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浸润性乳腺癌中胎次与临床病理因素的相关性:一项回顾性分析

Parity association with clinicopathological factors in invasive breast cancer: a retrospective analysis.

作者信息

Shen Sandi, Zhong Shizhen, Xiao Gaofang, Zhou Haibo, Huang Wenhua

机构信息

Department of Human Anatomy, Guangdong Provincial Key Laboratory of Tissue Construction and Detection, School of Basic Medicine Science, Southern Medical University, Guangzhou; Thoracic Surgery, Qingyuan People's Hospital, The Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan.

Department of Human Anatomy, Guangdong Provincial Key Laboratory of Tissue Construction and Detection, School of Basic Medicine Science, Southern Medical University, Guangzhou.

出版信息

Onco Targets Ther. 2017 Jan 21;10:477-481. doi: 10.2147/OTT.S123888. eCollection 2017.

Abstract

The aim of this study was to determine the relationship between parity and age at diagnosis, primary tumor size, axillary lymph node (ALN) metastasis, histological grade, and subtype classification in patients with breast cancer. Data from 392 patients with invasive breast cancer were collected and divided into four groups: nulliparous (parity 0), parity 1, parity 2, and parity ≥3. The relationship between parity and age at diagnosis was assessed using post hoc Dunnett's T3 test, and tumor size, the number of ALN metastases, and histological grade were analyzed using Spearman's rho test. Breast cancer subtypes were analyzed using the chi-square () test. The results showed that the mean age at diagnosis increased with increased parity, and the mean age of patients with parity ≥3 was significantly greater than that of patients with parity 0, parity 1, and parity 2. The mean age at diagnosis of patients with parity 2 was greater than that of patients with parity 1. There was no significant difference in the mean age between patients with parity 0 and parity 1 or parity 0 and parity 2. Parity was negatively correlated with ALN metastasis. Parity was not correlated with tumor size or histological grade and the proportion of the four subtypes in breast cancer. So, increased parity deferred the onset of breast cancer and inhibited the metastasis of ALN, but did not affect tumor size, histological grade, or the proportion of subtypes. Increased parity was a protective factor against breast cancer.

摘要

本研究旨在确定乳腺癌患者的产次与诊断年龄、原发肿瘤大小、腋窝淋巴结(ALN)转移、组织学分级及亚型分类之间的关系。收集了392例浸润性乳腺癌患者的数据,并将其分为四组:未生育(产次0)、产次1、产次2和产次≥3。采用事后Dunnett's T3检验评估产次与诊断年龄之间的关系,采用Spearman秩相关检验分析肿瘤大小、ALN转移数量及组织学分级。使用卡方()检验分析乳腺癌亚型。结果显示,诊断时的平均年龄随着产次增加而升高,产次≥3的患者平均年龄显著高于产次0、产次1和产次2的患者。产次2的患者诊断时平均年龄高于产次1的患者。产次0与产次1或产次0与产次2的患者之间平均年龄无显著差异。产次与ALN转移呈负相关。产次与肿瘤大小、组织学分级及乳腺癌四种亚型的比例无关。因此,产次增加会推迟乳腺癌发病并抑制ALN转移,但不影响肿瘤大小、组织学分级或亚型比例。产次增加是预防乳腺癌的一个保护因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a72/5268371/27684e14a6a9/ott-10-477Fig1.jpg

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