宫内皮质瘤的复发情况按年龄分层分类
González-Rodríguez C Julio1, Barquet-Muñoz A Salim1, Mejorada-Pulido Emmanuel1
1Department of Gynecologic Oncology, National Institute of Cancer, Mexico City, Mexico.
概括
高度的宫内皮瘤 (CIN) 和特定的结肠镜检查结果预测化后的复发. 早期检测和管理是预防宫癌进展的关键.
科学领域:
- 妇科 妇科 妇科 妇科
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 宫癌仍然是中高收入国家死亡的重要原因.
- 宫内皮质瘤 (CIN) 是宫癌的前体,需要有效的管理策略.
研究的目的:
- 在初级化后对2级或3级CIN复发的预测因素进行分层.
- 分析不同年龄组的复发风险.
主要方法:
- 从2017年1月到2020年5月,分析了432名患有CIN的女性队列.
- 数据包括年龄,免疫抑制,细胞学,肠镜检查和组织病理学结果.
- 计算了95%置信区间 (CI) 的复发发病率和危险比率 (HR).
主要成果:
- 在4369个月的时间里,在432名女性中观察到25例复发.
- 高度细胞学诊断 (HR=3.04),大肠镜检查2级 (HR=3.04),高度活检 (HR=3.07),LEEP/子宫切除术 (HR=2.85) 与复发风险相关.
- 一,二,三年无复发率分别为95.47%,82.18%和44.09%.
结论:
- 高度CIN病变,特定的结肠镜检查结果和病理诊断是疾病复发的重要预测因素.
- 这些因素对于风险分层和指导CIN治疗妇女的后续策略至关重要.
关键词:
人类乳头瘤病毒 人类乳头瘤病毒感染病毒的感染 papiloma 的病毒.在子宫外皮的皮层内皮层内状病变.乳头瘤病毒感染的病例坚持不 坚持不持续性 持续性 持续性复发情况 复发情况循环性 循环性在子宫的状内皮病变.人类乳腺瘤病毒的人类乳腺瘤病毒更多相关视频
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