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多洛杰县(罗马尼亚西南部)肺癌和 2 型糖尿病的临床、生物临床和病理研究。

Lung cancer and type 2 diabetes experience in Dolj County (southwest region of Romania) - a clinical, bioclinical and pathological study.

机构信息

Doctoral School, University of Medicine and Pharmacy of Craiova, Romania; Department of Medical Oncology, Emergency County Hospital, Râmnicu Vâlcea, Romania;

出版信息

Rom J Morphol Embryol. 2023 Jul-Sep;64(3):411-417. doi: 10.47162/RJME.64.3.12.

Abstract

BACKGROUND AND AIM

Type 2 diabetes (T2D) and cancer, the most important public health problems nowadays, and the mechanisms between the presence of diabetes and the development of malignancies remain unclear. The leading cause of cancer death in 2020 is attributed to lung cancer. This study aimed to highlight the impact of the association of these two diseases and the predominant histopathological type of lung cancer in the selected group, glycemic imbalance, and information about the course and outlook for these patients.

PATIENTS, MATERIALS AND METHODS: The authors proposed a case-control 10-year period study, between 2007 and 2017, of two groups of patients diagnosed with T2D and lung cancer who underwent hospitalization at the Clinic of Medical Oncology, Emergency County Hospital, Craiova, Romania.

RESULTS

Our study showed a higher incidence of lung adenocarcinoma in patients diagnosed with T2D. The inflammatory syndrome is more pronounced in the diabetic group, which is supported by correlations between lactate dehydrogenase (LDH), albumin, and hemoglobin levels.

CONCLUSIONS

The duration of cancer treatment in lung cancer and the survival rate is strongly influenced by the presence of diabetes as a concomitant disease.

摘要

背景与目的

2 型糖尿病(T2D)和癌症是当今最重要的公共卫生问题,糖尿病的存在与恶性肿瘤的发展之间的机制仍不清楚。2020 年癌症死亡的主要原因归因于肺癌。本研究旨在强调这两种疾病的相关性以及所选人群中肺癌的主要组织病理学类型、血糖失衡的影响,以及这些患者的病程和预后信息。

患者、材料和方法:作者提出了一项为期 10 年的病例对照研究,在 2007 年至 2017 年期间,对两组在罗马尼亚克卢日纳波卡紧急县医院医学肿瘤学诊所住院的 T2D 和肺癌患者进行了研究。

结果

我们的研究显示,在诊断为 T2D 的患者中,肺腺癌的发病率更高。糖尿病组的炎症综合征更为明显,这得到了乳酸脱氢酶(LDH)、白蛋白和血红蛋白水平之间相关性的支持。

结论

肺癌的癌症治疗持续时间和生存率受到糖尿病作为合并症的强烈影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98ac/10720928/29b08d004f59/RJME-64-3-411-fig1.jpg

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