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乳腺癌腹膜转移的患病率、危险因素及预后

Prevalence, risk factors, and prognosis of peritoneal metastasis from breast cancer.

作者信息

Bertozzi Serena, Londero Ambrogio P, Cedolini Carla, Uzzau Alessandro, Seriau Luca, Bernardi Sergio, Bacchetti Stefano, Pasqual Enrico Maria, Risaliti Andrea

机构信息

Clinic of Surgery, AOU "Santa Maria della Misericordia", DISM, DSMB, University of Udine, Piazzale Santa Maria della Misericordia 15, 33100 Udine, UD Italy.

Surgical Oncology Department, IRCSS CRO, Via Franco Gallini, 2, 33081 Aviano, PN Italy.

出版信息

Springerplus. 2015 Nov 10;4:688. doi: 10.1186/s40064-015-1449-x. eCollection 2015.

Abstract

Peritoneal metastasis from breast cancer is a serious and deadly condition only limited considered in the literature. Our aim was to study prevalence, risk factors, and prognosis of breast cancer peritoneal metastasis. We retrospectively analyzed 3096 women with a diagnosis of invasive breast cancer. We took into consideration presence and localization of breast cancer distant metastasis as well as the possible risk factors and survival from the diagnosis of the breast cancer metastasis. The prevalence of breast cancer peritoneal metastases was 0.7 % (22/3096), representing the 7.6 % (22/289) of women affected by distant metastases. Moreover, independent risk factors for breast cancer peritoneal metastases resulted high grading, lobular invasive histology, and advanced T and N stage at diagnosis. Overall survival after metastasis diagnosis was shorter in women affected by peritoneal metastases or brain metastases in comparison to other metastatic women. Breast cancer peritoneal metastases were uncommon but not rare events with a poor prognosis after standard treatments.

摘要

乳腺癌腹膜转移是一种严重的致命疾病,在文献中仅受到有限的关注。我们的目的是研究乳腺癌腹膜转移的发生率、危险因素和预后。我们回顾性分析了3096例诊断为浸润性乳腺癌的女性患者。我们考虑了乳腺癌远处转移的存在和部位,以及乳腺癌转移诊断后的可能危险因素和生存率。乳腺癌腹膜转移的发生率为0.7%(22/3096),占发生远处转移女性的7.6%(22/289)。此外,乳腺癌腹膜转移的独立危险因素为高分级、小叶浸润性组织学以及诊断时的T和N分期较晚。与其他转移患者相比,发生腹膜转移或脑转移的女性在转移诊断后的总生存期较短。乳腺癌腹膜转移并不常见,但也并非罕见事件,标准治疗后的预后较差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0346/4641144/d93fbb3427e8/40064_2015_1449_Fig1_HTML.jpg

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