枝裂囊癌仍严重过度诊断:一项大型数据库分析
Andrew Meci1, Neerav Goyal1,2, David Goldenberg1,2
1The Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA.
The Laryngoscope
|August 22, 2025
概括
大多数分支裂癌 (BCCC) 诊断可能是其他头癌 (HNC) 的误诊. 这项研究表明,由于生存率低且误诊频繁,应停止使用BCCC诊断码.
科学领域:
- 癌症学
- 头部和部手术
- 病理学
背景情况:
- 枝裂囊癌 (BCCC) 是一种罕见的部恶性瘤.
- 主要的BCCC诊断需要排除囊性结节转移.
- 这项研究使用大型数据库进行BCCC诊断.
研究的目的:
- 为了描述BCCC的诊断.
- 分析患者的人口统计,治疗和结果.
- 评估BCCC诊断码的准确性
主要方法:
- 使用TrinetX研究数据库 (2008-2018) 的回顾性队列研究.
- 包括具有ICD-10C10.4诊断的18岁以上的患者.
- 分析人口统计,瘤病史,诊断率和5年生存率.
主要成果:
- 发现了1070名BCCC患者;平均年龄为59. 6岁,大多数为男性和白人.
- BCCC的发病率在2015年之前一直在上升,
- 94. 4% 在5年内再次被诊断为头癌; 5年生存率为56. 0%.
结论:
- 大多数BCCC患者可能被误诊为另一个HNC.
- 由于错误诊断而延迟治疗可能导致生存率低下.
- BCCC诊断代码被认为是有害的,应该停止使用.
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