预测激进结直肠癌手术后的肺转移:一项两中心的回顾性队列研究和名谱开发
Yun Liang1,2, Zichang Ma3, Siquan Zhong4
1Department of Gastrointestinal Surgery, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong, China.
Frontiers in oncology
|January 28, 2026
概括
一个新的预测模型识别了结直肠癌患者在手术后肺转移的高风险. 这个工具帮助临床医生进行早期干预和个性化治疗,以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 医疗成像医学成像
背景情况:
- 大肠直肠癌 (CRC) 是癌症死亡的主要原因,主要是由于远程转移.
- 肺转移是晚期CRC患者经常出现的并发症.
- 在手术后识别患有肺转移高风险的患者对于及时干预至关重要.
研究的目的:
- 开发和验证一个预测模型的肺转移在结直肠癌患者在彻底手术后.
- 确定与肺转移发展相关的关键临床和病理因素.
主要方法:
- 对399名接受彻底手术的结直肠癌患者队列的分析.
- 使用逻辑回归结合临床和病理数据的预测模型的开发.
- 使用卡普兰-梅尔生存分析和决策曲线分析 (DCA) 验证模型.
主要成果:
- 使用癌胚抗原 (CEA),N阶段,围神经入侵和手术方法开发了一个预测模型.
- 该模型表现出强大的预测性能,AUC为0.785 (训练) 和0.779 (验证).
- 该模型对无肺转移存活率 (LMFS) 的风险组进行了显著差异化 (P < 0.001).
结论:
- 开发的预测模型有效地识别了高风险的结肠直肠癌患者的肺转移后切割.
- 该工具支持个性化治疗策略,并有可能改善患者的预后.
- 临床实用性得到了强烈的歧视,校准和DCA发现的支持.
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