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美国达拉斯卫理公会医疗系统男性乳腺癌患者的人口统计学、特征及治疗结果

Demographics, Characteristics, and Outcomes of Male Breast Cancer Patients at the Methodist Health System, Dallas, USA.

作者信息

Nong Huy Q, Eastwood Darcy, Rodriguez Kimberly, Puri Vichin

机构信息

Internal Medicine, Methodist Dallas Medical Center, Dallas, USA.

Geriatrics, Baylor College of Medicine, Houston, USA.

出版信息

Cureus. 2023 Nov 25;15(11):e49394. doi: 10.7759/cureus.49394. eCollection 2023 Nov.

Abstract

Breast cancer (BC) is the most common cancer in women and has been extensively studied; however, male BC (MBC) is rare with limited clinical data. Treatment options for MBC are extrapolated from clinical studies in BC in women and have traditionally excluded MBC cases. Over the past decade, an increase in the incidence of MBC has been seen. The purpose of this study is to comprehensively analyze the clinical, pathological, and treatment-related characteristics of MBC cases within our institution's database. MBC cases from 2010 to 2021 at Methodist Dallas Medical Center (MDMC), Dallas, USA, were reviewed retrospectively from the electronic health record and database, and clinical information was obtained. During this time period from 2010 to 2021, there was a total of 1,784 cases of BC with only eight cases (0.45%) consisting of MBC. In our cohort, 75% of MBC cases had a family history of cancer in a first-degree relative. Additionally, 100% of all MBC cases are hormone receptor-positive. No cases of MBC had HER2/neu over-expression. Fifty percent of our MBC patients were diagnosed with locally advanced tumors or metastatic disease. The overall survival (OS) of MBC in our study was 72%.

摘要

乳腺癌(BC)是女性中最常见的癌症,并且已经得到了广泛研究;然而,男性乳腺癌(MBC)较为罕见,临床数据有限。MBC的治疗方案是从针对女性BC的临床研究中推断出来的,传统上排除了MBC病例。在过去十年中,MBC的发病率有所上升。本研究的目的是全面分析我们机构数据库中MBC病例的临床、病理及治疗相关特征。对美国达拉斯卫理公会医疗中心(MDMC)2010年至2021年的MBC病例进行回顾性研究,从电子健康记录和数据库中获取临床信息。在2010年至2021年这段时间里,共有1784例BC病例,其中只有8例(0.45%)为MBC。在我们的队列中,75%的MBC病例有一级亲属患癌家族史。此外,所有MBC病例中有100%为激素受体阳性。没有MBC病例出现HER2/neu过表达。我们50%的MBC患者被诊断为局部晚期肿瘤或转移性疾病。我们研究中MBC的总生存率(OS)为72%。

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