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三阴性乳腺癌与非三阴性肿瘤的临床及磁共振成像结果比较。

Comparison of clinical and magnetic resonance imaging findings of triple-negative breast cancer with non-triple-negative tumours.

作者信息

Yetkin Duygu İmre, Akpınar Meltem Gulsun, Durhan Gamze, Demirkazik Figen Basaran

机构信息

Midyat State of Hospital, Midyat/Mardin, Turkey.

Hacettepe University Faculty of Medicine, Ankara, Turkey.

出版信息

Pol J Radiol. 2021 May 7;86:e269-e276. doi: 10.5114/pjr.2021.106137. eCollection 2021.


DOI:10.5114/pjr.2021.106137
PMID:34136044
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8186308/
Abstract

PURPOSE: Triple-negative breast cancer (TNBC) has some distinctive features. The aim of the study was to compare clinical and breast magnetic resonance imaging (MRI) findings of TNBC with non-triple-negative breast cancer (nTNBC) in molecular subtypes such as ADC (apparent diffusion coefficient) values, T2-weighted (T2W) image intensity, shape, margin, lymph node involvement, grade, multifocality, multicentricity, bilaterality, and enhancement pattern differences between tumour subtypes. MATERIAL AND METHODS: A total of 141 patients who underwent breast biopsy at our institution between January 2010 and June 2018 were included in this study. Patients were divided into molecular subtypes according to hormone receptor status, and Ki-67 index. Tumour grade, enhancement patterns, age, lymph node involvement, ADC values, breast imaging reporting and data system (BI-RADS) category, bilaterality, multifocality, multicentricity, margin, shape, and T2W image intensity were evaluated for these subtypes. RESULTS: ADC values were higher in triple-negative tumours than in luminal A and luminal B tumours ( = 0.010 and = 0.002, respectively). Circumscribed margin, type 2 enhancement curve, and rim enhancement were significantly higher in triple-negative tumours ( < 0.001). No significant difference was found between the groups in terms of other MRI findings including bilaterality, multifocality, multicentricity, shape, and T2W image intensity ( > 0.05). CONCLUSIONS: ADC values, circumscribed margin, and rim enhancement can provide important information about the tumour's biological behaviour and the course of the disease.

摘要

目的:三阴性乳腺癌(TNBC)具有一些独特特征。本研究旨在比较TNBC与非三阴性乳腺癌(nTNBC)在分子亚型方面的临床及乳腺磁共振成像(MRI)表现,如表观扩散系数(ADC)值、T2加权(T2W)图像强度、形态、边缘、淋巴结受累情况、分级、多灶性、多中心性、双侧性以及肿瘤亚型之间的强化模式差异。 材料与方法:本研究纳入了2010年1月至2018年6月期间在我院接受乳腺活检的141例患者。根据激素受体状态和Ki-67指数将患者分为分子亚型。对这些亚型评估肿瘤分级、强化模式、年龄、淋巴结受累情况、ADC值、乳腺影像报告和数据系统(BI-RADS)分类、双侧性、多灶性、多中心性、边缘、形态以及T2W图像强度。 结果:三阴性肿瘤的ADC值高于管腔A型和管腔B型肿瘤(分别为P = 0.010和P = 0.002)。三阴性肿瘤的边界清晰、2型强化曲线和边缘强化显著更高(P < 0.001)。在包括双侧性、多灶性、多中心性、形态和T2W图像强度等其他MRI表现方面,各组之间未发现显著差异(P > 0.05)。 结论:ADC值、边界清晰和边缘强化可为肿瘤的生物学行为和疾病进程提供重要信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7f7/8186308/adc5d4532821/PJR-86-44058-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7f7/8186308/e795d2477f13/PJR-86-44058-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7f7/8186308/adc5d4532821/PJR-86-44058-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7f7/8186308/e795d2477f13/PJR-86-44058-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7f7/8186308/adc5d4532821/PJR-86-44058-g002.jpg

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本文引用的文献

[1]
Differentiation of triple-negative breast cancer from other subtypes through whole-tumor histogram analysis on multiparametric MR imaging.

Eur Radiol. 2018-11-6

[2]
Magnetic resonance (MR) features in triple negative breast cancer (TNBC) vs receptor positive cancer (nTNBC).

Clin Imaging. 2018

[3]
Clinicopathologic predictors of lymph node metastasis in breast cancer patients according to molecular subtype.

J Gynecol Obstet Hum Reprod. 2018-1

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BMC Surg. 2015-1-14

[5]
Triple-negative invasive breast cancer on dynamic contrast-enhanced and diffusion-weighted MR imaging: comparison with other breast cancer subtypes.

Eur Radiol. 2012-4-17

[6]
Correlations between diffusion-weighted imaging and breast cancer biomarkers.

Eur Radiol. 2012-3-13

[7]
Correlation of the apparent diffusion coefficiency values on diffusion-weighted imaging with prognostic factors for breast cancer.

Br J Radiol. 2011-11-29

[8]
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Breast Cancer Res Treat. 2011-8-6

[9]
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Int J Clin Oncol. 2010-7-15

[10]
Metastatic behavior of breast cancer subtypes.

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