加拿大的复发威尔姆斯瘤管理和结果:来自CYP-C的报告
Amy D Lu1, Conrad V Fernandez2, Rodrigo L P Romao2
1Department of Paediatrics, Hospital for Sick Children.
Journal of pediatric hematology/oncology
|October 13, 2025
概括
在儿科威尔姆斯瘤 (WT) 复发中,作为多模式治疗的一部分的手术可能会改善存活率. 需要进一步的研究来证实手术干预对复发性WT患者的益处.
科学领域:
- 儿科瘤学 儿科瘤学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 手术瘤学手术瘤学
背景情况:
- 威尔姆斯瘤 (WT) 是最常见的儿科癌,高达15%的患者出现复发.
- 复发性WT的管理尚未明确,需要研究最佳治疗策略.
研究的目的:
- 描述加拿大的经验与复发的威尔姆斯瘤.
- 评估手术干预对复发性WT患者的生存结果的影响.
主要方法:
- 从加拿大年轻人癌症计划中确定了一组复发性WT患者 (2001-2020) 的基于人口的队列.
- 卡普兰-梅尔方法估计了4年无事件生存期 (EFS) 和整体生存期 (OS).
- 考克斯的比例危险模型评估了手术对EFS/OS的影响,根据化疗方案进行调整.
主要成果:
- 分析了97名患有复发性WT的患者;复发时的中位数年龄为5.2岁.
- 四年的EFS为54.0%,OS为61.6%.
- 手术干预与改善的OS (HR 0.36,P=.003) 和改善EFS (HR 0.54,P=.06) 的趋势有关.
结论:
- 与国际数据相比,加拿大对复发性WT的结果相对有利.
- 在复发时接受手术干预的患者表现出更有利的生存率.
- 切除的潜在治疗益处需要进一步研究,考虑到疾病程度和治疗反应等混因素.
相关概念视频
Targeted Cancer Therapies
8.6K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
8.6K
Treatment Resistant Cancers
3.7K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.7K
Combination Therapies and Personalized Medicine
5.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.9K
Cystic Fibrosis: Management
474
Cystic fibrosis (CF) is an autosomal recessive disorder that predominantly affects individuals of Northern European descent, occurring at a rate of 1 in 3500. It is caused by a genetic mutation in a gene on chromosome 7, most commonly the ΔF508 mutation, that codes for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. This results in thicker mucus secretions and obstruction pathologies in multiple organs, including the lungs and sinuses.
Sinus disease and chronic...
Sinus disease and chronic...
474
Cancer Survival Analysis
645
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
645
Kidney Transplant III: Nursing Management
317
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
317


