瘤沉积数是结直肠癌的一个独立预后因素 - - 一项基于人口的队列研究
Simon Lundström1,2, Erik Agger1,2, Marie-Louise Lydrup1,2
1Department of Surgery, Skåne University Hospital, Malmö, Sweden.
The British journal of surgery
|January 9, 2025
概括
瘤沉积数对结直肠癌患者的生存率和转移风险产生负面影响. 将瘤沉积数纳入TNM分期可以提高预后准确性,以获得更好的患者结果.
科学领域:
- 在瘤学瘤学.
- 癌症研究 癌症研究
- 手术病理学手术病理学
背景情况:
- 瘤沉积 (TD) 是淋巴结阴性结直肠癌的已知预后因素.
- 目前的TNM分期缺乏TDs在淋巴结阳性疾病和多重沉积中的预后整合.
- 研究瘤沉积数的预后意义对于完善结直肠癌分期至关重要.
研究的目的:
- 评估瘤沉积数对结直肠癌患者整体存活率和远程转移的预后影响.
- 确定瘤沉积数是否是结直肠癌的独立预后因素.
主要方法:
- 全国范围内的结直肠癌患者接受治疗性手术的队列研究 (2016-2019).
- 排除未知TD状态/数量和第四阶段疾病的患者.
- 单变量和多变量考克斯回归分析,以评估TD计数的预后影响.
主要成果:
- 在14154名分析患者中,瘤沉积存在于12%的患者中.
- 增加的瘤沉积数与减少的5年整体存活率和增加的5年远程转移风险相关.
- 瘤沉积数被证实是独立的负预后因素.
结论:
- 瘤沉积数显著预测结直肠癌的整体存活率和远程转移.
- TD计数的预后值独立于淋巴结状况和新辅助治疗.
- 建议将TD计数纳入TNM分期,以提高结直肠癌的预后准确性.
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