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在膀癌幸存者中,随后出现一次性癌症的风险较大
Yadong Guo1,2, Yuke Zhang1,2, Shiyu Mao1,2
1Department of Urology, School of Medicine, Shanghai Tenth People's Hospital, Tongji University, Shanghai, 200072, People's Republic of China.
Clinical and experimental medicine
|October 26, 2024
概括
膀癌幸存者面临特定后续原发性癌症 (SPC) 的风险增加. 这项研究强调了某些癌症的高风险,为幸存者提供了关键的临床后续策略.
科学领域:
- 在瘤学瘤学.
- 癌症流行病学 癌症流行病学
- 公共卫生 公共卫生
背景情况:
- 膀癌 (BCa) 幸存者有患二次恶性瘤的风险.
- 了解后续原发性癌症 (SPC) 风险对于幸存者护理至关重要.
研究的目的:
- 在BCa幸存者中调查15个SPC的发病率和死亡风险.
- 根据诊断以来的性别和时间,在BCa幸存者中识别特定的SPC风险较高.
主要方法:
- 使用了监测,流行病学和最终结果 (SEER) 数据库.
- 分析了229,554名BCa幸存者的数据,以计算发病率,死亡率,绝对超额风险 (AER),标准化发病率 (SIR) 和标准化死亡率 (SMR).
主要成果:
- 幸存者BCa显示显著增加了几种SPCs的发展和死亡的风险.
- 结直肠,乳腺,肝脏,胰腺,尿管,脏,盆,肺和宫癌的风险增加,因性别和诊断后的时间而异.
- 较年轻的幸存者和在诊断后一年内的幸存者具有不同的SPC风险概况.
结论:
- 患有BCa的幸存者患上和死于特定SPC的风险显著增加.
- 这些发现强调了为BCa幸存者制定量身定制的监测协议的必要性,以早期检测SPC.
- 这项研究为优化膀癌幸存者的长期临床管理提供了关键的基础.
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