Tariq Khurram, Farhangi Arezo, Rana Fauzia
University of Florida College of Medicine, Jacksonville, Florida.
Clin Adv Hematol Oncol. 2014 Jun;12(6):377-81.
This study was designed to compare mean age, ethnicity, smoking history, family history of breast cancer, and stage at diagnosis in patients with triple-negative breast cancer (TNBC) vs non-TNBC at an inner city university program.
We reviewed data in our tumor registry on patients seen between January 2000 and December 2005, and identified a total of 445 patients with various subtypes of breast cancers. Of these, 342 patients met our study criteria. Thirty-nine patients had TNBC and 303 had non-TNBC.
The mean age at diagnosis was 59.87 ± 15.67 years for TNBC and 60.09 ± 13.98 years for non-TNBC (P=.9272). TNBC was more common in black than in white patients (58.97% vs 35.90%; OR, 2.755; P=.004), and non-TNBC was more common in white than in black patients (57.76% vs 39.27%). There was not a statistically significant difference in past or present smoking between the TNBC and non-TNBC patients (20.51% vs 27.72%; P=.4385). Family history of breast cancer was not statistically related to TNBC status: a positive family history was reported in 30.77% of TNBC patients vs 33.33% of non-TNBC patients (P=.8384), no family history was reported in 51.28% of TNBC patients vs 51.82% of non-TNBC patients, and family history was unknown in 17.95% of TNBC patients vs 14.85% of non-TNBC patients. Pathologic stage at the time of diagnosis was as follows for TNBC vs non-TNBC patients: stage 0, 15.79% vs 11.37% (P=.4332); stage I, 34.21% vs 30.98% (P=.6890); stage II, 28.98% vs 37.25% (P=.3205); stage III, 18.42% vs 17.25% (P=.8591); and stage IV, 3.63% vs 3.14% (P=.8651).
We found that in our patient population, black women were significantly more likely to have TNBC than non-TNBC, and white women were more likely to have non-TNBC than TNBC.
本研究旨在比较在城市中心大学项目中三阴性乳腺癌(TNBC)患者与非TNBC患者的平均年龄、种族、吸烟史、乳腺癌家族史以及诊断时的分期。
我们回顾了肿瘤登记处2000年1月至2005年12月期间就诊患者的数据,共确定了445例患有各种亚型乳腺癌的患者。其中,342例患者符合我们的研究标准。39例患者患有TNBC,303例患有非TNBC。
TNBC患者诊断时的平均年龄为59.87±15.67岁,非TNBC患者为60.09±13.98岁(P = 0.9272)。TNBC在黑人患者中比白人患者更常见(58.97%对35.90%;OR,2.755;P = 0.004),而非TNBC在白人患者中比黑人患者更常见(57.76%对39.27%)。TNBC患者与非TNBC患者过去或现在吸烟情况无统计学显著差异(20.51%对27.72%;P = 0.4385)。乳腺癌家族史与TNBC状态无统计学关联:30.77%的TNBC患者报告有阳性家族史,非TNBC患者为33.33%(P = 0.8384);51.28%的TNBC患者报告无家族史,非TNBC患者为51.82%;17.95%的TNBC患者家族史未知,非TNBC患者为14.85%。TNBC患者与非TNBC患者诊断时的病理分期如下:0期,15.79%对11.37%(P = 0.4332);I期,34.21%对30.98%(P = 0.6890);II期,28.98%对37.25%(P = 0.3205);III期,18.42%对17.25%(P = 0.8591);IV期,3.63%对3.14%(P = 0.8651)。
我们发现,在我们的患者群体中,黑人女性患TNBC的可能性明显高于非TNBC,而白人女性患非TNBC的可能性高于TNBC。