随着时间的推移,乳腺癌患者的后续癌症发病率模式
Zhengyi Deng1, Kala Visvanathan2,3
1Stanford School of Medicine, Stanford, California.
概括
乳腺癌幸存者随着时间的推移,患上新癌症的风险更高,随着随访时间的延长,风险增加. 这些模式因癌症类型和初始乳腺癌特征而异.
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:
- 乳腺癌幸存者有较高的风险随后的初级癌症.
- 了解这些风险的时间模式对于幸存者护理至关重要.
研究的目的:
- 根据自诊断以来的时间,调查乳腺癌幸存者的后续癌症风险模式.
- 为了确定特定的癌症类型和与风险增加相关的幸存者特征.
主要方法:
- 利用了来自监测,流行病学和最终结果计划 (2000-2018) 的数据.
- 分析了771,681名乳腺癌幸存者的队列.
- 在不同的随访期间计算的标准发病率 (SIR),按癌症类型和幸存者的特征分层.
主要成果:
- 幸存者面临16%的后续癌症风险增加,随着时间的推移风险升级 (不同间隔的SIR 1.04,1.22,1.31).
- 随后的乳腺癌风险在年轻女性,荷尔蒙受体阴性初始癌症患者和少数群体中更高.
- 特定的非乳腺癌风险表现出不同的时间模式:早期/持续 (白血病,甲状腺,肉瘤,黑色素瘤,胰腺,子宫),延迟 (食道,卵巢,口腔,肺部),或最初增加,随后减少 (小肠,胃,脏,结直肠).
结论:
- 随后的癌症风险模式是动态的,取决于癌症类型和初始乳腺癌特征.
- 这些发现支持为乳腺癌幸存者量身定制的查和预防策略.
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