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乳腺癌的罕见组织学类型:单中心经验

Rare Histological Types of Breast Cancer: A Single-Center Experience.

作者信息

Sağdıç Mehmet Furkan, Özaslan Cihangir

机构信息

Department of Surgical Oncology, Ankara Etlik City Hospital, Ankara, Turkey.

Department of Surgical Oncology, University of Health Sciences Ankara Oncology Training and Research Hospital, Ankara, Turkey.

出版信息

Breast J. 2025 Mar 9;2025:1179914. doi: 10.1155/tbj/1179914. eCollection 2025.

DOI:10.1155/tbj/1179914
PMID:40224949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11991780/
Abstract

Breast carcinoma is divided into at least 21 separate histologies, according to the 2019 World Health Organization (WHO) classification. The present study is dedicated to a 5% or rarer group of all breast cancer cases. In this study, we retrospectively considered the data of 4550 patients operated on for breast carcinoma at the Ankara Oncology Training and Research Hospital of the University of Health Sciences between January 2018 and February 2024. Of those cases, 401 were discovered to have rare breast cancer types. We also explored the cases by clinicopathological features, overall survival (OS), and disease-free survival (DFS). Our findings revealed a total of 10 rare breast cancer types in patients explored: mucinous carcinoma, micropapillary carcinoma, papillary group carcinomas, metaplastic carcinoma, neuroendocrine carcinoma, tubular carcinoma, cribriform carcinoma, apocrine carcinoma, acinic cell carcinoma, and secretory carcinoma. While mucinous, tubular, cribriform, papillary group carcinomas, micropapillary, and secretory carcinomas are described as types associated with good prognosis, metaplastic, neuroendocrine, apocrine, and carcinomas are described as types associated with relatively poor prognosis. Scrutinizing the clinicopathological features of rare breast cancer types altogether may be the distinct contribution of this paper to the relevant literature and future research.

摘要

根据2019年世界卫生组织(WHO)的分类,乳腺癌至少可分为21种不同的组织学类型。本研究聚焦于所有乳腺癌病例中占比5%或更少的一组病例。在本研究中,我们回顾性分析了2018年1月至2024年2月期间在健康科学大学安卡拉肿瘤培训与研究医院接受乳腺癌手术的4550例患者的数据。在这些病例中,发现401例患有罕见的乳腺癌类型。我们还通过临床病理特征、总生存期(OS)和无病生存期(DFS)对这些病例进行了探究。我们的研究结果显示,在探究的患者中共有10种罕见的乳腺癌类型:黏液癌、微乳头癌、乳头型癌、化生性癌、神经内分泌癌、小管癌、筛状癌、大汗腺癌、腺泡细胞癌和分泌性癌。虽然黏液癌、小管癌、筛状癌、乳头型癌、微乳头癌和分泌性癌被描述为预后良好的类型,但化生性癌、神经内分泌癌、大汗腺癌和腺泡细胞癌被描述为预后相对较差的类型。全面审视罕见乳腺癌类型的临床病理特征可能是本文对相关文献和未来研究的独特贡献。

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本文引用的文献

1
Rare Breast Cancer Histotypes-A Retrospective Study and Literature Review.罕见乳腺癌组织学类型——一项回顾性研究及文献综述
J Clin Med. 2024 Jan 23;13(3):643. doi: 10.3390/jcm13030643.
2
Metaplastic Breast Carcinoma: Clinicopathologic Features and Recurrence Score Results From a Population-based Database.化生性乳腺癌:基于人群数据库的临床病理特征和复发评分结果。
Am J Clin Oncol. 2023 Dec 1;46(12):559-566. doi: 10.1097/COC.0000000000001041. Epub 2023 Sep 14.
3
Pure Tubular Breast Carcinoma: Clinicopathological Characteristics and Clinical Outcomes.单纯性管状乳腺癌:临床病理特征及临床结局
Eur J Breast Health. 2023 Apr 1;19(2):115-120. doi: 10.4274/ejbh.galenos.2023.2022-12-9. eCollection 2023 Apr.
4
Metaplastic breast cancer: A review.化生性乳腺癌:综述。
Crit Rev Oncol Hematol. 2023 Feb;182:103924. doi: 10.1016/j.critrevonc.2023.103924. Epub 2023 Jan 22.
5
Invasive micropapillary breast carcinoma: A retrospective study on the clinical imaging features and pathologic findings.浸润性微乳头状乳腺癌:临床影像特征与病理结果的回顾性研究
Front Surg. 2022 Sep 23;9:1011773. doi: 10.3389/fsurg.2022.1011773. eCollection 2022.
6
Analysis of the Influencing Factors of Sentinel Lymph Node Metastasis in Breast Cancer.乳腺癌前哨淋巴结转移的影响因素分析
Evid Based Complement Alternat Med. 2022 Aug 9;2022:5775971. doi: 10.1155/2022/5775971. eCollection 2022.
7
Triple-Negative Apocrine Breast Carcinoma Has Better Prognosis despite Poor Response to Neoadjuvant Chemotherapy.三阴性大汗腺癌尽管对新辅助化疗反应不佳,但预后较好。
J Clin Med. 2022 Mar 14;11(6):1607. doi: 10.3390/jcm11061607.
8
Micropapillary Breast Carcinoma: From Molecular Pathogenesis to Prognosis.微乳头型乳腺癌:从分子发病机制到预后
Breast Cancer (Dove Med Press). 2022 Mar 12;14:41-61. doi: 10.2147/BCTT.S346301. eCollection 2022.
9
Comparative analysis of clinicopathologic characteristics and molecular subtypes of invasive papillary carcinoma of the breast and invasive ductal carcinoma: results from SEER database.比较乳腺浸润性乳头状癌和浸润性导管癌的临床病理特征和分子亚型:来自 SEER 数据库的结果。
J BUON. 2021 Sep-Oct;26(5):1991-2002.
10
Apocrine Breast Cancer: Unique Features of a Predominantly Triple-Negative Breast Cancer.大汗腺癌:一种以三阴性乳腺癌为主的独特特征。
Ann Surg Oncol. 2021 Oct;28(10):5610-5616. doi: 10.1245/s10434-021-10518-9. Epub 2021 Aug 23.