Huang Yan, Gu Min, Wu Qi, Zhu Juanfen, Wu Jian, Wang Peipei, Wang Meihua, Luo Judong
Department of Radiotherapy, The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University, Changzhou, China.
Department of Head and Neck Surgery, Graduate School of Dalian Medical University, Dalian, China.
Front Oncol. 2022 Jan 28;12:790997. doi: 10.3389/fonc.2022.790997. eCollection 2022.
Laryngeal carcinoma is a primary malignant tumor originating from the laryngeal mucosa. In recent years, an increasing number of studies have confirmed that Helicobacter pylori may play a role in the occurrence and development of laryngeal cancer. We conducted a systematic review and meta-analysis to identify and emphasize the relationship between laryngeal cancer and Helicobacter pylori infection.
We actively searched for systematic reviews of PubMed, Embase, Web of Science, and Cochrane libraries to select studies that met the recommended guidelines. A total of 1756 patients with laryngeal cancer were included in this study to assess the association of in the larynx with laryngeal cancer. A subassessment of the risk of bias for each study that met the inclusion criteria was carried out. To illustrate the reasons for heterogeneity, we performed a subgroup analysis to determine the type of study, the quality of the article, the diagnostic method, and the impact of exposure factors.
The meta-analysis included a total of 17 case-control studies on the association between Helicobacter pylori in the larynx and laryngeal cancer. Our meta-analysis showed that Helicobacter pylori infection in the larynx significantly increased the risk of malignant tumors in the larynx (odds ratio, 2.96; 95% CI, 1.83-4.78; P<0.00001; I 86%). They still existed when we controlled for patients' exposure to smoking factors (odds ratio, 3.86; 95% CI, 1.89-7.88).
This systematic review and meta-analysis showed an association between Helicobacter pylori and laryngeal cancer. These findings are consistent with the understanding that chronic inflammatory tissue insult may lead to the development of malignancy. Controlling risk factors will help us identify patients with an increased risk of laryngeal cancer.
喉癌是一种起源于喉黏膜的原发性恶性肿瘤。近年来,越来越多的研究证实幽门螺杆菌可能在喉癌的发生和发展中起作用。我们进行了一项系统评价和荟萃分析,以确定并强调喉癌与幽门螺杆菌感染之间的关系。
我们积极检索PubMed、Embase、Web of Science和Cochrane图书馆的系统评价,以选择符合推荐指南的研究。本研究共纳入1756例喉癌患者,以评估喉内幽门螺杆菌与喉癌的关联。对每项符合纳入标准的研究进行偏倚风险的亚组评估。为了阐明异质性的原因,我们进行了亚组分析,以确定研究类型、文章质量、诊断方法和暴露因素的影响。
荟萃分析共纳入17项关于喉内幽门螺杆菌与喉癌关联的病例对照研究。我们的荟萃分析表明,喉内幽门螺杆菌感染显著增加了喉内恶性肿瘤的风险(优势比,2.96;95%CI,1.83 - 4.78;P<0.00001;I² = 86%)。当我们控制患者的吸烟因素暴露时,这种关联仍然存在(优势比,3.86;95%CI,1.89 - 7.88)。
这项系统评价和荟萃分析表明幽门螺杆菌与喉癌之间存在关联。这些发现与慢性炎症组织损伤可能导致恶性肿瘤发生的认识一致。控制风险因素将有助于我们识别喉癌风险增加的患者。