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鼻腔鼻窦区域的小唾液腺肿瘤:回顾性分析结果并文献复习。

Minor salivary gland tumors of the sinonasal region: results of a retrospective analysis with review of literature.

机构信息

Department of Head and Neck Surgery, Tata Memorial Hospital, Mumbai, India.

出版信息

Head Neck. 2012 Dec;34(12):1704-10. doi: 10.1002/hed.21988. Epub 2012 Jan 31.

Abstract

BACKGROUND

Minor salivary gland tumors of the sinonasal region are rare. Minor salivary gland tumors of this region behave differently from other subsites in the head and neck. The objective of our study was to analyze the survival and prognostic factors in patients with minor salivary gland tumors of the sinonasal region.

METHODS

We carried out a retrospective review of patients with minor salivary gland tumors of the sinonasal region. All slides were reviewed by an independent pathologist. Survival was analyzed using the Kaplan-Meier method and Cox multivariate regression to identify prognostic factors.

RESULTS

In all, 163 patients were identified from our registry. The 5-year disease-free and overall survival rates were 48.3% and 83.3%, respectively. Tumor grade, nodal status, and adjuvant radiotherapy were significant predictors of disease-free survival (DFS), on multivariate analysis.

CONCLUSIONS

Minor salivary gland tumors have a good overall survival in spite of high recurrence rates. Tumor grade, nodal status, and adjuvant radiotherapy are independent predictors of DFS.

摘要

背景

鼻腔鼻窦区域的小唾液腺肿瘤较为罕见。与头颈部其他部位相比,该区域的小唾液腺肿瘤具有不同的行为。我们的研究目的是分析鼻腔鼻窦区域小唾液腺肿瘤患者的生存和预后因素。

方法

我们对鼻腔鼻窦区域小唾液腺肿瘤患者进行了回顾性研究。所有切片均由独立病理学家进行了审查。采用 Kaplan-Meier 方法和 Cox 多因素回归分析来分析生存情况,以确定预后因素。

结果

在我们的患者登记处共发现 163 例患者。5 年无病生存率和总生存率分别为 48.3%和 83.3%。肿瘤分级、淋巴结状态和辅助放疗是无病生存率(DFS)的显著预测因素,在多因素分析中也是如此。

结论

尽管复发率较高,但小唾液腺肿瘤的总体生存率较好。肿瘤分级、淋巴结状态和辅助放疗是 DFS 的独立预测因素。

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