Lu Li, Ji Shuqi, Jiang Jing, Yan Yu
Department of Obstetrics and Gynecology, 2nd Affiliated Hospital of Harbin Medical University, China.
Comput Math Methods Med. 2022 Jun 8;2022:5613350. doi: 10.1155/2022/5613350. eCollection 2022.
OBJECTIVE: To identify and validate effective clinical predictors for the long-term prognosis of patients with cervical cancer. METHODS: Cervical cancer patients were retrieved from the TCGA database, and patients' clinical data were collected and analyzed for the predictive value of long-term prognosis. In the other branch of the study, patients with cervical cancer and admitted to our hospital between January 1, 2016, and December 31, 2016, were retrieved and followed up for prognosis analysis. RESULTS: In the database patient cohort of our study, 607 cases with cervical cancer were analyzed. Aneuploidy score ( = 0.012), Buffa hypoxia score ( = 0.013), histologic grade ( = 0.01), fraction genome altered >0.4 ( < 0.001), weight > 60 kg ( < 0.001), height > 160 cm ( = 0.047), BMI <18.5 ( = 0.023), Winter hypoxia score ( = 0.002), and adjuvant postoperative radiotherapy were good predictors for disease-free survival (DFS), while aneuploidy score ( = 0.001), MSI sensor score > 0.5 ( = 0.035), person neoplasm status ( < 0.001), race ( = 0.006), Ragnum hypoxia score ( = 0.012), weight ( < 0.001), height ( < 0.001), and BMI < 18.5 ( = 0.04) were good predictors for overall survival (OS). In the admitted patient cohort, age over 60 years old at the time of diagnosis was the only clinical factor influencing the long-term DFS ( = 0.004). TNM stage above III ( = 0.004), body weight > 70 kg ( < 0.001), and complicated with other cancer ( < 0.001) were clinical factor influencing the long-term OS. CONCLUSIONS: Clinical factors, especially common to both cohorts, could be used to show the long-term prognosis of cervical cancer.
目的:识别并验证宫颈癌患者长期预后的有效临床预测指标。 方法:从TCGA数据库中检索宫颈癌患者,收集并分析患者的临床数据,以评估其对长期预后的预测价值。在研究的另一部分,检索2016年1月1日至2016年12月31日期间我院收治的宫颈癌患者,并对其进行随访以进行预后分析。 结果:在本研究的数据库患者队列中,分析了607例宫颈癌病例。非整倍体评分(=0.012)、布法缺氧评分(=0.013)、组织学分级(=0.01)、基因组改变分数>0.4(<0.001)、体重>60kg(<0.001)、身高>160cm(=0.047)、BMI<18.5(=0.023)、温特缺氧评分(=0.002)及辅助术后放疗是无病生存期(DFS)的良好预测指标,而非整倍体评分(=0.001)、微卫星不稳定性(MSI)传感器评分>0.5(=0.035)、个体肿瘤状态(<0.001)、种族(=0.006)、拉格努姆缺氧评分(=0.012)、体重(<0.001)、身高(<0.001)及BMI<18.5(=0.04)是总生存期(OS)的良好预测指标。在收治的患者队列中,诊断时年龄超过60岁是影响长期DFS的唯一临床因素(=0.004)。TNM分期高于III期(=0.004)、体重>70kg(<0.001)及合并其他癌症(<0.001)是影响长期OS的临床因素。 结论:临床因素,尤其是两个队列共有的因素,可用于显示宫颈癌的长期预后。
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