅尔生存分析方法.
- 单变量和多变量分析以确定复发风险因素.
主要成果:
- 在平均38.2个月后,21.7%的患者出现了复发性疾病.
- 复发的独立风险因素包括正切除边缘,血管侵袭和瘤位置 (下下腺,小唾液腺).
- 五年总生存率为67%,五年无病生存率为54%.
结论:
- 在大约五分之一的SGC患者中观察到瘤复发.
- 对于激进的SGC和具有已确定的风险因素的患者,可能需要加强治疗.
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