术后放疗在治疗非局限性胸腺瘤中的作用对
点击下方,收听SCI天天读62RoleofPostoperativeRadiotherapyinNonlocalizedThymoma:Propensity-MatchedAnalysisofSurveillance,Epidemiology,andEndResultsDatabase.INTRODUCTIONBecauseofalackofrandomizedtrials,theroleofpostoperativeradiotherapy(PORT)inthymomashasnotbeenestablished.Thisstudyevaluatedtheprognosticimpactoftheadjuvanttreatmentinsurgicallyresectednonlocalizedthymomas.METHODSPatientsdiagnosedbetweenandwereidentifiedfromtheSurveillance,Epidemiology,andEndResultsdatabase(-registry).Caseswithlocalizedororgan-confinedtumorswerenotincluded.Propensity-matchedanalysiswasconductedconsideringbaselinecharacteristics.RESULTSAtotalofpatientswereidentified.Themedianagewas57years(range,18-86),and(65%)patientsreceivedPORT.Beforeandafterpropensityscorematching,overallsurvival(OS;p=0.and0.,respectively)anddisease-specificsurvival(DSS;p=0.and0.,respectively)werebetterinthePORTgroup.Inmultivariateanalysesofthematchedpopulation,noreceiptofPORTinducedpoorerOS(hazardratio[HR],1.98;95%confidenceinterval[CI],1.27-3.09)andDSS(HR,2.64;95%CI,1.32-5.29).Primarytumorextensionsofadjacentorgansorstructuresandfurthercontiguousextensionsalsoresultedinworseout白癜风的方法白癜风又快又好的偏方
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