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不同治疗方法的乳腺癌患者生存分析:一项多中心临床病理研究。

Survival analysis of breast cancer patients with different treatments: a multicentric clinicopathological study.

作者信息

Malik Saima Shakil, Baig Mehreen, Khan Muhammad Bilal, Masood Nosheen

机构信息

Fatima Jinnah Women University, Rawalpindi.

Surgical Unit, Fauji Foundation Hospital, Rawalpindi, Pakistan.

出版信息

J Pak Med Assoc. 2019 Jul;69(7):976-980.

Abstract

OBJECTIVE

To explore and better understand clinic pathological details of breast cancer patients and analyse their survival rate among different treatment groups.

METHODS

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.

RESULTS

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.

CONCLUSIONS

Combination of different treatments can provide more promising health outcomes in breast cancer cases.

摘要

目的

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。

方法

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。

结果

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)。

结论

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。

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