首页|气道播散与肺腺癌临床病理危险因素相关性分析

气道播散与肺腺癌临床病理危险因素相关性分析

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目的 探讨气道播散(STAS)在肺腺癌中的意义及与临床病理危险因素的相关性.方法 选取2015-10-2022-10在涿州市医院和河北一洲肿瘤医院接受手术切除术的228例肺腺癌患者为研究对象.通过苏木精-伊红染色判断STAS情况;分析STAS与临床病理危险因素的相关性.结果STAS与性别、吸烟、组织学类型、T分期、淋巴结转移、脉管神经侵犯和肺膜侵犯相关(P<0.05);与年龄无关.生存分析发现,伴STAS的总生存时间低于无STAS的患者(P<0.05).结论STAS在肺腺癌预后中具有重要的价值,STAS和临床病理危险因素相结合可以提高肺腺癌预后评估的准确性和可靠性,建议在常规病理报告中纳入此项指标,为肺腺癌患者的治疗和预后评估提供更为科学、全面的依据.
Correlation between spread through air space and clinicopathological risk factors for lung adenocarcinoma
Objective To investigate the significance of spread through air space(STAS)in lung adenocarcinoma and its correlation with clinicopathological risk factors.Methods A total of 228 patients with lung adenocarcinoma who underwent surgical resection in Zhuozhou Hospital and Hebei Yizhou Cancer Hospital from October 2015 to October 2022 were enrolled.STAS status was accessed by hematoxylin-eosin(HE)staining to analyze the association with clinicopathological risk factors.Results STAS was associated with sex,smoking,histological type,T stage,lymph node metastasis,vascular invasion and lung membrane invasion(P<0.05),but not with age.Survival analysis found that overall survival of patients with STAS was lower than that of patients without STAS(P<0.05).Conclusion STAS has an important value in the prognosis of patients with lung adenocarcinoma.The combination of STAS and clinicopathological risk factors can improve the accuracy and reliability of prognosis assessment of lung adenocarcinoma.It is recommended to include this index in routine pathology reports to provide a more scientific and comprehensive basis for the treatment and prognosis assessment of lung adenocarcinoma patients.

Spread through air spaceLung cancerClinicopathological risk factorsSpread through air spacePrognosis

丁会珍、杨峰燕、金贻铎、王宏伟

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锦州医科大学中国人民解放军总医院第四医学中心研究生培养基地,北京 100048

涿州市医院病理科,河北涿州 072750

中国人民解放军总医院第四医学中心病理科,北京 100048

气道播散 肺癌 临床病理危险因素 STAS 预后

2024

诊断病理学杂志
北京军区总医院

诊断病理学杂志

CSTPCD
影响因子:0.663
ISSN:1007-8096
年,卷(期):2024.31(1)
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