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手术切除的肺类癌患者活检标本中的同步病理发现及其对生存的影响。

Simultaneous pathological findings in biopsy specimens of patients with surgically resected lung carcinoids and their role in survival.

作者信息

Georgakopoulou Vasiliki Epameinondas, Zygouris Eleftherios, Papalexis Petros, Gkoufa Aikaterini, Damaskos Christos, Pierrakou Aikaterini, Mantzouranis Konstantinos, Chlapoutakis Serafeim, Aravantinou-Fatorou Aikaterini, Sklapani Pagona, Trakas Nikolaos, Janinis Jim, Dahabreh Jubrail, Spandidos Demetrios A

机构信息

Department of Pulmonology, Laiko General Hospital, 11527 Athens, Greece.

Department Oncology, Athens Medical Group, 15125 Athens, Greece.

出版信息

Oncol Lett. 2022 Jul 15;24(3):313. doi: 10.3892/ol.2022.13433. eCollection 2022 Sep.

Abstract

Pulmonary carcinoid tumors are rare, low-grade malignant tumors that constitute 1-2% of all lung tumors. The present study aimed to describe the simultaneous pathological findings in biopsy specimens of patients with surgically resected lung carcinoids and determine their association with survival rates. For this purpose, 108 patients with resected carcinoid lung tumors were followed-up for 96 months and analyzed for simultaneous pathological findings in biopsy specimens. Among these, simultaneous pathological findings were found in 82 patients. The association between these findings and patient survival rates was evaluated. Atelectasis was a simultaneous finding in 52.4% of the patients, desquamative interstitial pneumonia (DIP) in 13.4%, emphysema in 24.4% and bronchiectasis in 9.8%. The survival rate was 100% for the patients with atelectasis, 81.8% for the patients with DIP, 90% for the patients with emphysema and 75% for the patients with bronchiectasis (P<0.05). According to the univariate analysis, the type of carcinoid was associated with patient survival with better survival rates for patients with typical carcinoids, while age, sex, stage and simultaneous pathological findings were not associated with patient survival. On the whole, there was a statistically significant difference in the survival rates of patients with resected lung carcinoids with different simultaneous pathological findings. However, further studies are warranted to assess the role of these findings in the survival of these patients.

摘要

肺类癌肿瘤是罕见的低度恶性肿瘤,占所有肺部肿瘤的1%-2%。本研究旨在描述手术切除的肺类癌患者活检标本中的同步病理结果,并确定它们与生存率的关联。为此,对108例切除类癌性肺肿瘤的患者进行了96个月的随访,并分析了活检标本中的同步病理结果。其中,82例患者发现了同步病理结果。评估了这些结果与患者生存率之间的关联。肺不张在52.4%的患者中是同步发现的结果,脱屑性间质性肺炎(DIP)为13.4%,肺气肿为24.4%,支气管扩张为9.8%。肺不张患者的生存率为100%,DIP患者为81.8%,肺气肿患者为90%,支气管扩张患者为75%(P<0.05)。根据单因素分析,类癌类型与患者生存率相关,典型类癌患者的生存率更高,而年龄、性别、分期和同步病理结果与患者生存率无关。总体而言,具有不同同步病理结果的切除肺类癌患者的生存率存在统计学显著差异。然而,需要进一步研究来评估这些结果在这些患者生存中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b055/9353869/9d66f5cb82bf/ol-24-03-13433-g00.jpg

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