儿童头支状细胞癌的生存结果和预后因素:基于人口的研究
Chaojiao Guan1, Fengping Meng2, Aifen Chen2
1Department of Pediatrics, First Affiliated Hospital of Huzhou University, The First People's Hospital of Huzhou, Huzhou 313000, China.
Journal of stomatology, oral and maxillofacial surgery
|July 19, 2025
概括
儿科头部和部状细胞癌 (HNSCC) 是罕见的. 鼻腔HNSCC比口腔HNSCC的存活率更好,手术改善了口腔瘤的结果.
科学领域:
- 在瘤学瘤学.
- 儿科瘤学 儿科瘤学
- 流行病学 流行病学
背景情况:
- 头部和部状细胞癌 (HNSCC) 在儿童和青少年群体中不常见.
- 了解这个年龄段的生存模式和预后因素对于有效的治疗策略至关重要.
研究的目的:
- 分析0-19岁患者头部和部状细胞癌 (HNSCC) 的特征和生存结果.
- 确定影响儿科和青少年HNSCC病例总生存时间 (OS) 的因素.
主要方法:
- 基于人口的队列研究,使用监测,流行病学和最终结果 (SEER) 数据 (2000-2020).
- 包括0-19岁患者中143例初级HNSCC病例,死亡原因有记录.
- 使用了卡普兰-梅尔生存分析,日志等级测试和考克斯比例风险回归.
主要成果:
- 鼻腔HNSCC的整体存活率 (OS) 比口腔HNSCC (p=0.017) 显著更好.
- 手术治疗改善了口腔HNSCC病例的存活率 (p=0.022).
- 瘤部位和化疗成为生存的独立预测因素.
结论:
- 儿科HNSCC表现出基于瘤位置的可变生存率.
- 手术干预是有效的口腔HNSCC.手术干预是有效的.
- 瘤部位是对儿科HNSCC存活率的预后评估的一个关键因素.
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