基于息性免疫疗法治疗的晚期无法治愈的HNSCC患者的预后因素
Zainab Al Maqrashi1, Michelle Bradbury1, Sze Wah Samuel Chan1
1Department of Oncology, McMaster University, Hamilton, Canada.
Future science OA
|August 28, 2025
概括
在接受息性免疫治疗的头癌患者中,系统性免疫炎症指数 (SII),白蛋白和BMI预测了生存率. 这些廉价的非侵袭性因素可以为复发或转移性疾病的治疗决定提供指导.
科学领域:
- 癌症学
- 免疫疗法
- 头癌研究
背景情况:
- 局部晚期,不可切除或转移的头皮细胞癌 (HNSCC) 的预后不佳.
- 对于晚期HNSCC存在有限的息性全身治疗选择.
- 缓解性免疫疗法提供了一个潜在的治疗途径.
研究的目的:
- 在HNSCC中确定与息性免疫疗法的良好反应相关的临床病理特征.
- 评估复发性或转移性HNSCC (rmHNSCC) 患者的预后生存因素.
主要方法:
- 对96名患有rmHNSCC的成年患者进行了回顾性队列研究.
- 收集的数据:人口统计,疾病特征,治疗和结果 (2018年1月至2022年12月).
- 进行单变量和多变量分析以确定预后因素.
主要成果:
- 总生存时间的中位数为12. 6个月;无进展生存时间 (PFS) 的中位数为5. 3个月.
- 系统性免疫炎症指数 (SII),白蛋白和体重指数 (BMI) 是独立显著的预后因素.
- 大多数患者不符合治疗条件或不耐药 (61. 5%).
结论:
- 在接受息性免疫治疗的rmHNSCC患者中,SII,白蛋白和BMI是强有力的独立预后因素.
- 这些廉价的非侵入性因素可能是可修改的,并指导治疗策略.
- 需要进一步的验证研究来证实这些发现.
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