Malik Saima Shakil, Baig Mehreen, Khan Muhammad Bilal, Masood Nosheen
Fatima Jinnah Women University, Rawalpindi.
Surgical Unit, Fauji Foundation Hospital, Rawalpindi, Pakistan.
J Pak Med Assoc. 2019 Jul;69(7):976-980.
To explore and better understand clinic pathological details of breast cancer patients and analyse their survival rate among different treatment groups.
The prospective cohort, multi-centric study was conducted from September, 2014, to February, 2018, at five hospitals in Rawalpindi and Islamabad, Pakistan, and comprised histo-pathologically confirmed breast cancer cases. Patient characteristics and medical history were collected using a detailed questionnaire. All the subjects were followed up, and information regarding their current health and treatment status was collected. Data was analysed using SPSS 24.
There were 347 subjects with a mean age of 44.3±12.2 years and body mass index of 27.9±4.0 kg/m2. Younger age, increased body mass index, consanguinity and family history were major contributing factors in breast cancer development (p<0.05). Overall, 267(77%) had invasive ductal carcinoma and Grade II tumour 234(67%) was more frequent. A total of 221(64%) cases had positive lymph nodes and 97(28%) had metastasis to different body organs. Overall survival analysis showed statistically significant role (p<0.0001) of all treatment options.
Combination of different treatments can provide more promising health outcomes in breast cancer cases.
探讨并更好地了解乳腺癌患者的临床病理细节,并分析不同治疗组患者的生存率。
这项前瞻性队列多中心研究于2014年9月至2018年2月在巴基斯坦拉瓦尔品第和伊斯兰堡的五家医院进行,纳入组织病理学确诊的乳腺癌病例。通过详细问卷收集患者特征和病史。对所有受试者进行随访,收集其当前健康和治疗状况的信息。使用SPSS 24进行数据分析。
共有347名受试者,平均年龄为44.3±12.2岁,体重指数为27.9±4.0kg/m²。年龄较小、体重指数增加、近亲结婚和家族史是乳腺癌发生的主要影响因素(p<0.05)。总体而言,267例(77%)为浸润性导管癌,234例(67%)为II级肿瘤更为常见。共有221例(64%)病例有阳性淋巴结,97例(28%)有不同身体器官转移。总体生存分析显示所有治疗方案均具有统计学显著作用(p<0.0001)。
不同治疗方法的联合应用可为乳腺癌患者带来更有前景的健康结局。