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基于 SEER 人群分析的乳腺浸润性筛状癌的临床特征和总生存预后列线图

Clinical characteristics and overall survival prognostic nomogram for invasive cribriform carcinoma of breast: a SEER population-based analysis.

机构信息

Department of Breast Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, Fujian Province, China.

Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, Fujian Province, China.

出版信息

BMC Cancer. 2021 Feb 16;21(1):168. doi: 10.1186/s12885-021-07895-5.


DOI:10.1186/s12885-021-07895-5
PMID:33593316
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7887783/
Abstract

BACKGROUND: The prognositc factors in patient with invasive cribriform carcinoma (ICC) of breast is still remain controversal. The study aims to establish a nomogram to predict the survival outcomes in patients with ICC based on the Surveillance, Epidemiology and End Results (SEER) database. METHODS: We retrieved SEER database for clinical data about patients including ICC and infiltrating ductal carcinoma (IDC) from 2004 to 2015. Kaplan-Meier survival was used to compare the difference survival outcomes between ICC and IDC. ICC patients were randomly allocated to training cohort and validation cohort. A nomogram was built to predict individual patient's 3-year and 5-year survival status for ICC. The established TMN model and the newly established nomogram was further evaluated by the concordance index (C-index) and the decision curve analysis (DCA). RESULTS: Comparing the baseline clinical data between IDC and ICC, a significant of smaller tumor mass, less infiltrated lymph nodes, lower metastases rate, better tumor differentiation degree, higher proportion of estrogen receptor (ER) and progesterone receptor (PR) positive and lower rate of chemotherapy and radiotherapy was found in ICC. Age at diagnosis, marriage status, tumor location, T stage, M stage, ER status, surgery were independent significant prognostic factors for the overall survival (OS). A significantly higher C-index was found in nomogram compared with established TNM model in validation cohort. CONCLUSIONS: The prognosis of ICC patients is better than that of IDC patients. The nomogram is recommended for future patient with ICC to survival analysis.

摘要

背景:浸润性筛状癌(ICC)患者的预后因素仍存在争议。本研究旨在基于监测、流行病学和最终结果(SEER)数据库建立预测 ICC 患者生存结局的列线图。

方法:我们从 2004 年至 2015 年的 SEER 数据库中检索了 ICC 和浸润性导管癌(IDC)患者的临床数据。Kaplan-Meier 生存分析用于比较 ICC 和 IDC 之间生存结局的差异。ICC 患者被随机分配到训练队列和验证队列。建立列线图以预测 ICC 患者 3 年和 5 年的生存状况。进一步通过一致性指数(C 指数)和决策曲线分析(DCA)评估新建立的 TMN 模型和列线图。

结果:比较 IDC 和 ICC 的基线临床数据,ICC 中肿瘤体积较小、浸润淋巴结较少、转移率较低、肿瘤分化程度较好、雌激素受体(ER)和孕激素受体(PR)阳性比例较高、化疗和放疗比例较低。诊断时年龄、婚姻状况、肿瘤位置、T 分期、M 分期、ER 状态、手术是总生存期(OS)的独立预后因素。验证队列中,列线图的 C 指数明显高于已建立的 TNM 模型。

结论:ICC 患者的预后优于 IDC 患者。建议未来的 ICC 患者使用列线图进行生存分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d443/7887783/733415727bbd/12885_2021_7895_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d443/7887783/43635b1d275b/12885_2021_7895_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d443/7887783/40577d86e0ae/12885_2021_7895_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d443/7887783/4726715992ed/12885_2021_7895_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d443/7887783/c98b5061eb4b/12885_2021_7895_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d443/7887783/c0850f58279c/12885_2021_7895_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d443/7887783/733415727bbd/12885_2021_7895_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d443/7887783/43635b1d275b/12885_2021_7895_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d443/7887783/40577d86e0ae/12885_2021_7895_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d443/7887783/4726715992ed/12885_2021_7895_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d443/7887783/c98b5061eb4b/12885_2021_7895_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d443/7887783/c0850f58279c/12885_2021_7895_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d443/7887783/733415727bbd/12885_2021_7895_Fig6_HTML.jpg

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Clinical characteristics and overall survival prognostic nomogram for invasive cribriform carcinoma of breast: a SEER population-based analysis.

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引用本文的文献

[1]
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Eur J Med Res. 2025-9-1

[2]
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Discov Oncol. 2025-7-31

[3]
Invasive cribriform carcinoma of the breast presenting as an erythematous papule on the nipple: A case report.

Clin Case Rep. 2024-6-4

[4]
A nomogram for predicting the risk of male breast cancer for overall survival.

Front Oncol. 2023-8-4

[5]
A rare case of breast invasive cribriform carcinoma.

Radiol Case Rep. 2023-1-6

[6]
Prognostic relevance of mixed histological subtypes in invasive breast carcinoma: a retrospective analysis.

J Cancer Res Clin Oncol. 2023-7

本文引用的文献

[1]
Invasive cribriform carcinoma of the breast: a clinicopathological analysis of 12 cases with review of literature.

Int J Clin Exp Pathol. 2017-9-1

[2]
An Updated Review of Cribriform Carcinomas with Emphasis on Histopathological Diagnosis and Prognostic Significance.

Oncol Rev. 2017-3-10

[3]
A Nomogram to Predict Brain Metastases of Resected Non-Small Cell Lung Cancer Patients.

Ann Surg Oncol. 2016-9

[4]
Clinicopathological Characteristics and Survival Outcomes of Invasive Cribriform Carcinoma of Breast: A SEER Population-Based Study.

Medicine (Baltimore). 2015-8

[5]
Invasive cribriform carcinoma of the breast: A report of nine cases and a review of the literature.

Oncol Lett. 2015-4

[6]
Invasive cribriform carcinoma of the breast: mammographic, sonographic, MRI, and 18 F-FDG PET-CT features.

Acta Radiol. 2015-6

[7]
Estimation of C-index for cox proportional hazards model with censored biomarker covariate subject to limits of detection.

J Biopharm Stat. 2015

[8]
A nomogram for predicting individual survival of patients with gastric cancer who underwent radical surgery with extended lymph node dissection.

Gastric Cancer. 2013-5-29

[9]
Invasive cribriform carcinoma in a Chinese population: comparison with low-grade invasive ductal carcinoma-not otherwise specified.

Int J Clin Exp Pathol. 2013

[10]
Clinical relevance of TNM staging system according to breast cancer subtypes.

Ann Oncol. 2011-1-17

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