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化生性乳腺癌——一组病例的预后因素分析

Metaplastic breast carcinomas - analysis of prognostic factors in a case series.

作者信息

Nowara Elżbieta, Drosik Anna, Samborska-Plewicka Marzenna, Nowara Ewa Magdalena, Stanek-Widera Agata

机构信息

Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Gliwice Branch, Poland.

出版信息

Contemp Oncol (Pozn). 2014;18(2):116-9. doi: 10.5114/wo.2014.41392. Epub 2014 Jun 3.

Abstract

AIM OF THE STUDY

Metaplastic breast carcinomas (MBC) are a rare group of cancers, accounting for about 1% of all breast cancers. The study presents a case series of MBC patients diagnosed, treated and followed up in one healthcare center.

MATERIAL AND METHODS

The study group comprised 18 women at the median age of 63 years. The most common carcinoma type in the study group was MBC with squamous epithelial differentiation (56%). Estrogen receptor expression was identified in one patient. No steroid or HER2 receptor expression was found in the remaining patients. We analyzed recurrence and survival rates in relation to clinical and therapeutic factors by using the Kaplan-Meier method.

RESULTS

A significantly longer overall survival time was noted among patients treated with adjuvant radiation therapy, p = 0.018. No other factors had a significant influence on survival. Because of the small size of the study group, results obtained in the study should be treated with caution.

摘要

研究目的

化生性乳腺癌(MBC)是一类罕见的癌症,约占所有乳腺癌的1%。本研究呈现了在一个医疗中心诊断、治疗及随访的MBC患者病例系列。

材料与方法

研究组包括18名女性,中位年龄为63岁。研究组中最常见的癌型是伴有鳞状上皮分化的MBC(56%)。1例患者检测到雌激素受体表达。其余患者未发现类固醇或HER2受体表达。我们采用Kaplan-Meier方法分析了与临床和治疗因素相关的复发率和生存率。

结果

接受辅助放疗的患者总生存时间显著更长,p = 0.018。没有其他因素对生存有显著影响。由于研究组规模较小,本研究所得结果应谨慎对待。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1928/4068812/0e5828ca840a/WO-18-22441-g001.jpg

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