外节延伸分类在喉状细胞癌中的重要性
Hakan Kara1, Levent Aydemir1, Melek Büyük2
1Department of Otorhinolaryngology-Head and Neck Surgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
概括
额外节点延伸 (ENE) 评分对喉状细胞癌 (LSCC) 患者的存活率没有显著影响. 然而,淋巴结密度和化疗等因素影响了结果.
科学领域:
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 喉平细胞癌 (LSCC) 是癌症死亡的一个重要原因.
- 准确的预后因素对于定制治疗pN阳性LSCC患者至关重要.
研究的目的:
- 评估额外节点延伸 (ENE) 分级对pN阳性LSCC患者的生存结果的预后影响.
- 确定LSCC中的其他独立预后因素.
主要方法:
- 追溯队列研究,包括来自第三级转诊中心的76名pN阳性LSCC患者.
- 组织病理学幻灯片被重新检查以进行ENE分级.
- 进行了生存分析 (总生存率,疾病特异性生存率,无疾病生存率).
主要成果:
- 三年生存率为69.7% (OS),73.7% (DSS) 和73.7% (DFS) 的情况.
- ENE评级没有显示出对任何生存指标的统计学上显著影响.
- 诸如>4个淋巴结中的ENE,淋巴结密度>0.2,差异化和缺乏化疗等因素是不良预后.
结论:
- 单独的ENE分级似乎不是pN阳性LSCC的显著预后因素.
- 其他因素,如淋巴结负担,瘤分化和治疗方式,对于预测LSCC患者的结果至关重要.
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