研究动态
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鼻窦腺样囊性癌的总体和疾病特异性存活率:一项系统回顾与荟萃分析。

Overall and disease-specific survival of sinonasal adenoid cystic carcinoma: a systematic review and meta-analysis.

发表日期:2023 Sep 13
作者: T Mauthe, D Holzmann, M B Soyka, S A Mueller, P Balermpas, U Held, S N Freiberger, N J Rupp, C M Meerwein
来源: MOLECULAR & CELLULAR PROTEOMICS

摘要:

本次荟萃分析旨在研究鼻窦腺样囊性癌(snAdCC)的结果。我们按照PRISMA指南进行研究,并纳入了报道snAdCC 5年总生存率(OS)的研究。通过文献搜索确定符合条件的研究,并使用JBI临床评价清单进行评估。共纳入了17个研究,共计2259例患者(平均年龄:58.1岁,女性占52.7%,男性占47.3%)。荟萃分析结果显示,5年总生存率、10年总生存率和5年无病生存率分别为68%,40%和47.2%。研究层面的描述性统计结果显示,诊断时局部晚期肿瘤分别占23%的cT3、53%的cT4、3.4%的N+和4.2%的M+。肿瘤中有29.7%位于鼻腔,67.6%位于副鼻窦。最上颌窦、筛窦、蝶窦和额窦分别占50.9%、7.2%、4%和0.5%。45.4%的患者接受手术和放疗联合治疗,19.3%的患者仅接受手术治疗。综上所述,这些结果强调了对snAdCC患者进行彻底监测的重要性,以便发现疾病的任何可能复发或进展。
This meta-analysis aims to investigate the outcome of sinonasal adenoid cystic carcinoma (snAdCC). We followed PRISMA guidelines and included studies reporting 5-year overall survival (OS) rates for snAdCC. Eligible studies were identified through a literature search and assessed using JBI critical appraisal checklist. A total of 17 studies were included comprising 2259 patients (mean age: 58.1 years, 52.7% female, 47.3% male). The meta-analysis demonstrated that the 5-year OS, 10-year OS, and 5-year disease-free survival (DFS) were 68%, 40%, and 47.2%, respectively. Descriptive statistics on study level showed high rates of locally advanced tumor stages at diagnosis: 23% cT3, 53% cT4, 3.4% N+, and 4.2% M+. 29.7% of the tumors were in the nasal cavity, 67.6% in the paranasal sinuses. The maxillary, ethmoid, sphenoid, and frontal sinus were affected in 50.9%, 7.2%, 4%, and 0.5%, of cases. A combination of surgery and radiotherapy was used in 45.4% of the patients and 19.3% of patients received surgery only. In conclusion, these findings emphasize the significance of thorough surveillance for individuals with snAdCC to identify any potential recurrence or progression of the disease.