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临床病理特征对薄黑色素瘤预后的影响:一项回顾性队列分析

英文原题:Impact of clinicopathological features on prognosis of thin melanomas: a retrospective cohort analysis.

查看英文原题

Impact of clinicopathological features on prognosis of thin melanomas: a retrospective cohort analysis.

PubMed 2026/04/17(内容时间) Br J Dermatol Q1 · IF 8.2(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

中文摘要

利用一个大型多机构薄黑色素瘤患者队列,我们的研究发现,TIL(肿瘤浸润淋巴细胞)虽然预示晚期疾病预后改善,但在薄黑色素瘤患者中却与较差结局相关。有丝分裂率增加、Charlson合并症指数、缺乏径向生长期以及自费/无保险也与较差结局显著相关,而肿瘤厚度——历史上最重要的预后特征之一——与复发或死亡并无独立关联。本研究阐明了可用于预测薄黑色素瘤复发或死亡的新风险因素,并可用于实现更个性化的监测和治疗策略。

展开英文摘要原文

Using a large multi-institutional cohort of patients with thin melanomas, our study identified that while predictive of improved prognosis in later stage disease, the presence of tumour-infiltrating lymphocytes is associated with poorer outcomes in patients with thin melanomas.

Increasing mitotic rate, Charlson Comorbidity Index, absence of radial growth phase and self-pay/no insurance are also significantly associated with poorer outcomes, while tumour thickness, historically one of the most important prognostic features, is not independently associated with recurrence or mortality.

This study elucidates novel risk factors that could prognosticate recurrence or mortality among thin melanomas and can be used to enable more personalized surveillance and therapeutic strategies.

论文信息

作者
Beagles E、Khattab S、Burke OM、Nguyen N、Chang C、Roster K、Rajeh A、Rashdan H
单位
Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.United States
期刊
The British journal of dermatology2026 Apr 17
原文标识
PubMed 41622031 · DOI 10.1093/bjd/ljag034