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Impact and Analysis of Prognostic factors in Patients with Non-Metastatic Esophageal Squamous Cell Carcinoma: A Retrospective Single Institution Study

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Open Journal of Internal Medicine 2021年第4期11卷 265-274页

作者： M. Keita M. Bah A. M. Koundouno M. Diallo A. Camara I. K. Conde Wenbin Shen B. Traore S. C. Zhu Department of Radiotherapy The Fourth Hospital Hebei Medical University Shijiazhuang China Surgical Oncology Unit of Donka University Hospital Conakry Guinea Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University of Conakry Conakry Guinea

Objective: To investigate the impact of local tumor factors on the prognosis of non-metastatic esophageal squamous cell carcinoma patients. Methods: We performed a retrospective analysis of data from 278 consecutive esophageal squamous cell carcinoma patients between January 2009 and December 2016. The prognosis factors such as the GTV volume, GTV maximum diameter, and GTV length were analyzed. Results: The results of ROC curve analysis showed that prognosis critical values of the GTV volume, GTV maximum diameter, and GTV length were 27.98 cm3, 1.80 and 5.85 cm, respectively. The result of the univariate analysis showed that the GTV volume (P = 0.0184), GTV maximum diameter (P = 0.0246), and GTV length (P = 0.0035) were the prognostic factors for overall survival;the barium meal length (P = 0.0149) was the prognostic factor for local control. The multivariate analysis showed that the barium meal length (P = 0.0013), GTV maximum diameter (P = 0.0047), and GTV length (P = 0.0032) as the independent prognostic factors associated with overall survival;the barium meal length (P = 0.0037) was the only independent prognostic factors for local control. Conclusion: The esophageal lesion length was the main prognosis factor for patients with non-metastatic esophageal squamous cell carcinoma. Therefore, we suggest that the physician must give enough attention to these patients in clinical practice, and give active treatment.

关键词： Esophageal Squamous Cell Carcinoma Radiotherapy Non-Metastasis tumor local factors Prognosis

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