Xu J M, Cui H T, Jia R, Zhao C H, Zhao P
Department of Gastroenterological Oncology, the Fifth Medical Centre, Chinese PLA General Hospital, Beijing 100071, China.
Department of Oncology, the 940 Hospital of Joint Service of People's Liberation Army, Lanzhou 730050, China.
Zhonghua Zhong Liu Za Zhi. 2021 Mar 23;43(3):324-328. doi: 10.3760/cma.j.cn112152-20190630-00402.
To investigate the clinical characteristics, treatment, and prognostic factors of pancreatic neuroendocrine tumors (pNETs) patients treated with Sunitinib. The clinical data of pNETs patients from Pfizer Drug Assistance Program of Cancer Foundation of China from April 2013 to November 2017 were retrospectively analyzed. Follow-up and statistical analysis were performed. A total of 235 patients were enrolled, the patients' overall survival time was between 4 and 252 months, the 3-years and 5-years survival rates were 73.8% and 60.8%, respectively. Univariate analysis showed that factors such as age, Ki-67 index and surgery were associated with the 3-years survival rates of pNETs patients (<0.05). Multivariate analysis demonstrated that the age, Ki-67 index and surgery were independent prognostic factors for pNETs patients (<0.05). For patients with liver metastases, univariate analysis revealed that surgery was associated with prognosis (<0.05). The 5-years survival rate of 124 patients with extending usage of Sunitinib was 53.3%. PNETs are rare tumors with atypical clinical symptoms and the patients often have metastasis at the initiate diagnosis. The age, Ki-67 index and surgery are associated with the prognosis of pNETs patients.
探讨舒尼替尼治疗胰腺神经内分泌肿瘤(pNETs)患者的临床特征、治疗及预后因素。回顾性分析2013年4月至2017年11月中国癌症基金会辉瑞药物援助项目中pNETs患者的临床资料,并进行随访及统计分析。共纳入235例患者,患者总生存时间为4至252个月,3年和5年生存率分别为73.8%和60.8%。单因素分析显示,年龄、Ki-67指数和手术等因素与pNETs患者的3年生存率相关(<0.05)。多因素分析表明,年龄、Ki-67指数和手术是pNETs患者的独立预后因素(<0.05)。对于肝转移患者,单因素分析显示手术与预后相关(<0.05)。124例延长使用舒尼替尼的患者5年生存率为53.3%。pNETs是罕见肿瘤,临床症状不典型,患者初诊时往往已有转移。年龄、Ki-67指数和手术与pNETs患者的预后相关。