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软组织肉瘤临床特征分布的多中心研究

曹毛毛 曾红梅 张思维 李贺 杨之洵 陈万青 郑荣寿 王宁 贺宇彤 孙喜斌 杜灵彬 刘曙正 庹吉妤 魏矿荣

肿瘤预防与治疗2019,Vol.32Issue(11):1004-1012,9.
肿瘤预防与治疗2019,Vol.32Issue(11):1004-1012,9.DOI:10.3969/j.issn.1674-0904.2019.11.010

软组织肉瘤临床特征分布的多中心研究

Clinical Characteristics of Soft Tissue Sarcomas:A Multicenter Study

曹毛毛 1曾红梅 2张思维 2李贺 1杨之洵 1陈万青 1郑荣寿 2王宁 3贺宇彤 4孙喜斌 5杜灵彬 6刘曙正 5庹吉妤 7魏矿荣8

作者信息

  • 1. 100021 北京,国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院 癌症早诊早治办公室
  • 2. 100021 北京,国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院 肿瘤登记办公室
  • 3. 100142 北京,北京大学肿瘤医院暨北京市肿瘤防治研究所 北京市肿瘤防治研究办公室,恶性肿瘤发病机制及转化研究教育部重点实验室
  • 4. 050011 石家庄,河北医科大学第四医院/河北省肿瘤医院肿瘤研究所
  • 5. 450008 郑州,河南省肿瘤医院/郑州大学附属肿瘤医院河南省肿瘤防治研究办公室
  • 6. 310004 杭州,中国科学院肿瘤与基础医学研究所/中国科学院大学附属肿瘤医院/浙江省肿瘤医院(浙江省癌症中心)肿瘤防治科
  • 7. 430079 武汉,湖北省肿瘤医院 肿瘤防治办公室
  • 8. 528400 广东 中山,中山市人民医院 肿瘤研究所
  • 折叠

摘要

Abstract

To analyze the clinical characteristics of soft tissue sarcomas (STS) diagnosed from different hospitals be-tween 2011 and 2015 to provide evidence-based information for further standardized diagnosis and treatment of STS. Meth-ods:Data were from 15 hospitals, including 14 tertiary hospitals and 1 level A secondary general hospital, from Beijing, Henan, Hebei, Hubei, Zhejiang, Guangdong provinces. Clinical information of patients who were newly diagnosed was col-lected from 2011 to 2015. The questionnaire was self-made and data were entered using Epidata 3. 0. Tumor sites, histologi-cal types were coded according to International Classification of Diseases for Oncology (third version). Chronological ages at first diagnosis were further classified into 18 age groups and 4 age brackets. Main therapeutics were analyzed. Results:A to-tal of 3,712 patients (1,895 males and 1,817 females) were enrolled from 15 hospitals. The most common histological sub-type of STS was gastrointestinal stromal tumor (543 cases, 14. 39% ), followed by sarcomas (not otherwise specified) (521 cases, 14. 04% ). STS could occur anywhere in the body. It could be found in connective and soft tissue (1,130 cases, 30. 44% ) in head, limbs, and pelvic and so on. New cases of STS peaked in females aged 55-59 (13. 54% ) and in males aged 60-64 (12. 98% ), respectively. The most common histological subtype of STS in 0-to-14-year-olds and 15-to-44-year-olds were rhabdomyoma and sarcoma (not otherwise specified), respectively. Gastrointestinal stromal tumor was the most common histologic subtype of STS in people aged 45-59 and over 60. The most common therapeutic was surgery, fol-lowed by chemotherapy and radiotherapy. Conclusion:Gastrointestinal stromal tumor is the most common histological sub-type of STS, especially in the elderly. Males have a later peak in age of onset. The most common therapeutic of STS was sur-gery. Standard should be further developed for the selection of therapeutics.

关键词

软组织肉瘤/临床特征/年龄分布/治疗方式

Key words

Soft tissue sarcomas/Clinical characteristic/Age distributions/Therapeutics

分类

医药卫生

引用本文复制引用

曹毛毛,曾红梅,张思维,李贺,杨之洵,陈万青,郑荣寿,王宁,贺宇彤,孙喜斌,杜灵彬,刘曙正,庹吉妤,魏矿荣..软组织肉瘤临床特征分布的多中心研究[J].肿瘤预防与治疗,2019,32(11):1004-1012,9.

基金项目

科技部基础工作专项(编号:2014FY121100) (编号:2014FY121100)

中国医学科学院医学与健康科技创新工程(编号:2016-12M-2-004) This study was supported by grants from Ministry of Science and Technology of the People's Republic of Chi-na(NO.2014FY121100) and by CAMS Innovation Fund for Medical Sciences(NO.2016-12M-2-004). (编号:2016-12M-2-004)

肿瘤预防与治疗

OACSTPCD

1674-0904

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