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[上颌窦腺样囊性癌与鳞状细胞癌5年生存率比较及影响预后的预后因素分析:基于监测、流行病学和最终结果(SEER)数据库]

[Comparison of 5-year survival rate and analysis of prognostic factors influencing the prognosis of adenoid cystic carcinoma and squamous cell carcinoma of the maxillary sinus: based on the SEER database].

作者信息

Tan Ruifeng, Yan Xudong, Li Xuehui, Wang Lin, Yu Longgang, Wu Ce, Zhang Xueyan, Jiang Yan

机构信息

Department of Otorhinolaryngology,Affiliated Hospital of Qingdao University,Qingdao,266000,China.

Chinese People's Liberation Army Joint Logistics Support Force 970 Hospital Weihai Medical Area,Blood Transfusion Department.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Jun;38(6):485-489. doi: 10.13201/j.issn.2096-7993.2024.06.006.

Abstract

To analyze the difference in 5-year survival between maxillary sinus adenoidal cystic carcinoma(maxillary sinus adenoid cystic carcinoma, MSACC) and squamous cell carcinoma(maxillary sinus squamous cell carcinoma, MSSCC) using the National Cancer Institute's Surveillance, Epidemiology, and End. database(SEER) and to explore the factors associated with the prognosis of the two tumors. The data of 161 patients with MSACC and 929 patients with MSSCC were collected from SEER database, and the 5-year overall survival rate(OS) and tumor specific survival rate(CSS) were compared between the two groups before and after propensity score matching. The forest map of multivariate Cox proportional hazard regression model was established to analyze the prognostic factors affecting the survival rate of patients with MSACC and MSSCC. There were statistical differences in 5-year OS and CSS between MSACC and MSSCC before and after propensity score matching(<0.001). Multivariate regression analysis showed that age, side of the disease, lymph node metastasis, operation and radiotherapy were the influencing factors of OS in MSACC, while age and operation were the influencing factors of CSS. Age, race, T grade, lymph node metastasis, systemic metastasis, surgery, radiotherapy and chemotherapy are the influencing factors of OS of MSSCC. Age, T grade, lymph node metastasis, systemic metastasis, surgery, radiotherapy and chemotherapy are the influencing factors of CSS. The 5-year survival rate of MSACC is higher than that of MSSCC. Surgery plays a positive role in the prognosis of the two kinds of tumors. The analysis results can provide some reference for their survival expectations and treatment choices.

摘要

利用美国国立癌症研究所的监测、流行病学和最终结果数据库(SEER)分析上颌窦腺样囊性癌(maxillary sinus adenoid cystic carcinoma, MSACC)与鳞状细胞癌(maxillary sinus squamous cell carcinoma, MSSCC)5年生存率的差异,并探讨影响这两种肿瘤预后的因素。从SEER数据库收集161例MSACC患者和929例MSSCC患者的数据,在倾向得分匹配前后比较两组的5年总生存率(OS)和肿瘤特异性生存率(CSS)。建立多因素Cox比例风险回归模型森林图,分析影响MSACC和MSSCC患者生存率的预后因素。倾向得分匹配前后,MSACC与MSSCC的5年OS和CSS差异均有统计学意义(<0.001)。多因素回归分析显示,年龄、病变侧别、淋巴结转移、手术及放疗是MSACC患者OS的影响因素,年龄和手术是CSS的影响因素。年龄、种族、T分级、淋巴结转移、全身转移、手术、放疗及化疗是MSSCC患者OS的影响因素。年龄、T分级、淋巴结转移、全身转移、手术、放疗及化疗是CSS的影响因素。MSACC的5年生存率高于MSSCC。手术对两种肿瘤的预后均起积极作用。分析结果可为二者的生存预期及治疗选择提供一定参考。

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Current thinking in the management of adenoid cystic carcinoma of the head and neck.头颈部腺样囊性癌治疗的当前思路。
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