芬兰心食管癌患者罹患第二原发性癌症的风险：一项基于全国人口的研究

IF 3.4 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology Pub Date : 2024-07-22 DOI:10.2147/clep.s471802

Rayan Nikkilä, Elli Hirvonen, Janne Pitkäniemi, Jari V Räsänen, Nea K Malila, Antti Mäkitie

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引用次数: 0

摘要

目的：在原发性食管癌（EC）或胃贲门癌（GCC）之后发生第二原发性癌症（SPC）已得到广泛认可。然而，以往有关这些患者罹患 SPC 风险的研究主要在亚洲国家进行。然而，组织学类型和风险特征存在显著的人口依赖性差异。这项以登记为基础的研究评估了初次诊断为原发性EC或GCC患者中SPC的组织学特异性风险：我们从芬兰癌症登记处获得了1980年至2022年间芬兰7197名确诊为EC/GCC患者的数据。随后计算了相对于普通人群癌症风险的SPC标准化发病率（SIR）：平均和中位随访时间分别为 2.8 年和 10.5 个月。腺癌和鳞状细胞癌分别占所有病例的 57.8%（n = 4165）和 36.6%（n = 2631）。在随访15-20年后，EC/GCC患者的SIR有所上升（SIR为1.49，95% CI：1.01-2.11）。在腺癌患者中，40-54 岁组消化器官 SPC 的 SIR 值升高（SIR 值为 9.86，95% CI：3.62-21.45）。鳞状细胞癌患者口腔/咽部癌症（SIR：3.20，95% CI：1.17-6.95）和呼吸器官癌症（SIR：1.77，1.07-2.76）的SIR均有所增加：医护人员应认识到，EC/GCC幸存者的口腔/咽部、呼吸器官和消化器官发生SPC的风险增加。关键词：食管鳞状细胞癌、腺癌、胃贲门癌、肿瘤、第二原发癌

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Risk of Second Primary Cancer Among Patients with Cardio-Esophageal Cancer in Finland: A Nationwide Population-Based Study

Purpose: The occurrence of a second primary cancer (SPC) after primary esophageal carcinoma (EC) or gastric cardia carcinoma(GCC) is well acknowledged. However, previous research on the risk of SPC among these patients has been predominantly conducted in Asian countries. Yet, notable population-dependent variation in histological types and risk profiles exists. This register-based study assesses the histology-specific risk of SPC among individuals initially diagnosed with a first primary EC or GCC.
Patients and Methods: We obtained data on 7197 patients diagnosed with EC/GCC in Finland between 1980 and 2022 from the Finnish Cancer Registry. Standardized incidence ratios (SIR) of SPC were subsequently calculated relatively to the cancer risk of the general population.
Results: The average and median follow-up times were 2.8 years and 10.5 months. Adenocarcinomas and squamous cell carcinomas comprised 57.8% (n = 4165) and 36.6% (n = 2631) of all cases, respectively. An increased SIR was noted among EC/GCC patients after 15– 20 years of follow-up (SIR 1.49, 95% CI: 1.01– 2.11). Among adenocarcinoma patients, an increased SIR for SPCs of the digestive organs was seen in the 40– 54-year-old group (SIR 9.86, 95% CI: 3.62– 21.45). Squamous cell carcinoma patients displayed increased SIRs for cancer of the mouth/pharynx (SIR 3.20, 95% CI: 1.17– 6.95) and respiratory organs (1.77, 1.07– 2.76).
Conclusion: Healthcare professionals should be aware of the increased risk of SPCs occurring in the mouth/pharynx, respiratory and digestive organs in survivors of EC/GCC. Patients should be advised about this risk and remain alert for symptoms, even beyond the standard 5-year follow-up period.

Keywords: esophageal squamous cell carcinoma, adenocarcinoma, gastric cardia carcinoma, tumor, second primary cancer

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来源期刊

Clinical Epidemiology Medicine-Epidemiology

CiteScore

6.30

自引率

5.10%

发文量

169

审稿时长

16 weeks

期刊介绍： Clinical Epidemiology is an international, peer reviewed, open access journal. Clinical Epidemiology focuses on the application of epidemiological principles and questions relating to patients and clinical care in terms of prevention, diagnosis, prognosis, and treatment. Clinical Epidemiology welcomes papers covering these topics in form of original research and systematic reviews. Clinical Epidemiology has a special interest in international electronic medical patient records and other routine health care data, especially as applied to safety of medical interventions, clinical utility of diagnostic procedures, understanding short- and long-term clinical course of diseases, clinical epidemiological and biostatistical methods, and systematic reviews. When considering submission of a paper utilizing publicly-available data, authors should ensure that such studies add significantly to the body of knowledge and that they use appropriate validated methods for identifying health outcomes. The journal has launched special series describing existing data sources for clinical epidemiology, international health care systems and validation studies of algorithms based on databases and registries.