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微乳头成分比例对浸润性微乳头型乳腺癌患者预后的影响

The Impact of Micropapillary Component Ratio on the Prognosis of Patients With Invasive Micropapillary Breast Carcinoma.

作者信息

Kaya Cemal, Uçak Ramazan, Bozkurt Emre, Ömeroğlu Sinan, Kartal Kinyas, Yazıcı Pınar, İdiz Ufuk Oğuz, Mihmanlı Mehmet

机构信息

Department of General Surgery, Istanbul Sisli Hamidiye Etfal Medical Practice and Research Center, University of Health Sciences, İstanbul, Turkey.

Department of Pathology, Istanbul Sisli Hamidiye Etfal Medical Practice and Research Center, University of Health Sciences, İstanbul, Turkey.

出版信息

J Invest Surg. 2020 Jan;33(1):31-39. doi: 10.1080/08941939.2018.1474302. Epub 2018 May 29.

Abstract

: Invasive micropapillary carcinoma (IMPC) of the breast is a rare and aggressive variant of invasive ductal carcinoma characterized by high-grade lymphovascular invasion and high rates of nodal metastasis. The prognostic significance of the micropapillary component (MC) ratio that constitutes this aggressive variation is controversial. In this study, we aimed to investigate the effect of the MC ratio on the prognosis of these patients. : The data of 47 patients with IMPC were retrospectively reviewed. Patients were divided into two groups: MC ratio of 10-75% (Group 1) and greater than 75% (Group 2). The demographic characteristics of the patients, histopathologic features of the tumors, and survival rates were compared. : We detected no significant difference in demographic characteristics between groups 1 and 2 ( = 0.21). No significant difference was detected in terms of tumor diameter, lymph node metastasis, lymphovascular invasion, histologic grade, multicentricity, local recurrence, distant metastasis, and overall survival. : In the micropapillary subgroup of invasive ductal carcinoma, although positive receptor characteristics are directly proportional to the increase in MC ratio, recurrence and survival rates are not affected by micropapillary component level.

摘要

乳腺浸润性微乳头状癌(IMPC)是浸润性导管癌的一种罕见且侵袭性强的变体,其特征为高级别淋巴管浸润和高淋巴结转移率。构成这种侵袭性变体的微乳头成分(MC)比例的预后意义存在争议。在本研究中,我们旨在探讨MC比例对这些患者预后的影响。

对47例IMPC患者的数据进行回顾性分析。患者分为两组:MC比例为10 - 75%(第1组)和大于75%(第2组)。比较患者的人口统计学特征、肿瘤的组织病理学特征和生存率。

我们发现第1组和第2组之间的人口统计学特征无显著差异(P = 0.21)。在肿瘤直径、淋巴结转移、淋巴管浸润、组织学分级、多中心性、局部复发、远处转移和总生存方面均未检测到显著差异。

在浸润性导管癌的微乳头亚组中,尽管阳性受体特征与MC比例的增加成正比,但复发率和生存率不受微乳头成分水平的影响。

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