Prognostic significance of sex in patients with primary tracheal tumors – a retrospective, single-center study

A. Piórek, A. Płużański, D. Kowalski, M. Krzakowski
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Abstract

Introduction. We aimed to assess the prognostic significance of the sex of patients with primary tracheal tumors based on our own results as well as the literature review. Material and methods. We carried out a retrospective analysis of 89 patients with primary tracheal tumors treated at the Maria Sklodowska-Curie National Research Institute of Oncology in Warsaw, Poland, between January 2000 and December 2016. Men and women were compared in terms of overall survival, disease-free survival, and progression-free survival. Results. In the entire study group, the median overall survival was 61.30 months in women and 8.55 months in men (p < 0.0001). 5-year overall survival rates were 2.1% in men versus 50.6% in women (p < 0.0001). Among those receiving radical treatment, women had improved survival rates compared with men. Sex was an independent prognostic factor in both the total study population and among those undergoing radical treatment. Conclusions. According to our results, women with primary tracheal tumors have significantly better survival than men. Because female sex is an independent prognostic factor in patients with primary tracheal tumors, the ratio of women to men should be taken into consideration in reports comparing the outcomes of different treatments.
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性别对原发性气管肿瘤患者预后的影响——一项回顾性、单中心研究
介绍。我们的目的是根据我们自己的结果和文献综述来评估原发性气管肿瘤患者的性别对预后的意义。材料和方法。我们对2000年1月至2016年12月期间在波兰华沙Maria Sklodowska-Curie国家肿瘤研究所接受治疗的89例原发性气管肿瘤患者进行了回顾性分析。在总生存期、无病生存期和无进展生存期方面对男性和女性进行比较。结果。在整个研究组中,女性的中位总生存期为61.30个月,男性为8.55个月(p < 0.0001)。男性5年总生存率为2.1%,女性为50.6% (p < 0.0001)。在接受根治性治疗的患者中,女性的存活率比男性高。无论在总研究人群中还是在接受根治性治疗的人群中,性别都是一个独立的预后因素。结论。根据我们的研究结果,女性原发性气管肿瘤的生存率明显高于男性。由于女性是原发性气管肿瘤患者的独立预后因素,在比较不同治疗结果的报告中应考虑男女比例。
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