Predictors of survival in gastric mucosa-associated lymphoid tissue lymphoma: An updated surveillance, epidemiology, and end results-based analysis of age and gender disparities.

IF 3.2 Q3 ONCOLOGY
Ayrton I Bangolo, Khaled Sharaan, Behzad Amoozgar, Shruti Wadhwani, Lili Zhang, Nikita Wadhwani, Vignesh K Nagesh, Jay Mehta, Rishabh Goyal, Gia DeRose, Sarvarinder Gill, Courtney Christoforo, Swapnika Mallipeddi, Selbin Boban, Shubham Madan, Budoor Alqinai, Timophyll Yh Fong, Simcha Weissman, Pierre Fwelo
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引用次数: 0

Abstract

Background: Mucosa-associated lymphoid tissue (MALT) lymphoma is a subtype of extranodal marginal zone lymphoma, typically occurring in mucosal sites such as the stomach, salivary glands, and lungs. This study aims to analyze the demographic and clinicopathologic characteristics of patients with gastric MALT lymphoma in the United States and evaluate the interaction between age and gender on survival outcomes.

Aim: To analyze the demographic and clinicopathologic characteristics of patients with gastric MALT lymphoma in the United States and evaluate the interaction between age and gender on survival outcomes.

Methods: A retrospective cohort study was conducted using the Surveillance, Epidemiology, and End Results (SEER) database, which included 2453 patients diagnosed with MALT lymphoma from 2010 to 2021. Data were analyzed for demographic factors, tumor characteristics, treatment modalities, and survival outcomes. A Cox proportional hazards regression model was used to identify predictors of overall mortality and cancer-specific mortality.

Results: The study predominantly included Non-Hispanic White patients (62.78%), with nearly equal gender distribution (50.31% females, 49.69% males), and most diagnoses occurring in individuals aged 60-79 years. The majority of tumors were localized (80.07%). Multivariate analysis identified older age, male gender, advanced tumor stage, and socioeconomic factors-such as annual income and marital status-as independent predictors of mortality. No significant interaction between age and gender on mortality outcomes was observed.

Conclusion: Sociodemographic factors, including advanced age, male gender, annual income, and marital status, as well as advanced tumor stage, significantly impacted survival outcomes in patients with MALT lymphoma. Radiotherapy was associated with a reduction in overall mortality. Early detection is crucial for optimizing outcomes, as localized disease responds well to available treatment modalities.

胃粘膜相关淋巴组织淋巴瘤的生存预测因素:年龄和性别差异的最新监测、流行病学和最终结果分析
背景:粘膜相关淋巴组织(MALT)淋巴瘤是结外边缘区淋巴瘤的一种亚型,通常发生在胃、唾液腺和肺等粘膜部位。本研究旨在分析美国胃MALT淋巴瘤患者的人口学和临床病理特征,并评估年龄和性别对生存结局的相互作用。目的:分析美国胃MALT淋巴瘤患者的人口学和临床病理特征,评价年龄和性别对生存结局的相互作用。方法:采用监测、流行病学和最终结果(SEER)数据库进行回顾性队列研究,纳入2010年至2021年诊断为MALT淋巴瘤的2453例患者。对数据进行人口统计学因素、肿瘤特征、治疗方式和生存结果分析。采用Cox比例风险回归模型确定总死亡率和癌症特异性死亡率的预测因子。结果:研究主要包括非西班牙裔白人患者(62.78%),性别分布几乎相等(女性50.31%,男性49.69%),大多数诊断发生在60-79岁的个体中。大多数肿瘤是局部的(80.07%)。多变量分析发现,年龄较大、男性、肿瘤晚期和社会经济因素(如年收入和婚姻状况)是死亡率的独立预测因素。没有观察到年龄和性别对死亡率结果的显著相互作用。结论:高龄、男性、年收入、婚姻状况、肿瘤分期等社会人口学因素显著影响MALT淋巴瘤患者的生存结局。放射治疗与总体死亡率的降低有关。早期发现对于优化结果至关重要,因为局部疾病对现有的治疗方式反应良好。
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来源期刊
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585
期刊介绍: The WJCO is a high-quality, peer reviewed, open-access journal. The primary task of WJCO is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of oncology. In order to promote productive academic communication, the peer review process for the WJCO is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCO are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in oncology. Scope: Art of Oncology, Biology of Neoplasia, Breast Cancer, Cancer Prevention and Control, Cancer-Related Complications, Diagnosis in Oncology, Gastrointestinal Cancer, Genetic Testing For Cancer, Gynecologic Cancer, Head and Neck Cancer, Hematologic Malignancy, Lung Cancer, Melanoma, Molecular Oncology, Neurooncology, Palliative and Supportive Care, Pediatric Oncology, Surgical Oncology, Translational Oncology, and Urologic Oncology.
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