Investigation of unfavorable prognostic factors for survival in Chinese patients with gastric gastrointestinal stromal tumors.

IF 1.5 4区 医学 Q4 ONCOLOGY Translational cancer research Pub Date : 2024-12-31 Epub Date: 2024-12-27 DOI:10.21037/tcr-24-1042
Qimin Sun, Jing Wu, Guanhua Wang, Haiyan Niu, Juan Cao, Zhiqiang Chen, Wenjun Yang
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Abstract

Background: Gastrointestinal stromal tumor (GIST) was very rare in the gastrointestinal (GI) tract. Most GISTs were asymptomatic at early stage. Therefore, it was of great significance to explore the prognostic factors of patients with GIST. This investigation aimed to assess the unfavorable prognostic factors for overall survival (OS) and disease-free survival (DFS) in 106 Chinese patients with GISTs.

Methods: A total of 106 Chinese patients, including 68 women and 38 men, with confirmed gastric GIST treated at the General Hospital of Ningxia Medical University in China from 2012 to 2018 were included. Kaplan-Meier analysis and Cox regression models were applied to evaluate the unfavorable prognostic risk factors for survival.

Results: Kaplan-Meier analysis demonstrated that blood type A was significantly related to poor OS (P=0.01), and tumor invasion, higher Ki-67 index, synchronous gastric cancer (GC), and tumor necrosis were significantly associated with poor DFS (all P<0.05). Multivariate analysis further demonstrated that blood type A was a significant independent prognostic factor with both OS and DFS (both P<0.05). Synchronous GC and age ≥60 years were also significant independent prognostic factor for DFS (both P<0.05).

Conclusions: Blood type A, age ≥60 years, and synchronous GC were unfavorable prognostic factors for survival in Chinese patients with gastric GISTs. The mechanism underlying the prognostic role of these factors warrants further investigation.

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影响中国胃肠道间质瘤患者生存的不利因素研究。
背景:胃肠道间质瘤(GIST)在胃肠道中非常罕见。大多数胃肠道间质瘤早期无症状。因此,探讨胃肠道间质瘤患者的预后因素具有重要意义。本研究旨在评估106例中国gist患者的总生存期(OS)和无病生存期(DFS)的不利预后因素。方法:纳入2012年至2018年在宁夏医科大学总医院确诊的胃间质瘤患者106例,其中女性68例,男性38例。应用Kaplan-Meier分析和Cox回归模型评价影响生存的不利预后危险因素。结果:Kaplan-Meier分析显示,A型血与不良OS显著相关(P=0.01),肿瘤侵袭、Ki-67指数升高、同步性胃癌(GC)、肿瘤坏死与不良DFS显著相关(均为P)。结论:A型血、年龄≥60岁、同步性胃癌是影响中国胃gist患者生存的不利预后因素。这些因素的预后作用机制有待进一步研究。
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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
252
期刊介绍: Translational Cancer Research (Transl Cancer Res TCR; Print ISSN: 2218-676X; Online ISSN 2219-6803; http://tcr.amegroups.com/) is an Open Access, peer-reviewed journal, indexed in Science Citation Index Expanded (SCIE). TCR publishes laboratory studies of novel therapeutic interventions as well as clinical trials which evaluate new treatment paradigms for cancer; results of novel research investigations which bridge the laboratory and clinical settings including risk assessment, cellular and molecular characterization, prevention, detection, diagnosis and treatment of human cancers with the overall goal of improving the clinical care of cancer patients. The focus of TCR is original, peer-reviewed, science-based research that successfully advances clinical medicine toward the goal of improving patients'' quality of life. The editors and an international advisory group of scientists and clinician-scientists as well as other experts will hold TCR articles to the high-quality standards. We accept Original Articles as well as Review Articles, Editorials and Brief Articles.
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