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影响卵巢癌患者生存的预后因素:一项10年回顾性研究

Prognostic Factors Influencing Survival in Ovarian Cancer Patients: A 10-Year Retrospective Study.

作者信息

Andreou Maria, Kyprianidou Maria, Cortas Christos, Polycarpou Irene, Papamichael Demetris, Kountourakis Panteleimon, Giannakou Konstantinos

机构信息

Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia 1516, Cyprus.

Department of Medical Oncology, Bank of Cyprus Oncology Centre, Nicosia 2006, Cyprus.

出版信息

Cancers (Basel). 2023 Dec 5;15(24):5710. doi: 10.3390/cancers15245710.

Abstract

OBJECTIVE

To analyze the factors associated with overall survival (OS) and progression-free survival (PFS) in patients with ovarian cancer in Cyprus.

METHODS

We retrospectively analyzed data from patients with histologically confirmed epithelial ovarian cancer (EOC) and primary peritoneal cancer (PPC).

RESULTS

A total of 106 women diagnosed with ovarian cancer were included, with a median age at diagnosis of 58 years. The Kaplan-Meier survival analysis showed a median OS of 41 months (95% C.I = 36.9, 45.1), and the FIGO stage ( < 0.001), type of surgery ( < 0.001) and performance status ( < 0.001) were identified as statistically significant prognostic factors for OS. PFS analysis revealed the FIGO stage ( = 0.006) and the performance status ( < 0.001) as significant prognostic factors. Additionally, a Cox regression analysis for median OS was performed for patients with high-grade serous carcinoma, identifying the performance status, FIGO stage, and type of surgery as prognostic factors in univariate analysis. However, in the subsequent multivariate analysis, the performance status and the FIGO stage were confirmed to be the only statistically significant prognostic factors for OS ( < 0.05).

CONCLUSIONS

This study confirms that the FIGO stage, performance status, and surgery type were considered as prognostic factors for OS in ovarian cancer.

摘要

目的

分析塞浦路斯卵巢癌患者的总生存期(OS)和无进展生存期(PFS)相关因素。

方法

我们回顾性分析了经组织学确诊的上皮性卵巢癌(EOC)和原发性腹膜癌(PPC)患者的数据。

结果

共纳入106例诊断为卵巢癌的女性,诊断时的中位年龄为58岁。Kaplan-Meier生存分析显示中位OS为41个月(95%置信区间=36.9,45.1),国际妇产科联盟(FIGO)分期(<0.001)、手术类型(<0.001)和体能状态(<0.001)被确定为OS的统计学显著预后因素。PFS分析显示FIGO分期(=0.006)和体能状态(<0.001)为显著预后因素。此外,对高级别浆液性癌患者进行了中位OS的Cox回归分析,在单因素分析中确定体能状态、FIGO分期和手术类型为预后因素。然而,在随后的多因素分析中,体能状态和FIGO分期被确认为OS的仅有的统计学显著预后因素(<0.05)。

结论

本研究证实FIGO分期、体能状态和手术类型被视为卵巢癌OS的预后因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbd1/10742060/15c5adb58f87/cancers-15-05710-g001a.jpg

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