在患有口腔增殖性白血病的患者中恶性转变的风险评估:一项10年回顾性队列研究
Gianluca Tenore1, Ahmed Mohsen1, Paolo Junior Fantozzi1
1Department of Oral and Maxillofacial Sciences (SOMF), Sapienza University of Rome, 00161 Rome, Italy.
Cancers
|January 10, 2026
概括
在口腔增殖性白血病 (OPL) 中,恶性转变的风险与病变的外观,位置和发育不良等级有关. 癌症史和不均的病变表明一种更具侵略性的过程.
科学领域:
- 口腔医学是指口腔医学.
- 在瘤学瘤学.
- 口腔病理学 口腔病理学
背景情况:
- 口腔增殖性白血病 (OPL) 是一种潜在的恶性疾病.
- 确定恶性转变 (MT) 的危险因素对于患者管理至关重要.
研究的目的:
- 评估患有口腔增殖性白血病 (OPL) 患者的恶性转变 (MT) 风险概况.
主要方法:
- 对51名OPL患者的医疗记录进行了回顾性审查 (2014年1月 - 2024年6月).
- 收集人口统计,临床,组织病理学数据和治疗策略.
- 分析了与MT的关联的数据.
主要成果:
- 在平均4.78年的随访期间,MT发生在17.6%的患者中.
- 较高的发育不良等级 (p=0.009) 和非均的病变形式 (斑点) 与MT有显著的关联.
- 在MT病例中,损伤位置 (舌头,口腔底部) 和特定的组织学特征 (,结节结构,带状淋巴细胞透) 更常见.
结论:
- 临床形态,病变部位和组织学分级是OPL中MT的关键预测因素.
- 不同质的病变,较高的发育不良,以及先前的癌症病史表明疾病的进展更为积极.
- 建议对OPL患者进行个性化风险评估和长期监测.
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