维生素 D 对胃癌患者预后的影响

Y. Sezgin, İbrahim Aydın, Abdurrahman Bicer, Alper Can
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摘要

目的:据估计,土耳其东安纳托利亚地区的胃癌发病率高于其他地区。众所周知,维生素 D 值越高,某些癌症的发病率就越低,而且维生素 D 对这些疾病的预后也有积极影响。在我们的研究中,我们旨在调查胃癌患者治疗前维生素 D 值与预后之间的关系。研究方法本研究包括 76 名首次确诊胃癌并在凡尔运库尔大学医学院(YYU)医院肿瘤诊所住院的患者。纳入患者的标准是近期没有输血记录、没有接受任何药物治疗、没有服用任何矿物质补充剂。在诊断时测量患者的维生素 D 和肿瘤标志物值。将诊断时的维生素 D 值与疾病分期、6 个月至 12 个月的死亡率和疾病进展情况进行比较:结果:共有 76 名患者被纳入研究。维生素 D 的平均值为 16.1(3-27)。维生素 D 值与疾病阶段无明显相关性。平均年龄为 60 岁(33-89 岁)。26例(34.2%)患者没有转移灶,15例(19.2%)仅有肝转移灶,8例(10.5%)仅有肺转移灶,27例(35.5%)有两个或两个以上区域的转移灶。结论在我们的研究中,所有胃癌患者无论处于哪个阶段都存在维生素 D 缺乏症,这表明维生素 D 缺乏症是胃癌的一个不良危险因素。
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Effect of vitamin D on prognosis in patients with gastric cancer
Aims: In the Eastern Anatolia Region of Turkey it is estimated that the gastric cancer is seen more frequently compared to other regions. As is well known, a reduction in the incidence of certain cancers with high vitamin D value was identified, and vitamin D has been shown to have positive effects on the prognosis of these diseases. In our study, we aimed to investigate the relationship between vitamin D values before treatment and prognosis in patients with gastric cancer. Methods: This study includes 76 patients who had diagnosis of gastric cancer for the first time and admitted to Oncology Clinic in Van Yuzuncu Yil University Faculty of Medicine (YYU) Hospital. Patients inclusion criterias have been identified as lack of story for recently blood transfusion, treatment with any medication and being taken any mineral supplements. Patients vitamin D and tumor markers values were measured at diagnosis. Vitamin D values at diagnosis and stage of the disease, 6. 12. month mortality and disease progression were compared. Results: A total of 76 patients were included in the study. Mean value of vitamin D was 16.1 (3-27). There was not a significant correlation between vitamin D value and stage of disease. Mean age was 60(33-89). Of the patients 26 (34.2 percent) had no metastasis, 15 (19.2 percent) had only liver metastasis, 8(10.5 percent) had only lung metastasis and 27(35.5 percent) had two or more region metastasis. Conclusion: In our study, vitamin D deficiency was present in all gastric cancer patients regardless of stage, indicating that vitamin D deficiency is a poor risk factor in gastric cancer.
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