可见的膜收缩是早期非小细胞肺癌的预后标志物:一项回顾性队列研究
Yikai Xing1, Jian Zhou1, Zhenyu Yang1
1Department of Thoracic Surgery and Institute of Thoracic Oncology, West China Hospital, Sichuan University, Guoxue Alley, Chengdu, China.
Annals of surgical oncology
|August 9, 2025
概括
可见膜收缩 (VPR) 是小瘤非小细胞肺癌 (NSCLC) 患者预后不良的可靠指标. 这一发现为手术决策提供了实时指导,独立于内脏膜入侵 (VPI) 状态.
科学领域:
- 胸部瘤学 胸部瘤学
- 手术瘤学手术瘤学
- 癌症预后 癌症预后
背景情况:
- 内脏膜入侵 (VPI) 是非小细胞肺癌 (NSCLC) 的关键预后因素,影响手术方法.
- 及时确认VPI具有挑战性,需要使用替代的预后标志物.
- 可见膜收缩 (VPR) 假设与VPI相关,并提供类似的预后价值.
研究的目的:
- 评估在NSCLC患者中可见膜收缩 (VPR) 的预后意义.
- 确定VPR是否可以为手术决策提供实时指导.
- 评估VPR的预后价值与内脏膜入侵 (VPI) 状态的独立性.
主要方法:
- 对2033名瘤直径≤2厘米的NSCLC患者进行了回顾性队列研究,这些患者接受了彻底手术.
- 根据VPI和VPR状态进行了生存分析 (无复发生存[RFS]和整体生存[OS]).
- 多变量考克斯回归确定了独立的预后因素.
主要成果:
- 与没有VPR的患者相比,VPR患者的RFS和OS显著恶化 (HR分别为4.91和7.44).
- 在患有VPR的患者中,根据VPI状态 (HR ~1) 没有观察到RFS或OS的显著差异.
- 多变量分析证实,VPR是不良RFS和OS的独立风险因素 (HR分别为6.57和8.817).
结论:
- 可见膜收缩 (VPR) 作为一个可靠和及时的预后标记在T≤2cmN0M0 NSCLC.
- VPR的预后值独立于内脏膜入侵 (VPI) 状态.
- VPR可以帮助NSCLC患者实时进行手术决策.
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