朱虹, 章青, 吴登龙, 傅深. 1997版与2007版Partin tables预测国人前列腺癌病理分期准确性的比较[J]. 中国肿瘤临床, 2008, 35(17): 975-979.
引用本文: 朱虹, 章青, 吴登龙, 傅深. 1997版与2007版Partin tables预测国人前列腺癌病理分期准确性的比较[J]. 中国肿瘤临床, 2008, 35(17): 975-979.
ZHU Hong, ZHANG Qing, WU Denglong, FU Shen. Comparison of the Accuracy of the Partin Tables of 1997 and 2007 to Predict Final Pathological Stage in Prostate Cancer Patients in China[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2008, 35(17): 975-979.
Citation: ZHU Hong, ZHANG Qing, WU Denglong, FU Shen. Comparison of the Accuracy of the Partin Tables of 1997 and 2007 to Predict Final Pathological Stage in Prostate Cancer Patients in China[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2008, 35(17): 975-979.

1997版与2007版Partin tables预测国人前列腺癌病理分期准确性的比较

Comparison of the Accuracy of the Partin Tables of 1997 and 2007 to Predict Final Pathological Stage in Prostate Cancer Patients in China

  • 摘要: 目的 :验证2007版Partin tables对国人前列腺癌患者病理特征预测的准确性,并与1997版进行比较。 方法 :选本院2003年1月至2007年9月间,116例前列腺癌患者经根治术后病理确诊为前列腺腺癌,术前资料具备前列摘要 目的 :验证2007版Partin tables对国人前列腺癌患者病理特征预测的准确性,并与1997版进行比较。方腺特异抗原(prostate specific antigen,PSA),临床分期,穿刺活检Gleason评分。根据术后病理分为四型:器官局限(OC),包膜外侵犯(EPE),精囊侵犯(SVI)与淋巴结转移(LNI)。患者中93例符合2007版Partin tables预测入选标准,113例符合1997版预测入选标准,每例患者中分别应用两版Partintables预测术后病理特征的可能性,并通过工作特征曲线(ROC曲线)分析法研究两版Partintables的预测准确性并行比较。 结果 :根据2007版或1997版Partin tables预测入选标准,本组患者OC、EPE、SVI、LNI发生率分别为51%、15%、13%、22%或50%、16%、12%、23%。应用2007版Partin tables预测OC、EPE、SVI、LNI的ROC曲线下面积(AUC)分别为0.786、0.613、0.666和0.811,而应用1997版预测时分别为0.834、0.605、0.716、0.808。 结论 :两版Partin tables皆对OC及LNI有合理的预测价值(AUC>0.7),1997版Partin table比2007版显示出更佳的预侧准确性。

     

    Abstract: Objective : To validate the predictive accuracy of the 2007 Partin tables for prostate cancer in the Chinese population and to compare the 2007 and 1997 versions. Methodse : Data from 116 patients with prostate carcinoma who underwent radical prostatectomy from January 2003 to September 2007 in our hospital were reviewed. All cases were pathologically confirmed as prostate adenocarcinoma and had complete data of preoperative serum prostate specific antigen (PSA), clinical stage, and biopsy Gleason score. Pathological features of the radical prostatectomy specimens were divided into four types: organ confinement (OC), extraprostatic extension (EPE), seminal vesicle invasion (SVI) and lymph node involvement (LNI). Of all the patients, 93 patients met the 2007 Partin tables' prediction inclusion criteria and 113 patients met the 1997 Partin tables' prediction inclusion criteria. Both Partin tables were used to predict pathological features in each patient, and then Receiver operating characteristics (ROC) curves were used to assess the predictive value of each table. Results : According to the 2007 Partin tables inclusion criteria, the incidence of OC, EPE, SVI and LNI were noted in 51%, 15%, 13%, and 22%, respectively, of the cases; according to the 1997 inclusion criteria the incidence of OC, EPE, SVI and LNI were noted in 50%, 16%, 12%, and 23%, respectively. The area under the curve (AUC) for OC, EPE, SVI and LNI disease prediction of the 2007 Partin tables was 0.786, 0.613, 0.666 and 0.811, respectively. The area under the curve (AUC) for OC, EPE, SVI and LNI disease prediction of the 1997 Partin tables was 0.834, 0.605, 0.716, and 0.808, respectively. Conclusion : Both Partin tables have a reasonable predictive value for OC and LNI (AUC>0.7). In predicting SVI, the 1997 version is superiorto the 2007 version (AUC: 0.716 vs 0.666), but for EPE, both Partin tables show low predictive value.

     

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