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乳腺癌的流行病学和分子特征:摩洛哥卡萨布兰卡的一项回顾性研究。

Epidemiological and molecular profile of breast cancer: a retrospective study in Casablanca, Morocco.

作者信息

Khadiri Khadija, Khadrouf Zineb, Mellouki Abderrahmane, Bouchra Oumaima, Essalihi Amina, Naya Abdallah, Benchekroun Majda Taoudi, Karkouri Mehdi

机构信息

Laboratory of Immunology and Biodiversity, Faculty of Sciences Ain Chock, Hassan II University, Casablanca, Morocco.

Department of Pathology, University Hospital Center Ibn Rochd, Casablanca, Morocco.

出版信息

Pan Afr Med J. 2025 Apr 22;50:105. doi: 10.11604/pamj.2025.50.105.43868. eCollection 2025.


DOI:10.11604/pamj.2025.50.105.43868
PMID:40656144
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12245639/
Abstract

INTRODUCTION: breast cancer is a major public health concern in Morocco due to delayed diagnosis and treatment, largely due to its high incidence. It is the most prevalent cancer in women. This study aimed to report the epidemiological and the molecular profile of invasive breast carcinoma using surrogate immunohistochemical markers. METHODS: during 24 months from 1 January 2020 to 31 December 2021 at the Pathology Department of Ibn Rochd University Hospital of Casablanca, Morocco, we conducted a retrospective study comprised 1,558 breast cancer cases, including male patients. The generated data was analyzed using GraphPad Prism 8 software to define the epidemiological and molecular features of breast cancer. RESULTS: this epidemiological study reveals that the mean age of patients was 52 ± 12.27 years. The most common histological type is invasive breast carcinoma of no special type, which accounts for 90.5% (n=1,410) of cases. Regarding Ellis and Elston modified Scarff-Bloom-Richardson (SBR) grade, grade III was the most common, 52.2% (n=521), followed by grade II, 44% (n=438), and grade I, 3.8% (n=38), as assessed by the SBR grade. The molecular classification results indicate that luminal B was the most common subtype at 52.2% (n=441), followed by triple-negative at 19.6% (n=166), with HER2 phenotype representing 17.4% (n=147) and luminal A at 10.8% (n=91). CONCLUSION: this study highlights that invasive breast carcinoma of no special type is the most common type, with grade III tumors being the most frequent. The majority of cases were luminal B, underscoring the need for targeted therapeutic strategies.

摘要

引言:由于诊断和治疗延迟,乳腺癌在摩洛哥是一个主要的公共卫生问题,这在很大程度上归因于其高发病率。它是女性中最常见的癌症。本研究旨在使用替代免疫组化标志物报告浸润性乳腺癌的流行病学和分子特征。 方法:在2020年1月1日至2021年12月31日的24个月期间,在摩洛哥卡萨布兰卡伊本·罗什德大学医院病理科,我们进行了一项回顾性研究,纳入了1558例乳腺癌病例,包括男性患者。使用GraphPad Prism 8软件对生成的数据进行分析,以确定乳腺癌的流行病学和分子特征。 结果:这项流行病学研究显示,患者的平均年龄为52±12.27岁。最常见的组织学类型是无特殊类型的浸润性乳腺癌,占病例的90.5%(n = 1410)。根据埃利斯和埃尔斯顿改良的斯卡夫-布鲁姆-理查森(SBR)分级,III级最为常见,占52.2%(n = 521),其次是II级,占44%(n = 438),I级占3.8%(n = 38)。分子分类结果表明,腔面B型是最常见的亚型,占52.2%(n = 441),其次是三阴性,占19.6%(n = 166),HER2表型占17.4%(n = 147),腔面A型占10.8%(n = 91)。 结论:本研究强调无特殊类型的浸润性乳腺癌是最常见的类型,III级肿瘤最为常见。大多数病例为腔面B型, 这突出了针对性治疗策略的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69df/12245639/118f24c45b7b/PAMJ-50-105-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69df/12245639/118f24c45b7b/PAMJ-50-105-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69df/12245639/118f24c45b7b/PAMJ-50-105-g001.jpg

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本文引用的文献

[1]
Immunohistochemical-Based Molecular Subtypes of Female Breast Cancer: A Retrospective Cross-Sectional Study at Cheikh Khalifa Hospital in Casablanca, Morocco.

Cancer Control. 2024

[2]
Determining breast cancer biomarker status and associated morphological features using deep learning.

Commun Med (Lond). 2021-7-14

[3]
Ki-67 as a Prognostic Biomarker in Invasive Breast Cancer.

Cancers (Basel). 2021-9-3

[4]
Breast Cancer Therapeutics and Biomarkers: Past, Present, and Future Approaches.

Breast Cancer (Auckl). 2021-3-24

[5]
[Epidemiological and anatomopathological profile of breast cancer at the Ibn Rochd University Hospital, Casablanca].

Pan Afr Med J. 2020-9-9

[6]
Molecular Classification of Breast Cancer.

Adv Anat Pathol. 2020-1

[7]
Are Global Breast Cancer Incidence and Mortality Patterns Related to Country-Specific Economic Development and Prevention Strategies?

J Glob Oncol. 2018-7

[8]
Risk Factors and Preventions of Breast Cancer.

Int J Biol Sci. 2017-11-1

[9]
[Internal quality control on HER2 status determination in breast cancers: Experience of a cancer center].

Bull Cancer. 2017

[10]
High prevalence of luminal B breast cancer intrinsic subtype in Colombian women.

Carcinogenesis. 2016-7

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