Department of Radiation Oncology, Cancer Hospital, the First Affiliated Hospital of Xiamen University, Teaching Hospital of Fujian Medical University, Xiamen 361003, PR China.
Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou 510060, PR China.
Future Oncol. 2019 Oct;15(29):3357-3365. doi: 10.2217/fon-2019-0371. Epub 2019 Aug 14.
To assess the incidence and predictors of nasopharyngeal carcinoma (NPC)-specific mortality in the first year among NPC patients. We identified 2714 patients in the SEER program. Of the patients, 151 (5.6%) patients who died as NPC-related disease within 1 year of diagnosis. Specifically, 67.5% of the NPC-related deaths were attributed to keratinizing tumors, while 67.6% were attributed to advanced T stage. Older age, keratinizing squamous tumors and stage T3-4 disease were independent predictors of 1-year NPC-related death. The 1-year mortality rate is low among NPC patients after radiotherapy. Older age, keratinizing tumor and advanced T stage are predictors of high-mortality risk within 1 year in NPC patients.
评估鼻咽癌(NPC)患者诊断后 1 年内 NPC 特异性死亡率的发生率和预测因素。我们在 SEER 计划中确定了 2714 名患者。在这些患者中,有 151 名(5.6%)患者在诊断后 1 年内死于 NPC 相关疾病。具体来说,67.5%的 NPC 相关死亡归因于角化性肿瘤,而 67.6%归因于晚期 T 分期。年龄较大、角化性鳞状肿瘤和 T3-4 期疾病是 1 年内 NPC 相关死亡的独立预测因素。NPC 患者在放疗后 1 年内的死亡率较低。年龄较大、角化性肿瘤和晚期 T 期是 NPC 患者 1 年内高死亡率风险的预测因素。