瘤芽和乳腺癌患者的存活率之间的关系:一个元分析
1Department of Oncology, Affiliated Hospital of Beihua University, Jilin City, Jilin Province, China.
Biomolecules & biomedicine
|September 25, 2024
概括
乳腺癌 (BC) 患者的高瘤芽与更糟糕的整体存活率 (OS) 和无进展存活率 (PFS) 有关. 这一元分析证实瘤芽是BC结果的显著预后标志物.
科学领域:
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 瘤芽,一个微观的特征,越来越多地被认为是其在各种癌症的预后潜力.
- 它在预测乳腺癌 (BC) 患者的生存结果方面的特殊作用需要进一步澄清.
研究的目的:
- 进行元分析,以澄清乳腺癌患者的瘤芽和生存结果 (总生存率和无进展生存率) 之间的关联.
主要方法:
- 在PubMed,EMBASE和Web of Science进行了全面的文献搜索.
- 包括11项包括2828名患者的队列研究,分析了关于瘤芽和存活率的数据.
- 使用随机效应模型将危险比率 (HRs) 和95%置信区间 (CI) 进行了聚合.
主要成果:
- 在BC患者中,高瘤芽与较差的整体存活率 (HR = 1.89) 和无进展存活率 (HR = 1.89) 显著相关.
- 亚组分析表明,当高瘤芽被定义为≥10个芽/高功率场时,相关性更强.
- 敏感性分析证实了这些发现的可靠性.
结论:
- 高瘤芽是乳腺癌患者不良生存结果的重要独立预后标志物.
- 这些发现支持BC瘤芽评估的临床实用性.
- 建议在BC中对瘤芽的评估标准进行标准化,以便在未来进行研究.
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