在IB期胃癌中是否需要辅助疗法:一项回顾性队列研究
Mingyu Gu1, Binghe Zhao1, Changda Sui1
1Department of General Surgery, The First Medical Center of Chinese, PLA General Hospital, Beijing, China.
Annals of surgical oncology
|November 7, 2024
概括
在胃切除术后的IB期胃癌 (GC) 患者中,辅助疗法没有显著的益处,无法改善无病生存率. 需要进一步的研究来确定可能从这些治疗中受益的特定患者子组.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 对于IB期胃癌 (GC) 的辅助疗法的益处仍在争论中.
- 这项研究评估了辅助治疗对IB GC患者胃切除术后IB GC患者的影响.
研究的目的:
- 评估辅助治疗在IB期胃癌患者中的疗效.
- 为了确定辅助治疗是否改善胃切除术后的整体存活率 (OS) 和无病存活率 (DFS).
主要方法:
- 对510期IBGC患者进行胃切除术的回顾性分析.
- 卡普兰-梅尔法和日志等级测试用于OS和DFS分析.
- 考克斯回归用于识别独立的预后因素.
主要成果:
- 接受辅助治疗的患者显示,与单独手术 (86.7%;P<0.05) 相比,5年后的生存率有所改善 (92.9%).
- 在辅助治疗和单独手术组之间,在5年DFS中没有显著差异 (92.6%对95.0%;P>0.05).
- 老年被确定为瘤复发的危险因素;没有特定的亚组从化疗中受益.
结论:
- 由于缺乏DFS益处,在IB GC患者的胃切除术后可能不需要辅助治疗.
- 目前的辅助治疗策略在减少瘤复发方面没有明显的好处.
- 需要进行进一步的研究,以确定可能受益于辅助治疗的IB GC患者的子组.
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