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不吸烟者肺癌存活率。

Lung cancer survival among never smokers.

机构信息

Neumology Department, Santiago de Compostable University Teaching Hospital, Spain; Department of Preventive Medicine and Public Health, School of Medicine, University of Santiago de Compostela, Spain.

Neumology Department, Santiago de Compostable University Teaching Hospital, Spain; Interdisciplinary Neumology Research Group, Health Research Institute of Santiago de Compostela (Instituto Investigación Sanitaria de Santiago de Compostela/IDIS), Spain.

出版信息

Cancer Lett. 2019 Jun 1;451:142-149. doi: 10.1016/j.canlet.2019.02.047. Epub 2019 Mar 6.

Abstract

Lung cancer incidence among never smokers has increased in recent decades with 10-30% of all lung cancers occurring in never smokers, where exposure to residential radon is the leading cause of this disease. Lung cancer survival is low, ranging from 12% to 16% at 5 years of diagnosis. There is scant evidence to date on survival from this disease in never smokers. We aim to evaluate lung cancer survival in never smokers and ascertain whether there might be differences regarding smokers, through a systematic review applying predefined inclusion and exclusion criteria. 17 Studies were included. Never-smoker lung cancer patients seem to experience longer survival times than do smokers or ex-smokers. Lung cancer in never smokers displays distinctive clinical characteristics, is more frequent among women, is diagnosed at more advanced stages, and the predominant histologic type is adenocarcinoma. Further studies are necessary to ascertain lung cancer survival among never smokers.

摘要

近年来,从不吸烟者中肺癌的发病率有所增加,所有肺癌患者中有 10-30%从不吸烟者,而住宅氡暴露是导致这种疾病的主要原因。肺癌的生存率很低,从诊断后 5 年的 12%到 16%不等。迄今为止,关于从不吸烟者的这种疾病的生存情况的证据很少。我们旨在通过系统评价应用预先确定的纳入和排除标准,评估从不吸烟者的肺癌生存率,并确定是否存在与吸烟者相关的差异。纳入了 17 项研究。从不吸烟者的肺癌患者的生存时间似乎比吸烟者或曾经吸烟者长。从不吸烟者的肺癌具有独特的临床特征,在女性中更为常见,诊断时处于更晚期,主要组织学类型为腺癌。需要进一步的研究来确定从不吸烟者的肺癌生存率。

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