Lertsanguansinchai Prasert, Chottetanaprasith Taywin, Chatamra Kris, Sampatanukul Pichet, Wannakrairot Pongsak, Rojpornpradit Prayuth, Shotelersuk Kanjana, Lertbutsayanukul Chawalit, Boonjunwetwat Darunee, Vajragupta Laddawan
Department of Radiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
J Med Assoc Thai. 2002 Jun;85 Suppl 1:S193-202.
A retrospective review was performed on 576 patients who have been diagnosed breast cancer and referred to Division of Radiation Therapy, Department of Radiology, King Chulalongkorn Memorial Hospital between January 1995-September 2001. There were three hundred ninety nine cases of invasive breast cancer that available for estrogen (ER) and/or progesterone (PR) receptor status. The mean and median age in our study were 49.6 year and 49.0 year respectively. About 60.9 per cent of the patients were pre and peri-menopause and 37.8 per cent were post-menopause. Most of the histological cell type were invasive ductal carcinoma which comprised of 92.7 per cent. Histologic grading were nearly equal for moderately and poorly differentiated grade: 43.66 per cent and 40.66 per cent. The results of our study showed 53.4 per cent of 399 patients had ER positive and 42.1 per cent of 380 patients had PR positive. The proportion of ER+PR+, ER+PR-, ER-PR+, and ER-PR- were 36.31 per cent, 15.53 per cent, 5.79 per cent and 42.37 per cent respectively. Older age and post-menopause women had higher ER+. While patients with increase tumor size, poorly differentiated grading, increase positivity of axillary lymph nodes and higher stage have more chance of ER negative and PR negative.
对1995年1月至2001年9月期间在朱拉隆功国王纪念医院放射科放疗科就诊的576例乳腺癌患者进行了回顾性研究。其中有399例浸润性乳腺癌患者可获得雌激素(ER)和/或孕激素(PR)受体状态信息。我们研究中的患者平均年龄为49.6岁,中位年龄为49.0岁。约60.9%的患者处于绝经前和围绝经期,37.8%的患者处于绝经后。大多数组织学细胞类型为浸润性导管癌,占92.7%。组织学分级中,中分化和低分化等级几乎相等:分别为43.66%和40.66%。我们的研究结果显示,399例患者中有53.4%的ER呈阳性,380例患者中有42.1%的PR呈阳性。ER+PR+、ER+PR-、ER-PR+和ER-PR-的比例分别为36.31%、15.53%、5.79%和42.37%。年龄较大和绝经后的女性ER阳性率较高。而肿瘤大小增加、分级低分化、腋窝淋巴结阳性率增加和分期较高的患者ER阴性和PR阴性的可能性更大。