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IBD:放射疗法治疗IBD合并前列腺癌的不良反应发生率

2020-04-12 MedSci原创 MedSci原创

炎症性肠病(IBD)患者可能因前列腺癌的放射治疗而出现相关并发症。然而,可用数据有限,因此,本项研究旨在对患有前列腺癌的IBD患者的放射治疗进行相关研究。

背景:炎症性肠病(IBD)患者可能因前列腺癌的放射治疗而出现相关并发症。然而,可用数据有限,因此,本项研究旨在对患有前列腺癌的IBD患者的放射治疗进行相关研究。

方法:本项研究为一项回顾性队列研究。纳入了1996-2015年间诊断并治疗过前列腺癌的IBD患者。评估了在癌症诊断的6、12和24个月内IBD,IBD相关的住院治疗和IBD相关的手术事件,以及1、2和5年的存活率。IBD的复发是由治疗医师记录的,因此治疗也相应改变。

结果:本项研究共确定了一百名患有IBD和前列腺癌的患者。47例接受了外部束放射治疗或近距离放射治疗,53例接受了非放射治疗。在癌症诊断后的6个月(10.6%VS 5.7%)和6-12个月(4.3% VS 1.9%)内,接受放射治疗的患者的炎症性肠疾病发作高2倍。在多元逻辑回归分析中,放射治疗(OR:4.82; 95%置信区间为1.15–20.26)是复发的重要预测指标。但是,与IBD相关的住院或手术的比率没有显着差异。

结论:在这项回顾性,多中心研究中,接受放射治疗的患者在前列腺癌确诊后的第一年内发现的疾病复发发生率增加了2倍,但与IBD相关的住院或手术没有差异。

原始出处L:

inda A Feagins, et al. Rates of Adverse IBD-Related Outcomes for Patients With IBD and Concomitant Prostate Cancer Treated With Radiation Therapy. Inflammatory Bowel Diseases.2020.

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    2020-04-14 bnurmamat
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    2020-04-13 misszhang

    前列腺癌相关研究,学习了,谢谢梅斯

    0

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