Metabolic syndrome affects the long-term survival of patients with non-endometrioid carcinoma of the uterine corpus

Metabolic syndrome affects the long-term survival of patients with non-endometrioid carcinoma of the uterine corpus
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代谢综合征影响子宫体非子宫内膜样癌患者的长期生存

DOI:
10.1002/ijgo.12984
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发表时间:
2019-10-15
影响因子:
3.8
通讯作者:
Ni, Juan
Ni, Juan
中科院分区:
医学4区
文献类型:
--
作者:
Shou, Huafeng;Yan, Kangzhen;Ni, Juan

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目的探讨代谢综合征(MS)对非子宫内膜样腺癌患者长期生存的影响。方法对2003年1月至2012年12月139例中国非子宫内膜腺癌患者进行回顾性分析。手术前接受过任何治疗的患者被排除在外。结果总体而言,41例(29.5%)患者患有多发性硬化症;MS以子宫浆液性癌发生率最高(19/45,42.2%)。对于子宫浆液性癌和腺鳞癌,MS是发病率的独立预测因素(P值分别为0.023和0.016)。在总体人群中,MS患者的生存率明显低于非MS患者(P=0.008),中位总生存期(mOS)为15个月,而MS患者为55个月(P=0.008)
Objective To probe the influence of metabolic syndrome (MS) on the long-term survival of patients with non-endometrioid adenocarcinoma. Methods Between January 2003 and December 2012, 139 Chinese patients with non-endometrial adenocarcinoma were analyzed in a retrospective study. Patients who had received any treatment before surgery were excluded. Survival times were compared between patients with and without MS. Results Overall, 41 (29.5%) patients had MS; the highest incidence of MS was observed in those with uterine serous carcinoma (19/45, 42.2%). For uterine serous carcinoma or adenosquamous carcinoma, MS was an independent predictive factor of morbidity (P=0.023 and 0.016, respectively). For the overall population, those with MS had a significantly lower survival rate than those without MS (P=0.008), and the median overall survival (mOS) was 15 months versus 55 months (P