晚期睾丸癌患者在专科医院的表现:一项横断面研究的结果

Abul Masud Md Nurul Karim, K. Arman, Narita Khurshid, Tamanna Afroz
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摘要

背景:睾丸癌(TC)引起了人们的兴趣和重视,因为在过去的40年里,它的发病率在大多数国家都在增加。本研究的目的是确定具有共同组织病理学,最常见的表现阶段,生化和放射学表现,肿瘤标志物共同水平的患者的频率。方法:本横断面研究于2015年7月至2016年6月在孟加拉国达卡Mohakhali国家癌症研究所和医院(NICRH)肿瘤内科进行。共有52名患者作为研究参与者在NICRH作为新诊断入院。资料收集:对所有患者进行肿瘤标志物、全腹超声心动图及胸部x线检查,确定肿瘤分期。结果:本研究发现大多数患者为III期疾病。需要对隐睾患者进行早期治疗教育,以减少其睾丸肿瘤的发生率。据观察,年轻人可以对疾病的早期症状有充分的了解和最佳的认识,然后他们可能在疾病的早期发现,这是可以通过现代管理方法治愈的。有针对性地通过提高对TC的认识来改变癌症患者的表现,可以在很大程度上改善预后。结论:本研究旨在从孟加拉的角度发现尚不为人所知的特征,从而减轻TC的负担,进一步改善这种潜在可治愈疾病的预后。JOPSOM 2021;(1): 40 26-33
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Late-Stage Presentation of Testicular Cancer Patients Attended a Specialized Hospital: Findings of a Crosssectional Study
Background: Testicular Cancer (TC) is of interest and importance because its incidence has been increasing in most countries over the past four decades. The purpose of this study is to determine the frequency of patients with common histopathology, most common stage during presentation, biochemical and radiological findings, common levels of tumour markers. Methods: This cross-sectional study was carried out in the Department of Medical Oncology of National Institute of Cancer Research and Hospital (NICRH), Mohakhali, Dhaka, Bangladesh from July 2015 to June 2016. A total number of 52 patients were taken as study participants who are admitted as newly diagnosed at the NICRH. Data collection: tumour markers, USG of whole abdomen and chest X-ray were performed to all the patients for determination of the staging of the tumour. Results: The present study found the majority of the patients were found in stage III disease. Patients with Cryptorchidism needed to be educated regarding its early management to reduce the incidence of testicular tumour among them. It was observed that young people could be adequately knowledgeable and optimal awareness could be developed regarding early symptoms of the disease, then they may be found in earlier stage of their disease, which is curable with modern management method. Targeting to alter the cancer patients’ presentation by rising consciousness about TC, prognosis can be largely improved in future. Conclusion: This study was conducted to find out the features which were unknown in perspective of Bangladesh, so that burden of TC can be reduced, and prognosis can be further improved of this potentially curable disease. JOPSOM 2021; 40(1): 26-33
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