Impact of primary site on survival in patients with nasopharyngeal carcinoma from 2004 to 2015

BackgroundNasopharynx carcinoma (NPC) is the most common malignant tumor of the nasopharynx. Many studies have shown some factors related with the prognosis of NPC patients. Our study aims to evaluate the differences of prognosis between initial and second primary NPC.Material and methodsThe Surveil...

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Main Authors: Tianyi Shen, Wenting Cai, Tingting Li, Donghui Yu, Chengda Ren, Jing Yu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.1001849/full
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author Tianyi Shen
Wenting Cai
Tingting Li
Donghui Yu
Chengda Ren
Jing Yu
Jing Yu
author_facet Tianyi Shen
Wenting Cai
Tingting Li
Donghui Yu
Chengda Ren
Jing Yu
Jing Yu
author_sort Tianyi Shen
collection DOAJ
description BackgroundNasopharynx carcinoma (NPC) is the most common malignant tumor of the nasopharynx. Many studies have shown some factors related with the prognosis of NPC patients. Our study aims to evaluate the differences of prognosis between initial and second primary NPC.Material and methodsThe Surveillance, Epidemiology, and End Results (SEER) program was used to perform the population-based analysis in NPC patients who were newly diagnosed between 2004 and 2015. Kaplan-Meier and Cox regressions were used to evaluate the effects of primary site on the overall survival (OS), as well as the cancer-specific survival (CSS).ResultsOur study included 5,012 NPC patients: 4,474 initial primary NPC patients and 5,38 s primary NPC patients. Significant differences were observed in sex, age at diagnosis, race, median household income, histological type, American Joint Committee on Cancer (AJCC) stage, N-stage, radiation treatment and chemotherapy between patients with initial and second NPC (P < 0.05). Moreover, the patients with second NPC had longer survival months. In addition, radiation and chemotherapy were recommended both in first and second primary NPC patients.ConclusionWorse prognosis was observed in patients with second primary NPC compared with those with primary NPC in all subgroups of AJCC stage and age at diagnosis.
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spelling doaj.art-9a82d14ba9864ed9bc60a19f5ffa5c392022-12-22T02:38:19ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-11-01910.3389/fsurg.2022.10018491001849Impact of primary site on survival in patients with nasopharyngeal carcinoma from 2004 to 2015Tianyi Shen0Wenting Cai1Tingting Li2Donghui Yu3Chengda Ren4Jing Yu5Jing Yu6Department of Ophthalmology, Shanghai Tenth People's Hospital, Tongji University, School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai Tenth People's Hospital, Tongji University, School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai Tenth People's Hospital, Tongji University, School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai Tenth People's Hospital, Tongji University, School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai Tenth People's Hospital, Tongji University, School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai Tenth People's Hospital, Tongji University, School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, The Third People’s Hospital of Bengbu, Bengbu, ChinaBackgroundNasopharynx carcinoma (NPC) is the most common malignant tumor of the nasopharynx. Many studies have shown some factors related with the prognosis of NPC patients. Our study aims to evaluate the differences of prognosis between initial and second primary NPC.Material and methodsThe Surveillance, Epidemiology, and End Results (SEER) program was used to perform the population-based analysis in NPC patients who were newly diagnosed between 2004 and 2015. Kaplan-Meier and Cox regressions were used to evaluate the effects of primary site on the overall survival (OS), as well as the cancer-specific survival (CSS).ResultsOur study included 5,012 NPC patients: 4,474 initial primary NPC patients and 5,38 s primary NPC patients. Significant differences were observed in sex, age at diagnosis, race, median household income, histological type, American Joint Committee on Cancer (AJCC) stage, N-stage, radiation treatment and chemotherapy between patients with initial and second NPC (P < 0.05). Moreover, the patients with second NPC had longer survival months. In addition, radiation and chemotherapy were recommended both in first and second primary NPC patients.ConclusionWorse prognosis was observed in patients with second primary NPC compared with those with primary NPC in all subgroups of AJCC stage and age at diagnosis.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1001849/fullnasopharyngeal neoplasmsSEER programsecond primaryinitial primaryprognosis
spellingShingle Tianyi Shen
Wenting Cai
Tingting Li
Donghui Yu
Chengda Ren
Jing Yu
Jing Yu
Impact of primary site on survival in patients with nasopharyngeal carcinoma from 2004 to 2015
Frontiers in Surgery
nasopharyngeal neoplasms
SEER program
second primary
initial primary
prognosis
title Impact of primary site on survival in patients with nasopharyngeal carcinoma from 2004 to 2015
title_full Impact of primary site on survival in patients with nasopharyngeal carcinoma from 2004 to 2015
title_fullStr Impact of primary site on survival in patients with nasopharyngeal carcinoma from 2004 to 2015
title_full_unstemmed Impact of primary site on survival in patients with nasopharyngeal carcinoma from 2004 to 2015
title_short Impact of primary site on survival in patients with nasopharyngeal carcinoma from 2004 to 2015
title_sort impact of primary site on survival in patients with nasopharyngeal carcinoma from 2004 to 2015
topic nasopharyngeal neoplasms
SEER program
second primary
initial primary
prognosis
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.1001849/full
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AT tingtingli impactofprimarysiteonsurvivalinpatientswithnasopharyngealcarcinomafrom2004to2015
AT donghuiyu impactofprimarysiteonsurvivalinpatientswithnasopharyngealcarcinomafrom2004to2015
AT chengdaren impactofprimarysiteonsurvivalinpatientswithnasopharyngealcarcinomafrom2004to2015
AT jingyu impactofprimarysiteonsurvivalinpatientswithnasopharyngealcarcinomafrom2004to2015
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