激素治疗对于晚期,低度的卵巢癌的使用和结果
Katherine Yoh1, Ling Chen1, Xiao Xu2
1Columbia University College of Physicians and Surgeons, New York, NY, USA.
概括
对于晚期低度血清性卵巢癌,激素治疗的使用显著增加. 化学疗法,单独的荷尔蒙疗法或组合治疗的结果相似,这表明荷尔蒙疗法是可行的选择.
科学领域:
- 妇科瘤学 妇科瘤学
- 医学瘤学 医学瘤学
- 临床研究 临床研究
背景情况:
- 低度血清性卵巢癌 (LGSC) 是一种罕见的卵巢癌亚型.
- 在历史上,高级LGSC的治疗范式一直依赖于细胞毒性化疗.
- 激素治疗在LGSC中的作用需要进一步研究.
研究的目的:
- 分析晚期LGSC使用激素治疗的趋势.
- 为了比较化疗,单独激素治疗和LGSC患者的组合治疗之间的生存结果.
- 识别与不同治疗方式相关的患者特征.
主要方法:
- 使用国家癌症数据库 (2011-2020) 进行回顾性队列研究.
- 包括接受初级手术并随后接受辅助治疗的II-IV期LGSC妇女.
- 应用多项逻辑回归和倾向分数加权的Cox比例危险模型.
主要成果:
- 从2011年到2020年,使用激素治疗 (单独或组合) 显著增加.
- 单独的激素治疗在老年患者和那些有医疗保险的患者中更为普遍.
- 仅化学疗法,仅激素疗法和结合疗法组的生存结果在倾向性评分加权后是可比的.
结论:
- 激素治疗的使用在先进的LGSC中大幅增加.
- 激素治疗,单独或组合,显示了与化疗相比的生存结果.
- 激素疗法是一种潜在的可行的治疗选择,特别是对于不能容忍化疗副作用的患者.
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