骨和软组织与内脏突肉瘤的比较分析:人口统计,临床和生存结果;以人口为基础的回顾性研究
Asad Ullah1, Mya Goodbee2, Kali Malham2
1Department of Pathology, Texas Tech University Health Sciences, Lubbock, TX, USA.
概括
部突肉瘤 (SS) 通常影响较大的瘤和晚期疾病的老年患者,与软组织SS相比,导致生存率较差. 手术和放射治疗对这种罕见的癌症有保护作用.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 医疗信息学 医疗信息学
背景情况:
- 突肉瘤 (SS) 通常影响软组织中的年轻成年人,但很少发生在内脏器官.
- 了解内脏性SS的独特特征和结果对于有针对性的治疗策略至关重要.
研究的目的:
- 为了比较患者的人口统计学,临床特征和软组织和内脏突肉瘤之间的生存率.
- 确定影响突肉瘤患者预后结果的预后因素.
主要方法:
- 从监测,流行病学和最终结果 (SEER) 数据库 (2000-2018) 的数据分析.
- 使用ANOVA进行显著因素识别和Cox回归建模来确定生存风险因素.
主要成果:
- 内脏SS患者年龄较大,更有可能是男性,与软组织SS相比,他们呈现出远程转移和较大的瘤.
- 部位性SS病例的外科手术干预率较低,尽管多模式治疗,整体存活率较差.
- 高龄,区域扩散和较大的瘤大小与更糟糕的结果有关.
结论:
- 内脏SS呈现出明显的人口统计和临床特征,通常处于比软组织SS更先进的阶段.
- 高龄,晚期和较大的瘤大小是SS患者生存率较低的关键预测因素.
- 手术干预和辐射疗法对SS患者的整体存活期具有保护作用.
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