4.
174例组织学分级和肿瘤部位明确的结直肠间质瘤多因素预后分析
Multivariate survival analyses of 174 patients diagnosed as colorectal stromal tumor with histological grade and tumor location
| Variables | n | CSS | P | OS | P | ||
| HR | 95%CI | HR | 95%CI | ||||
| *, tumor size was not collected in SEER database before 2004; SEER, surveillance, epidemiology, and end results; LNM, lymph node metastasis; CSS, cancer-specific survival; OS, overall survival; HR, hazard ratio; CI, confidence interval. | |||||||
| Age/years | |||||||
| ≤ 64 | 83 | 1 | 1 | ||||
| > 64 | 91 | 2.27 | 1.05-4.91 | 0.037 | 4.97 | 2.70-9.15 | < 0.001 |
| Gender | |||||||
| Male | 89 | 1 | 1 | ||||
| Female | 85 | 1.02 | 0.48-2.18 | 0.963 | 1.12 | 0.64-1.98 | 0.696 |
| Marital status | |||||||
| Married | 107 | 1 | 1 | ||||
| Other | 67 | 0.58 | 0.24-1.38 | 0.215 | 0.99 | 0.55-1.80 | 0.972 |
| Ethnicity | |||||||
| Caucasian | 121 | 1 | 1 | ||||
| African-American | 28 | 0.69 | 0.21-2.35 | 0.557 | 0.51 | 0.20-1.27 | 0.149 |
| Other/Unknown | 25 | 1.43 | 0.48-4.21 | 0.520 | 0.69 | 0.27-1.77 | 0.441 |
| Date range/year | |||||||
| 1992-2007 | 86 | 1 | 1 | ||||
| 2008-2015 | 88 | 0.36 | 0.10-1.31 | 0.120 | 0.76 | 0.28-2.08 | 0.589 |
| SEER registry in America | |||||||
| 1992-2007 | 74 | 1 | 1 | ||||
| 2008-2015 | 100 | 0.92 | 0.42-2.02 | 0.827 | 1.08 | 0.61-1.93 | 0.795 |
| Tumor location | |||||||
| Colon | 91 | 1 | 1 | ||||
| Rectum | 83 | 0.43 | 0.19-0.97 | 0.041 | 0.58 | 0.34-1.02 | 0.057 |
| Surgery or not | |||||||
| No/Unknown | 13 | 1 | 1 | ||||
| Surgery | 161 | 0.15 | 0.04-0.58 | 0.006 | 0.29 | 0.11-0.81 | 0.018 |
| Differentiation grade | |||||||
| Ⅰ | 34 | 1 | 1 | ||||
| Ⅱ | 54 | 2.93 | 0.54-15.96 | 0.213 | 2.35 | 0.77-7.18 | 0.133 |
| Ⅲ | 32 | 7.93 | 1.47-42.75 | 0.016 | 4.39 | 1.43-13.47 | 0.010 |
| Ⅳ | 54 | 8.59 | 1.73-42.57 | 0.008 | 7.02 | 2.38-20.70 | < 0.001 |
| Tumor size/cm* | |||||||
| ≤ 2 | 27 | 1 | 1 | ||||
| > 2-5 | 30 | 0.46 | 0.07-2.91 | 0.412 | 0.77 | 0.14-4.34 | 0.766 |
| > 5-10 | 33 | 0.41 | 0.06-2.93 | 0.378 | 1.56 | 0.28-8.59 | 0.610 |
| > 10 | 14 | 0.72 | 0.09-5.66 | 0.754 | 1.81 | 0.32-10.32 | 0.506 |
| Unknown | 70 | 0.29 | 0.03-2.49 | 0.258 | 1.23 | 0.19-7.88 | 0.826 |
| Lymphadenectomy | |||||||
| No/Unknown | 92 | 1 | 1 | ||||
| Yes | 82 | 2.14 | 0.91-5.04 | 0.083 | 1.25 | 0.66-2.36 | 0.491 |
| LNM | |||||||
| Negative/Unknown | 164 | 1 | 1 | ||||
| Positive | 10 | 1.30 | 0.45-3.72 | 0.631 | 1.57 | 0.64-3.85 | 0.322 |
| Distant metastasis | |||||||
| No/Unknown | 155 | 1 | 1 | ||||
| Yes | 19 | 2.19 | 0.94-5.11 | 0.070 | 1.64 | 0.82-3.25 | 0.159 |