Department of Medical Oncology, University Medical Center Utrecht, the Netherlands.
Department of Medical Oncology, University Medical Center Utrecht, the Netherlands.
Crit Rev Oncol Hematol. 2021 Dec;168:103494. doi: 10.1016/j.critrevonc.2021.103494. Epub 2021 Oct 26.
The definition of PABC is inconsistently given as either breast cancer diagnosed exclusively during pregnancy, or combined with breast cancer diagnosed within six months to five years after delivery, and sometimes even longer. The longer away from the delivery date breast cancer is diagnosed, the less clear this association with pregnancy may become. Therefore, breast cancer diagnosed during pregnancy (BCdP) may not necessarily be the same disease entity as PABC. This review aims to provide an overview of BCdP receptor status, as this has not been assessed before. BCdP tumors were predominantly ER negative (56.6 %), PR negative (57.2 %) or both ER and PR negative (47.9 %). Moreover, HER2-overexpression was seen in 33.2 % of BCdP patients and 27.6 % had triple negative disease. This predominantly ER and PR negative profile with more often HER2 overexpression is aggressive and distinct from non-pregnant similar-aged patients, warranting future comparative research.
PABC 的定义不一致,有以下两种定义:仅在怀孕期间诊断出的乳腺癌,或与产后 6 个月至 5 年内诊断出的乳腺癌相结合,有时甚至更长时间。乳腺癌距离分娩日期越远,其与妊娠的相关性就越不明确。因此,怀孕期间诊断出的乳腺癌(BCdP)可能不一定与 PABC 是同一种疾病实体。本综述旨在提供对 BCdP 受体状态的概述,因为这之前尚未进行评估。BCdP 肿瘤中 ER 阴性(56.6%)、PR 阴性(57.2%)或 ER 和 PR 均阴性(47.9%)的比例较高。此外,BCdP 患者中有 33.2%存在 HER2 过表达,33.2%有三阴性疾病。这种 ER 和 PR 阴性为主,HER2 过表达更为常见的模式具有侵袭性,与非妊娠的同年龄患者不同,需要进一步进行比较研究。