评估淋巴结比率与淋巴结阳性膀癌手术后患者的长期存活率之间的关联:一种SEER基于人群的研究,具有外部验证
Tao Chen1, Xinchang Zou1, Yihe Li2
1Department of Urology, The second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China.
BMC cancer
|January 24, 2025
概括
淋巴结比率 (LNR) 是膀癌患者的显著预后生物标志物,具有阳性淋巴结. 较高的LNR值与较差的整体和癌症特异性生存率相关,有助于治疗决策.
科学领域:
- 在瘤学瘤学.
- 尿道瘤学 尿道瘤学
- 癌症生物标志物 癌症生物标志物
背景情况:
- 淋巴结比率 (LNR) 是各种癌症的新兴预后生物标志物.
- 它在淋巴结阳性膀癌中的作用需要进一步调查.
研究的目的:
- 调查LNR在术后患有淋巴结阳性膀癌的患者的预后意义.
- 开发和验证一个包含LNR的名录,用于预测生存结果.
主要方法:
- 分析了3911名患者 (3767名来自SEER,144名来自中国医院).
- 使用X-tile软件确定最佳的LNR切线值.
- 卡普兰-梅尔和考克斯回归分析生存结果 (OS,CSS).
- 使用ROC曲线和校准分析开发和验证基于LNR的名图.
主要成果:
- 基于LNR (P <0.05) 的总生存率 (OS) 和癌症特异性生存率 (CSS) 的显著差异.
- 与LNR<0.1.3相比,LNR>0.3与明显更差的OS和CSS相关,而LNR<0.1.
- 纳入LNR的nomogram显示了令人满意的区分能力和一致性.
结论:
- LNR是淋巴结阳性膀癌的独立预后因素.
- LNR可以帮助患者咨询,并指导治疗策略.
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