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绝经后乳腺癌患者肿瘤特征与骨密度的相关性。

Association between Tumor Characteristics and Bone Mineral Density in Postmenopausal Breast Cancer Patients.

机构信息

Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas 77030-4009, USA.

出版信息

Breast J. 2013 Jul-Aug;19(4):431-4. doi: 10.1111/tbj.12141. Epub 2013 May 23.

Abstract

The aim of this study was to evaluate the association of bone mineral density (BMD) at the time of diagnosis with clinical-pathologic findings in patients with operable postmenopausal breast cancer. One hundred and fifty-eight postmenopausal women who had a baseline lumbar and hip BMD measurement were included in the analysis. Patients were divided into two groups based on the median BMD. p ≤ 0.002 was considered to be statistically significant. Hormone replacement therapy (HRT) use longer than 5 years was associated with increased lumbar BMD compared with patients who used HRT less than 5 years (p = 0.002). Patients with higher BMD tended to have low grade disease, no lympho-vascular invasion, progesterone receptor-positive tumors, and low Ki-67 levels (p < 0.05). Higher baseline BMD in postmenopausal patients with breast cancer is associated with favorable prognostic features.

摘要

本研究旨在评估绝经后可手术乳腺癌患者诊断时的骨密度(BMD)与临床病理特征的相关性。本分析纳入了 158 例绝经后基线腰椎和髋部 BMD 测量的女性患者。根据 BMD 的中位数将患者分为两组。p≤0.002 被认为具有统计学意义。与 HRT 使用少于 5 年的患者相比,HRT 使用超过 5 年的患者腰椎 BMD 更高(p=0.002)。BMD 较高的患者往往疾病分级较低,无淋巴管血管侵犯,孕激素受体阳性肿瘤和低 Ki-67 水平(p<0.05)。绝经后乳腺癌患者的基线 BMD 较高与预后良好的特征相关。

相似文献

本文引用的文献

1
Bone mineral density and risk of postmenopausal breast cancer.骨密度与绝经后乳腺癌风险。
Breast Cancer Res Treat. 2011 Apr;126(3):679-86. doi: 10.1007/s10549-010-1138-y. Epub 2010 Sep 14.
4
Oestrogen exposure and breast cancer risk.雌激素暴露与乳腺癌风险。
Breast Cancer Res. 2003;5(5):239-47. doi: 10.1186/bcr628. Epub 2003 Jul 28.
9
Bone mineral density and endogenous hormones and risk of breast cancer in postmenopausal women (United States).
Cancer Causes Control. 2001 Apr;12(3):213-22. doi: 10.1023/a:1011231106772.

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