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中国中部地区乳腺癌的特征:文献综述及与美国的比较

Characteristics of breast cancer in Central China, literature review and comparison with USA.

作者信息

Chen Chuang, Sun Si, Yuan Jing-Ping, Wang Yao-Huai, Cao Tian-Ze, Zheng Hong-Mei, Jiang Xue-Qing, Gong Yi-Ping, Tu Yi, Yao Feng, Hu Ming-Bai, Li Juan-Juan, Sun Sheng-Rong, Wei Wen

机构信息

Department of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, PR China.

Department of Clinical Laboratory Medicine Center, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, PR China.

出版信息

Breast. 2016 Dec;30:208-213. doi: 10.1016/j.breast.2016.01.004. Epub 2016 Mar 23.

Abstract

INTRODUCTION

This work was to analyze characteristics of breast cancer (BC) in Central China, summarize main characteristics in China and compare with USA.

METHODS

BC main characteristics from four hospitals in Central China from 2002 to 2012 were collected and analyzed. All the single and large-scale clinical reports covering at least ten years were selected and summarized to calculate the BC characteristics of China. BC Characteristics in USA were selected based on the database from Surveillance, Epidemiology, and End Results (SEER) Program.

RESULTS

Age distribution in Central China was normal with one age peak at 45-49 years, displaying differences from USA and Chinese American with two age peaks. BC characteristics in Central China displayed distinct features from USA and Chinese American, including significant younger onset age, lower proportion of patients with stage I, lymph node negative, small tumor size and ER positive. A total ten long-term and large-scale clinical reports were selected for BC characteristics of Mainland China analysis. A total of 53,571 BC patients were enrolled from 1995 to 2012. The main characteristics of BC in Mainland China were similar as that in Central China, but were significant different from developed regions of China (Hong Kong and Taiwan), USA and Chinese American.

CONCLUSIONS

BC characteristics in Central China displayed representative patterns of Mainland China, while showed distinct patterns from Chinese patients in other developed areas and USA.

摘要

引言

本研究旨在分析中国中部地区乳腺癌(BC)的特征,总结中国乳腺癌的主要特征并与美国进行比较。

方法

收集并分析了2002年至2012年中国中部地区四家医院乳腺癌的主要特征。选取并总结了所有至少涵盖十年的单一及大规模临床报告,以计算中国乳腺癌的特征。美国乳腺癌的特征是基于监测、流行病学和最终结果(SEER)计划的数据库选取的。

结果

中国中部地区的年龄分布呈正态分布,在45 - 49岁有一个年龄高峰,与美国和华裔美国人有两个年龄高峰不同。中国中部地区乳腺癌的特征与美国和华裔美国人有明显差异,包括发病年龄显著更年轻、I期患者比例较低、淋巴结阴性、肿瘤体积较小以及雌激素受体阳性。共选取了十份长期且大规模的临床报告用于中国大陆乳腺癌特征分析。1995年至2012年共纳入53571例乳腺癌患者。中国大陆乳腺癌的主要特征与中国中部地区相似,但与中国发达地区(香港和台湾)、美国和华裔美国人有显著差异。

结论

中国中部地区乳腺癌的特征呈现出中国大陆的代表性模式,而与其他发达地区的中国患者以及美国患者呈现出不同的模式。

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