90岁以上的年龄是可切除皮肤状细胞癌的不良预后因素
Natsuko Saito-Sasaki1,2, Megumi Aoki1, Kazuyasu Fujii1
1Department of Dermato-Oncology, NHO Kagoshima Medical Center, Kagoshima, Japan.
The Journal of dermatology
|December 27, 2024
概括
患有皮肤状细胞癌 (cSCC) 的90岁及以上的老年人面临着明显更高的复发风险. 这一发现凸显了对这一老年人口群体加强监测的必要性.
科学领域:
- 皮肤病学 皮肤病学
- 老年医学 老年医学
- 在瘤学瘤学.
背景情况:
- 人口老龄化正在增加老年人的皮肤状细胞癌 (cSCC) 发病率.
- 90岁及以上患者中cSCC的临床特征和结果尚未明确.
研究的目的:
- 分析90岁及以上cSCC患者的临床特征和病程.
- 为了比较90岁以上和90岁以下的患者之间的结果.
主要方法:
- 对316名经过手术的cSCC患者的回顾性分析.
- 患者被分为两组:≥90岁 (104名患者) 和<90岁 (212名患者).
- 统计分析包括单变量,多变量和Cox回归用于无复发生存.
主要成果:
- 国家综合癌症网络年龄组之间的风险分类没有显著差异.
- 年龄≥90岁的患者的复发风险显著增加.
- 在老年人群中,复发风险是重要的因素.
结论:
- 与年轻患者相比,90岁及以上的cSCC患者出现复发的风险更高.
- 对于被诊断患有cSCC的老年患者 (≥90岁) 建议进行更密切的随访.
- 这项研究强调了针对cSCC的特定年龄管理策略的重要性.
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