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男性乳腺癌的临床病理特征与预后

Clinicopathologic Features and Prognoses of Male Patients With Breast Cancer.

机构信息

Department of Thyroid, Breast and Vascular Surgery, Xijing Hospital, The Air Force Medical University, Xi'an, China.

出版信息

Am J Mens Health. 2024 Sep-Oct;18(5):15579883241284981. doi: 10.1177/15579883241284981.

Abstract

Breast cancer is rare in men and is managed using strategies similar to those for breast cancer in women. This study retrospectively analyzed the clinicopathological features, treatment, and survival of male breast cancer (MBC). A total of 66 patients with MBC admitted into Xijing Hospital from August 2006 to March 2024 were reviewed. Data were collected from patients' hospital records and breast cancer database of Xijing Hospital. The incidence of MBC tended to increase from 2018, with affected individuals being older than those with female breast cancer (FBC). The most common histological type of MBC was invasive carcinoma, with positive hormone receptor status. A total of 62 (93.9%) patients with MBC underwent modified radical mastectomy. Chemotherapy was administered to 39 (59.1%) patients, while endocrine therapy was received by 14 patients (21.2%) and radiotherapy by nine patients (13.6%). Survival analysis indicated that the median overall survival (OS) of patients with MBC was 46.7 months (0.9-184.8 months). As of the latest data, 58 patients (87.9%) with MBC are alive. Factors significantly associated with survival included age (χ = 3.856,  = .050), estrogen receptor (χ = 10.427,  = .005), molecular types (χ = 10.641,  = .031), P63 (χ = 2.631,  < .001), and endocrine therapy (χ = 31.167,  < .001). These findings provide valuable insights into MBC within the Chinese population and serve as a reference for the standard treatment of MBC.

摘要

男性乳腺癌罕见,其管理策略与女性乳腺癌相似。本研究回顾性分析了男性乳腺癌(MBC)的临床病理特征、治疗和生存情况。共分析了 2006 年 8 月至 2024 年 3 月间西京医院收治的 66 例 MBC 患者。数据来自患者的住院病历和西京医院乳腺癌数据库。MBC 的发病率呈上升趋势,从 2018 年开始,发病患者年龄大于女性乳腺癌(FBC)患者。MBC 最常见的组织学类型是浸润性癌,且激素受体状态阳性。62 例(93.9%)MBC 患者接受了改良根治性乳房切除术。39 例(59.1%)患者接受了化疗,14 例(21.2%)患者接受了内分泌治疗,9 例(13.6%)患者接受了放疗。生存分析表明,MBC 患者的中位总生存期(OS)为 46.7 个月(0.9-184.8 个月)。截至最新数据,58 例(87.9%)MBC 患者存活。与生存显著相关的因素包括年龄(χ²=3.856,  =0.050)、雌激素受体(χ²=10.427,  =0.005)、分子类型(χ²=10.641,  =0.031)、P63(χ²=2.631,  <0.001)和内分泌治疗(χ²=31.167,  <0.001)。这些发现为中国人群中的 MBC 提供了有价值的见解,并为 MBC 的标准治疗提供了参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1013/11457273/41a9ce3eb0ee/10.1177_15579883241284981-fig1.jpg

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