评估食道癌患者的生存和复发模式,这些患者对新辅助化疗或放射治疗有病理反应
Ali Taghizadeh Kermani1, Reza Bagheri2, Hessam Taheri2
1Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
概括
这项研究评估了新辅助化学放射治疗和手术后食道癌患者的结果. 完整的病理反应与更好的生存相关,系统性复发在肺和肝脏中最常见.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 有限的研究存在于复发和生存模式后neoadjuvant化学放射治疗和食道癌的手术.
- 了解这些模式对于优化治疗策略至关重要.
研究的目的:
- 评估食道癌患者的生存和复发模式,这些患者对新辅助化学辐射疗法获得了病理反应.
- 确定影响该患者队列结果的因素.
主要方法:
- 对接受新辅助化疗或放射治疗的159名食道癌患者的回顾性分析.
- 人口和临床病理学变量的评估.
- 基于病理反应 (完整与近乎完整) 的生存和复发模式的评估.
主要成果:
- 147名患者有完整的病理反应,12名患者有近乎完整的反应.
- 总生存率为59.1%,1年和3年无病生存率分别为89.4%和62.8%.
- 性和成史与治疗结果有显著的关联;年龄,瘤类型和位置没有.
结论:
- 完整的病理反应与更好的生存结果有关.
- 系统性复发,主要在肺和肝脏,是最常见的模式.
- 女性患者和没有上史的患者表现出更好的治疗反应和生存率.
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