患有可手术甲状腺癌的患者的瘤分化依赖的有条件生存率
Ruo-Nan Yu1, Zi-Qi Zhang2, Ping Zhang1
1Department of Thyroid Surgery, The First Hospital of China Medical University, Shenyang, China.
Frontiers in endocrinology
|November 29, 2024
概括
可操作的甲状腺癌的预后随着时间的推移而改善,受瘤分化的影响. 无塑性甲状腺癌 (ATC) 患者最初的存活率最差,但存活率的改善最大.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 对可手术治疗的甲状腺癌中不断变化的死亡风险和条件生存的理解有限.
- 需要在初始诊断之外进行动态预后评估.
研究的目的:
- 在甲状腺癌患者中调查年度死亡风险,疾病特异性生存率 (DSS) 和条件DSS.
- 分析瘤分化对生存结果的影响.
主要方法:
- 使用的监测,流行病学和最终结果 (SEER) 数据库 (N=132,354,2004-2019).
- 年度死亡率的雇员危险函数,精算DSS的Kaplan-Meier函数和条件DSS的生命表.
主要成果:
- 1.4%的患者死于甲状腺癌;无塑性甲状腺癌 (ATC) 的死亡率最高 (68.9%).
- 分化甲状腺癌 (DTC) 和乳头甲状腺癌 (PDTC) 显示出优秀/稳定的条件生存率,而ATC的改善最差但最大.
- 瘤分化显著影响了生存率,而ATC显示出最明显的改善.
结论:
- 甲状腺癌预后以一种依赖于瘤分化的方式改善了诊断后的情况.
- 结果为幸存者提供了精确的动态预后评估.
- 结果对个性化治疗和监测策略具有重大临床影响.
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