在早期口腔舌状细胞癌的前部区域 (SARIFA) 的反应性入侵
Alhadi Almangush1, Muhammad Faisal2, Caj Haglund3
1Department of Pathology, University of Helsinki, P.O. Box 21, FI-00014 Helsinki, Finland; Institute of Biomedicine, Pathology, University of Turku, Turku, Finland; Research Program in Systems Oncology, Faculty of Medicine, University of Helsinki, Helsinki, Finland; Libyan Authority for Scientific Research, Tripoli, Libya.
在早期口腔舌状细胞癌 (OTSCC) 中,Stroma AReactive Invasion Front Areas (SARIFA) 表示预后较差. 萨里法可以帮助识别那些可以从积极治疗策略中受益的患者.
科学领域:
- 在瘤学瘤学.
- 病理学 病理学 病理学
- 手术瘤学手术瘤学
背景情况:
- 斯特罗玛反应性入侵前线区域 (SARIFA) 是一个新发现的预后标志物.
- 在早期口腔舌状细胞癌 (OTSCC) 中,SARIFA 的预后意义仍未得到研究.
研究的目的:
- 评估SARIFA在早期OTSCC中的预后价值.
- 确定SARIFA是否可以预测OTSCC患者的生存结果.
主要方法:
- 一项多中心研究包括287例早期OTSCC病例.
- 通过瘤细胞与脂肪组织的直接接触来定义SARIFA.
- 评估是在用血素和素 (HE) 染色的切口上进行的.
主要成果:
- 在早期OTSCC中,SARIFA阳性瘤与明显更差的疾病特异性存活率相关 (HR1.86,P=0.032).
- 患有SARIFA阳性瘤的患者也显示整体存活率降低 (HR 1.52,P=0.023) 和无病存活率 (HR 1.79,P=0.021).
结论:
- 在早期的OTSCC中,SARIFA作为一种有价值的基于组织形态学的预测器.
- 识别SARIFA阳性病例可以指导治疗决策,可能表明多模式治疗的好处.
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