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本文引用的文献

1
Long-term outcomes of patients with conserved breast cancer treated with adjuvant hypofractionated prone breast intensity-modulated radiation therapy.保乳术后接受辅助适形调强俯卧位放疗的乳腺癌患者的长期疗效。
J Med Imaging Radiat Oncol. 2020 Dec;64(6):845-851. doi: 10.1111/1754-9485.13072. Epub 2020 Jun 16.
2
Effect of Clinical and Treatment Factors on Survival Outcomes of Triple Negative Breast Cancer Patients.临床及治疗因素对三阴性乳腺癌患者生存结局的影响
Breast Cancer (Dove Med Press). 2020 Mar 6;12:27-35. doi: 10.2147/BCTT.S236483. eCollection 2020.
3
Outcomes after Treatment of Metaplastic Versus Other Breast Cancer Subtypes.化生性乳腺癌与其他乳腺癌亚型的治疗后结局
J Cancer. 2020 Jan 1;11(6):1341-1350. doi: 10.7150/jca.40817. eCollection 2020.
4
Metaplastic breast carcinoma: a clinical analysis of 26 cases.化生性乳腺癌:26例临床分析
Int J Clin Exp Pathol. 2018 Apr 1;11(4):2112-2117. eCollection 2018.
5
Metaplastic Breast Carcinoma: Update on Histopathology and Molecular Alterations.化生性乳腺癌:组织病理学和分子改变的最新进展。
Arch Pathol Lab Med. 2019 Dec;143(12):1492-1496. doi: 10.5858/arpa.2019-0396-RA.
6
Metaplastic breast cancer has a poor response to neoadjuvant systemic therapy.化生性乳腺癌对新辅助全身治疗反应差。
Breast Cancer Res Treat. 2019 Aug;176(3):709-716. doi: 10.1007/s10549-019-05264-2. Epub 2019 May 22.
7
Phenotypic and molecular dissection of metaplastic breast cancer and the prognostic implications.探讨化生性乳腺癌的表型和分子特征及其预后意义。
J Pathol. 2019 Feb;247(2):214-227. doi: 10.1002/path.5184. Epub 2018 Dec 20.
8
Radiation therapy for the whole breast: Executive summary of an American Society for Radiation Oncology (ASTRO) evidence-based guideline.全乳放射治疗:美国放射肿瘤学会(ASTRO)基于证据的指南执行摘要。
Pract Radiat Oncol. 2018 May-Jun;8(3):145-152. doi: 10.1016/j.prro.2018.01.012. Epub 2018 Mar 12.
9
Metaplastic carcinoma of the breast with mesenchymal differentiation (carcinosarcoma). A unique presentation of an aggressive malignancy and literature review.伴有间叶分化的乳腺化生性癌(癌肉瘤)。一种侵袭性恶性肿瘤的独特表现及文献综述。
Breast Dis. 2018;37(3):169-175. doi: 10.3233/BD-170313.
10
Breast Metaplastic Squamous Cell Carcinoma Diagnosed with Fine Needle and Core Biopsy: A Case Study.经细针穿刺活检和粗针活检诊断的乳腺化生性鳞状细胞癌:病例报告
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乳腺化生性癌:临床病理特征及长期随访的治疗结果

Metaplastic carcinoma of the breast: Clinicopathological features and treatment outcomes with long-term follow up.

作者信息

Gortman Aron, Aherne Noel J, Westhuyzen Justin, Amalaseelan Julan V, Dwyer Patrick M, Hoffmann Matthew, Last Andrew T, Shakespeare Thomas P

机构信息

Department of Radiation Oncology, Mid North Coast Cancer Institute, Coffs Harbour, New South Wales 2450, Australia.

Rural Clinical School, Faculty of Medicine, University of New South Wales, New South Wales 2450, Australia.

出版信息

Mol Clin Oncol. 2021 Sep;15(3):178. doi: 10.3892/mco.2021.2340. Epub 2021 Jul 1.

DOI:10.3892/mco.2021.2340
PMID:34276997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8278413/
Abstract

Metaplastic breast carcinoma is an uncommon subtype of invasive ductal carcinoma with a tendency towards poorer clinical outcomes. Following ethical approval, the current study reviewed the institutional records of ~2,500 women with breast cancer. A total of 14 cases of metaplastic breast cancer were reviewed for management and treatment outcomes. The results demonstrated that patients had median follow up of 30 months, a 5-year disease-free survival of 57.1% and 5-year overall survival of 57.1%. The majority of patients had at least T2 disease and all tumours were high grade. Additionally, most patients were triple negative and nodal metastases were uncommon. Metaplastic breast cancer is an aggressive variant of invasive breast cancer. Most patients can be treated with breast conservation and survival parameters tend to be worse than more common breast cancer subtypes.

摘要

化生性乳腺癌是浸润性导管癌的一种罕见亚型,临床预后往往较差。在获得伦理批准后,本研究回顾了约2500例乳腺癌女性患者的机构记录。共对14例化生性乳腺癌患者的治疗及治疗结果进行了回顾。结果显示,患者的中位随访时间为30个月,5年无病生存率为57.1%,5年总生存率为57.1%。大多数患者至少患有T2期疾病,所有肿瘤均为高级别。此外,大多数患者为三阴性,淋巴结转移并不常见。化生性乳腺癌是浸润性乳腺癌的一种侵袭性变体。大多数患者可采用保乳治疗,但其生存参数往往比更常见的乳腺癌亚型更差。