在更年期前的乳腺癌幸存者中,随后的初级癌症风险和死亡率
Mei Yang1, Zhihuai Wang1, Jiao Xue1
1The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, No. 219 Xinglong Lane, Changzhou City, Jiangsu, China.
Scientific reports
|March 29, 2025
概括
绝经前乳腺癌幸存者面临后续原发性癌症 (SPC) 和相关死亡率的风险增加. 有针对性的医疗保健和并发症管理对于改善长期结果至关重要.
科学领域:
- 在瘤学瘤学.
- 癌症的生存率 癌症的生存率
- 流行病学 流行病学
背景情况:
- 绝经前乳腺癌 (preBC) 幸存者通常具有较长的生存期.
- 在这一群体中,关于后续原发性癌症 (SPC) 和非癌症疾病风险的数据有限.
研究的目的:
- 评估患有乳腺癌前更年期幸存者的SPC风险和死亡率.
主要方法:
- 基于人口的,使用监测,流行病学和最终结果 (SEER) 数据 (1992-2014) 的回顾性队列研究.
- 包括在诊断时20-59岁的5年preBC幸存者.
- 估计SPC的标准化发病率 (SIR) 和因死因死亡的标准化死亡率 (SMR).
主要成果:
- 与一般人群相比,观察到SPC风险增加 (SIR 1.06).
- 发现软组织癌症,骨/关节癌症和急性非淋巴细胞白血病的风险增加.
- 诊断时年龄较小,亚裔,荷尔蒙受体阴性状态和化疗-放射治疗与更高的风险有关.
- 通过SPCs (SMR 1.07) 和非癌症疾病 (特别是非白人幸存者) 增加死亡风险.
结论:
- 绝经前乳腺癌幸存者有过多的风险发展和死于SPCs.
- 针对SPC和非癌症并发症,需要有针对性的监测和管理策略.
- 改善长期生存率需要对这一群体采取积极的医疗干预措施.
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