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T-钙黏蛋白与三阴性乳腺癌的预后相关。

T-cadherin is associated with prognosis in triple-negative breast cancer.

作者信息

Kong De-Di, Wang Mei-Hong, Yang Jie, Li Liang, Wang Wei, Wang Shi-Bing, Zhou Yan-Zhen

机构信息

Department of Thyroid and Breast Surgery, Jining No. 1 People's Hospital, Jining, Shandong 272011, P.R. China.

Department of Pharmacy, Jining No. 1 People's Hospital, Jining, Shandong 272011, P.R. China.

出版信息

Oncol Lett. 2017 Sep;14(3):2975-2981. doi: 10.3892/ol.2017.6505. Epub 2017 Jun 30.

Abstract

The purpose of the present study was to assess the prognostic impact of T-cadherin expression in patients with triple-negative breast cancer (TNBC). On the basis of the results of immunohistochemical analysis, 106 patients with operable TNBC were divided into two groups, the T-cadherin-positive group and T-cadherin-negative group. Fisher's exact and χ tests were employed to analyze clinical data, which included the association between T-cadherin expression and clinicopathological features and prognosis. The log-rank test was used to examine the impact of T-cadherin expression on the 5-year disease-free survival (DFS) and the 5-year overall survival (OS) of these patients. Kaplan-Meier and Cox regression analyses were introduced to analyze DFS and OS. Compared with the T-cadherin-positive group (58.3, 52.8 and 47.2, respectively; P=0.018, P=0.017, and P=0.047), tumor size >2 cm, grade II and III (Elston-Ellis modification of Bloom-Richardson grading system), and positive lymph node status were significantly more common in the T-cadherin-negative group compared with the T-cadherin-positive group (80.0 vs. 58.3%, 75.7 vs. 52.8% and 67.1 vs. 47.2%, respectively) (P=0.018, P=0.017, and P=0.047). Compared with the T-cadherin-positive group, 5-year DFS and OS levels were significantly lower in the T-cadherin-negative group (Z=6.233, P=0.013; Z=5.366, P=0.021). Multivariate analysis revealed that negative T-cadherin expression was an independent prognostic factor for DFS (P=0.009) and OS (P=0.048). The results of the present study indicated that negative T-cadherin expression indicated a worse prognosis for patients with TNBC.

摘要

本研究的目的是评估T-钙黏蛋白表达对三阴性乳腺癌(TNBC)患者预后的影响。基于免疫组织化学分析结果,将106例可手术的TNBC患者分为两组,即T-钙黏蛋白阳性组和T-钙黏蛋白阴性组。采用Fisher精确检验和χ检验分析临床数据,这些数据包括T-钙黏蛋白表达与临床病理特征及预后之间的关联。采用对数秩检验来检验T-钙黏蛋白表达对这些患者5年无病生存期(DFS)和5年总生存期(OS)的影响。引入Kaplan-Meier分析和Cox回归分析来分析DFS和OS。与T-钙黏蛋白阳性组(分别为58.3%、52.8%和47.2%;P=0.018、P=0.017和P=0.047)相比,T-钙黏蛋白阴性组中肿瘤大小>2 cm、II级和III级(Bloom-Richardson分级系统的Elston-Ellis改良版)以及阳性淋巴结状态显著更为常见(分别为80.0%对58.3%、75.7%对52.8%和67.1%对47.2%)(P=0.018、P=0.017和P=0.047)。与T-钙黏蛋白阳性组相比,T-钙黏蛋白阴性组的5年DFS和OS水平显著更低(Z=6.233,P=0.013;Z=5.366,P=0.021)。多因素分析显示,T-钙黏蛋白阴性表达是DFS(P=0.009)和OS(P=0.048)的独立预后因素。本研究结果表明,T-钙黏蛋白阴性表达提示TNBC患者预后较差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87bb/5588130/7843e49fda28/ol-14-03-2975-g00.jpg

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