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评估乳腺癌患者的 2D:4D 比值。

Evaluation of digit ratio (2D:4D) in breast cancer patients.

机构信息

Department of Medical Oncology, Kayseri City Hospital, Kayseri, Turkey.

Department of Medical Oncology, Kanuni Research and Education Hospital, Trabzon, Turkey.

出版信息

Sci Rep. 2024 Jun 14;14(1):13722. doi: 10.1038/s41598-024-64692-3.

Abstract

Breast cancer is a hormone-dependent cancer. Hormonal exposure begins in the intrauterine period and continues in later years of life. 2D:4D ratio is accepted as an indicator of this exposure. The aim of this study was to investigate whether there is a difference in 2D:4D ratio between pathological subgroups of breast cancer and healthy control group. In this study, 204 participants, 154 breast cancer patients and 50 healthy control volunteers with similar age distribution, were included. Both hands of all participants were scanned using a digital scanner. The second and fourth finger lengths were measured using a digital measuring ruler with an accuracy of 0.05 mm. The 2D:4D ratio was calculated as the length of the second finger divided by the length of the fourth finger. A total of 204 patients (55 triple negative, 52 luminal B, 33 luminal A, 14 HER2-overexpessing and 50 healthy control volunteers) were subjected to finger scanning. There was no statistically significant difference in mean age between the groups. The right hand 2D:4D ratio was significantly lower in the Luminal A group compared to the other groups (p < 0.048). Although prenatal hormonal exposure is accepted as a risk factor for breast cancer, no study has evaluated patients in pathological subgroups. The 2D:4D ratio may be associated with breast cancer especially in the luminal A group in which hormone receptors are strongly positive and which has a better prognosis compared to the other groups.

摘要

乳腺癌是一种激素依赖性癌症。激素暴露始于宫内期,并持续到生命的后期。2D:4D 比值被认为是这种暴露的一个指标。本研究旨在探讨乳腺癌的病理亚组与健康对照组之间 2D:4D 比值是否存在差异。在这项研究中,纳入了 204 名参与者,包括 154 名乳腺癌患者和 50 名年龄分布相似的健康对照组志愿者。所有参与者的双手均使用数字扫描仪进行扫描。使用数字测量尺测量第二和第四指的长度,精度为 0.05 毫米。2D:4D 比值计算为第二指长度除以第四指长度。共有 204 名患者(55 名三阴性,52 名 luminal B,33 名 luminal A,14 名 HER2 过表达和 50 名健康对照组志愿者)接受了手指扫描。组间平均年龄无统计学差异。与其他组相比,Luminal A 组的右手 2D:4D 比值显著降低(p < 0.048)。虽然产前激素暴露被认为是乳腺癌的一个危险因素,但没有研究评估过病理亚组的患者。2D:4D 比值可能与乳腺癌有关,尤其是在激素受体强阳性的 luminal A 组,与其他组相比,该组预后较好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db68/11178796/6b0a42fba637/41598_2024_64692_Fig1_HTML.jpg

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