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年龄和胎次对人类乳房发育的影响。

Influence of age and parity on the development of the human breast.

作者信息

Russo J, Rivera R, Russo I H

机构信息

Department of Pathology, Fox Chase Cancer Center, Philadelphia, PA 19111.

出版信息

Breast Cancer Res Treat. 1992;23(3):211-8. doi: 10.1007/BF01833517.

Abstract

Breast cancer is heavily influenced by the reproductive history of the individual. Pregnancy has a protective effect which is attributed to differences in the degree of differentiation of the breast. The purpose of this work was to determine whether the quantity and the type of parenchymal structures present in the human breast were related to the age and parity history of a woman. Fifty-one human breast samples were obtained from bilateral or unilateral reduction mammoplasties performed in 40 parous women ranging in age from 18 to 57 years, and 11 nulliparous women ranging in age from 14 to 54 years. An average of 100 grams of tissue/specimen were processed for whole mount. A total of 650 slides were examined and 31,222 structures were classified and counted under the light microscope. The following mammary structures were identified: terminal structures (TS), and lobules (LOB) type 1, 2, and 3. Results were plotted for the total patient population and separately for nulliparous and parous women against age. The total patient population contained similar proportions of LOb1, 2, and 3 between ages 14-18, with a reduction of percentage of Lob1 and increase in Lob3 between ages 23 to the middle forties, when Lob3 decreased and Lob1 increased to 70%. Lob2 and TS did not exhibit significant changes throughout the period of life analyzed. When analyzed separately it was found that the breasts of nulliparous women were predominantly composed of Lob1, fewer Lob2, with Lob3 almost completely absent, whereas parous women had a high frequency of Lob3, which were the predominant structures until the fourth decade of life.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

乳腺癌受个体生育史的影响很大。怀孕具有保护作用,这归因于乳腺分化程度的差异。本研究的目的是确定女性乳房中实质结构的数量和类型是否与年龄及生育史相关。从40名年龄在18至57岁的经产妇和11名年龄在14至54岁的未产妇进行的双侧或单侧乳房缩小整形术中获取了51份人类乳房样本。每份样本平均处理100克组织用于整装切片。共检查了650张玻片,并在光学显微镜下对31222个结构进行了分类和计数。识别出以下乳腺结构:终末结构(TS)以及1型、2型和3型小叶(LOB)。针对所有患者群体绘制了结果,并分别针对未产妇和经产妇按年龄绘制。所有患者群体在14至18岁之间,LOb1、2和3的比例相似,在23岁至四十多岁中期,Lob1的百分比下降,Lob3增加,之后Lob3下降,Lob1增加到70%。Lob2和TS在整个分析的生命阶段未表现出显著变化。单独分析时发现,未产妇的乳房主要由Lob1组成,Lob2较少,几乎没有Lob3,而经产妇中Lob3的频率较高,在生命的第四个十年之前,Lob3是主要结构。(摘要截断于250字)

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