血管侵入是胃癌的危险因素:一项回顾性分析研究研究
Qiannan Wang1, Zhaorui Liu1, Jiangbo Han1
1Department of Gastrointestinal Surgery, Navy Medical University First Affiliated Hospital, Shanghai, China.
World journal of surgical oncology
|December 26, 2024
概括
血管侵袭 (VI) 与胃癌 (GC) 患者的几种病理因素有关. 这项研究发现VI是影响GC预后的独立风险因素,突出其临床意义.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 胃癌 (GC) 仍然是一个重大的全球健康挑战.
- 了解预后因素对于改善患者治疗结果至关重要.
- 血管侵入 (VI) 是各种癌症中攻击性疾病的潜在指标.
研究的目的:
- 调查血管侵袭 (VI) 与胃癌 (GC) 中临床病理特征之间的关联.
- 为了确定VI是否是GC患者的独立预后因素.
- 分析VI对GC生存率的影响.
主要方法:
- 对3205名经过激进胃切除术的GC患者进行了回顾性分析.
- 使用倾向分数匹配 (PSM) 来创建具有和没有VI的可比组.
- 用单变量和多变量考克斯回归模型和卡普兰-梅尔生存曲线来评估预后意义.
主要成果:
- 血管侵入 (VI) 在30.9%的GC患者中存在.
- VI与年龄,BMI,pTNM阶段,瘤位置,围神经入侵,劳伦分类和瘤沉积有显著的关联.
- 与VI阴性患者相比,VI阳性患者在PSM前后表现出明显较差的存活率.
结论:
- 血管侵袭 (VI) 与胃癌中的各种临床病理因素相关.
- VI被确定为影响GC预后的独立风险因素.
- 艾滋病毒的存在会对患者的存活率产生负面影响,这强调了它在GC管理中的重要性.
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