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系统评价和荟萃分析炎性乳腺癌患者生存治疗效果。

Systematic Review and Meta-Analysis of Treatment Effects on Survival in Patients with Inflammatory Breast Cancer.

机构信息

School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.

Department of Surgery, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.

出版信息

Asian Pac J Cancer Prev. 2023 Oct 1;24(10):3335-3343. doi: 10.31557/APJCP.2023.24.10.3335.

Abstract

The objective of this study was to determine the survival rate and the effects of different treatments on patients with inflammatory breast cancer (IBC). The study employed a systematic approach that included a search strategy across four databases: Embase, Web of Sciences, PubMed, and Scopus. The results obtained were screened initially by titles and abstracts, followed by full-texts in EndNote 8 software. The next stage involved data extraction and qualitative evaluation, where the Metan command was used to estimate the pooled survival rate. A total of 28 studies with a sample size of 63,796 were finally analyzed. The overall 3- and 5-year survival rates (OS) for IBC patients were found to be 52% (95% CI; 46-58%, I2: 99.42%) and 61% (95% CI; 53-69%, I2: 93.63%), respectively. The 5-year OS rates in patients with non-metastatic and metastatic IBC were 59% (95% CI; 54-63%, I2: 98.31%) and 30% (95% CI; 26-35%, I2: 50.84%), respectively. The 5-year OS rate in non-metastatic patients who underwent BCS surgery was 60% (CI 95%; 26-94%, I2: 95.13%). The overall 5- and 3-year OS rates for patients with IBC were lower than those for all types of breast cancer, and the rates were even lower in patients with metastasis. Therefore, it is recommended that healthcare workers and women at risk should be vigilant of early symptoms of IBC to prevent metastasis by seeking medical attention on time.

摘要

本研究旨在确定炎性乳腺癌(IBC)患者的生存率和不同治疗方法的效果。研究采用系统方法,在 Embase、Web of Sciences、PubMed 和 Scopus 这四个数据库中进行了检索策略。首先根据标题和摘要对结果进行筛选,然后在 EndNote 8 软件中筛选全文。接下来是数据提取和定性评估,使用 Metan 命令来估计合并生存率。最终共分析了 28 项研究,样本量为 63796 例。IBC 患者的总 3 年和 5 年生存率(OS)分别为 52%(95%CI:46-58%,I2:99.42%)和 61%(95%CI:53-69%,I2:93.63%)。非转移性和转移性 IBC 患者的 5 年 OS 率分别为 59%(95%CI:54-63%,I2:98.31%)和 30%(95%CI:26-35%,I2:50.84%)。接受 BCS 手术的非转移性患者的 5 年 OS 率为 60%(95%CI:26-94%,I2:95.13%)。IBC 患者的总体 5 年和 3 年 OS 率低于所有类型乳腺癌的 OS 率,转移性患者的 OS 率甚至更低。因此,建议医护人员和高危妇女应警惕 IBC 的早期症状,以便及时就医,防止转移。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be13/10770693/aa0d7cf3a32f/APJCP-24-3335-g001.jpg

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