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炎性乳腺癌患者的分子亚型:单中心经验

Molecular subtypes in patients with inflammatory breast cancer; a single center experience.

作者信息

Kertmen Neyran, Babacan Taner, Keskin Ozge, Solak Mustafa, Sarici Furkan, Akin Serkan, Arik Zafer, Aslan Alma, Ates Ozturk, Aksoy Sercan, Ozisik Yavuz, Altundag Kadri

机构信息

Hacettepe University Cancer Institute, Department of Medical Oncology, Ankara, Turkey.

出版信息

J BUON. 2015 Jan-Feb;20(1):35-9.

Abstract

PURPOSE

The purpose of this study was to investigate the frequency and prognosis of inflammatory breast cancer (IBC) according to molecular subtypes.

METHODS

Demographic data were examined for 78 patients diagnosed with IBC among breast cancer patients monitored in our clinic. Patients were staged according to the 2010 AJCC guidelines. Physical examination and radiographic findings classified on the basis of Response Evaluation Criteria in Solid Tumors (RECIST) guidelines were employed in the evaluation of clinical response to systemic therapy. Subtype analysis was performed in patients with IBC and subtypes were compared. Patients were divided on the basis of metastatic or non metastatic status and survival analysis was performed on the basis of molecular subtypes.

RESULTS

Distribution analysis of molecular subtypes revealed a lower incidence of luminal A and a higher incidence of both HER 2 (+) and triple negative breast cancer in IBC. Molecular subtypes had no effect on survival in the non metastatic (p=0.61) and metastatic patient group (p=0.08).

CONCLUSION

This study showed that IBC frequency is higher in HER2 overexpressing and triple negative subtypes. No survival differences were noticed in relation to molecular subtypes in IBC patients.

摘要

目的

本研究旨在根据分子亚型调查炎性乳腺癌(IBC)的发病率及预后情况。

方法

对在我院接受监测的乳腺癌患者中确诊为IBC的78例患者的人口统计学数据进行了检查。患者根据2010年美国癌症联合委员会(AJCC)指南进行分期。基于实体瘤疗效评价标准(RECIST)指南对体格检查和影像学检查结果进行分类,用于评估全身治疗的临床反应。对IBC患者进行亚型分析,并比较各亚型。根据转移或非转移状态对患者进行分组,并基于分子亚型进行生存分析。

结果

分子亚型分布分析显示,IBC中腔面A型的发病率较低,HER2(+)型和三阴性乳腺癌的发病率较高。分子亚型对非转移患者组(p = 0.61)和转移患者组(p = 0.08)的生存无影响。

结论

本研究表明,HER2过表达型和三阴性亚型的IBC发病率较高。IBC患者在分子亚型方面未观察到生存差异。

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