中山醫學大學機構典藏 CSMUIR:Item 310902500/23899
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    题名: The risk of distant metastases in patients with gynecologic cancers after surgery: a population-based study
    作者: Hsiao, YH;Chen, PN;Hsin, MC;Wang, PH;Huang, JY;Yang, SF
    关键词: gynecologic cancer;cervical cancer;uterus cancer;ovarian cancer;metastasis
    日期: 2021
    上传时间: 2022-08-05T09:44:39Z (UTC)
    出版者: IMPACT JOURNALS LLC
    ISSN: 1945-4589
    摘要: The aim of the study was to determine the risk of distant metastases in patients with gynecologic cancers after surgery, including cervical, uterine and ovarian cancers. This is a retrospective study evaluating gynecologic cancer from 2009 to 2014 using population-based administrative datasets from the Health and Welfare Data Science Center (HWDC) and from The National Health Informatics Project (NHIP). A total of 1,464 gynecologic cancer patients, including 321 cervical cancer patients, 724 uterine cancer patients and 419 ovarian cancer patients, were analyzed retrospectively from 2009 to 2014. Among the cervical cancer patients, 173 (53.89%) received surgery only and 148 (46.11%) received surgery with radiotherapy /chemotherapy. Among the uterus cancer patients, 425(58.70%) received surgery only and 299 (41.3%) received surgery with radiotherapy /chemotherapy. Among the ovarian cancer patients, 81 (19.33%) received surgery only and 338 (80.67%) received surgery with radiotherapy/chemotherapy. Among patients with brain, liver or lung metastasis, cervical cancer patients have more cumulative metastasis-free survival than those ovarian cancer (p=0.0041). In analyzing liver metastasis based on primary cancer sites, cervical cancer patients and uterine cancer cases have more cumulative metastasis- free survival than those ovarian cancer (p<0.0001). In conclusion, ovarian cancer patients have higher risk of liver metastasis than cervical or uterine cancer. There were significantly different of pathological stage for cumulative metastasis-free survival among gynecologic cancer patients with brain or liver or lung metastasis. Pathological T stage remains the main predictive for distant metastasis of gynecologic cancer.
    URI: https://www.webofscience.com/wos/woscc/full-record/WOS:000740024100013
    https://ir.csmu.edu.tw:8080/handle/310902500/23899
    關聯: AGING-US ,2021,v13,issue 24, P25846-25858
    显示于类别:[中山醫學大學研究成果] 期刊論文

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