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乳腺癌临床病理特征与抑郁症的相关性

Correlation of Clinicopathological Characteristics of Breast Carcinoma and Depression.

作者信息

Ilic Milena B, Mitrovic Slobodanka Lj, Vuletic Milena S, Radivojcevic Uros M, Janjic Vladimir S, Stanković Vesna D, Vojinovic Radisa H, Stojadinovic Dobrivoje S, Radmanovic Branimir R, Jovanovic Dalibor V

机构信息

Department of Pathology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.

Department of Surgery, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.

出版信息

Healthcare (Basel). 2019 Sep 12;7(3):107. doi: 10.3390/healthcare7030107.

Abstract

The prevalence of depression among women with breast cancer (BC) is extremely variable in research studies. The aim of this study was to determine the prevalence of depressive disorder in women suffering from BC as well as to examine its relationship with clinical-pathological and immunophenotypic characteristics of BC. The study included 194 patients with BC who were diagnosed with the disease between 2009 and 2015 in the Clinical Center Kragujevac, Serbia. Pathohistological and immunohistochemical analyses was used on the material obtained after the surgical removal of breast tumors, determining all significant clinical and morphological parameters. The level of depression among the examinees confirmed that the differences in the level of depression between the histological grades were statistically significant. According to the univariate binary logistic regression, the depression of a patient correlates with the category of molecular tumor subtype/Luminal A ( < 0.0005), PR expression ( = 0.050) and lymphatic invasion ( = 0.025). Multivariate binary logistic regression showed that the onset of depression associated with the present molecular subtype of the tumor of a worse prognostic character ( = 0.019). Depression is a common disorder in women with breast cancer. The level of depression is correlates with some of the clinicоmorphological and immunophenotypic characteristics of BC.

摘要

在研究中,乳腺癌(BC)女性患者中抑郁症的患病率差异极大。本研究的目的是确定患BC的女性中抑郁症的患病率,并研究其与BC临床病理及免疫表型特征之间的关系。该研究纳入了194例BC患者,这些患者于2009年至2015年期间在塞尔维亚克拉古耶瓦茨临床中心被诊断出患有该病。对手术切除乳腺肿瘤后获得的材料进行病理组织学和免疫组织化学分析,确定所有重要的临床和形态学参数。受检者的抑郁水平证实,组织学分级之间的抑郁水平差异具有统计学意义。根据单变量二元逻辑回归分析,患者的抑郁与分子肿瘤亚型/Luminal A类别(<0.0005)、PR表达(=0.050)和淋巴浸润(=0.025)相关。多变量二元逻辑回归分析表明,抑郁症的发生与预后较差的当前肿瘤分子亚型相关(=0.019)。抑郁症是乳腺癌女性患者中的常见疾病。抑郁水平与BC的一些临床形态学和免疫表型特征相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8a1/6787716/fab3256045e6/healthcare-07-00107-g001.jpg

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