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男性乳腺癌的临床病理和免疫组织化学特征:单中心经验。

Clinicopathologic and immunohistochemical characteristics of male breast cancer: a single center experience.

机构信息

Department of Pathology and Laboratory Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

出版信息

Breast J. 2012 Jan-Feb;18(1):65-8. doi: 10.1111/j.1524-4741.2011.01184.x. Epub 2011 Oct 21.

Abstract

Male breast cancer (MaleBC) is a rare tumor that has been insufficiently described in the Middle East. The purpose of this study is to report the first MaleBC series in Lebanon, describing its clinicopathologic and immunohistochemical phenotype, and how it compares with MaleBC in the West and with female breast cancer in Lebanon and the Middle East. Forty-seven cases of MaleBC were reviewed. Results showed younger ages at presentation (62 years versus 67 years), higher incidence of lobular carcinoma (6% versus 1%), and more frequent p53 positivity and axillary node metastases in our series than in those reported about MaleBC. Other results such as higher estrogen receptor (ER) positivity and lower HER-2/neu over-expression were comparable to the literature. These findings suggest that MaleBC in our region may represent a biologically different tumor with potentially distinct prognostic and therapeutic implications.

摘要

男性乳腺癌(MaleBC)是一种罕见的肿瘤,在中东地区的描述不足。本研究的目的是报告黎巴嫩首例 MaleBC 系列,描述其临床病理和免疫组织化学表型,以及与西方的 MaleBC 和黎巴嫩及中东地区的女性乳腺癌的比较。对 47 例 MaleBC 进行了回顾性分析。结果显示,我们的研究中患者的发病年龄更小(62 岁比 67 岁),小叶癌的发病率更高(6%比 1%),p53 阳性和腋窝淋巴结转移更常见。其他结果,如更高的雌激素受体(ER)阳性率和更低的 HER-2/neu 过表达率与文献报道相似。这些发现表明,我们地区的 MaleBC 可能代表一种生物学上不同的肿瘤,具有潜在不同的预后和治疗意义。

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