Durand M
Bull Cancer. 1984;71(4):331-5.
The survival of the patients with breast cancer depends on many factors. The TNM system, which is the most widely used prognostic system takes into account only the size, and the local extension of the tumor, and presence or not of axillary or supraclavicular lymph nodes. The axillary nodes involvement is the single precise prognostic variable. However, other valuable and important factors are to be considered. As a matter of fact, the growth rate of the tumors, their estrogen and progesterone receptor status, and their histopathological grade may reflect with a better accuracy the tumor biology, and should be integrated among the variables to study before the choice of an adjuvant treatment.
乳腺癌患者的生存取决于许多因素。TNM系统是应用最广泛的预后系统,它仅考虑肿瘤的大小、局部扩展情况以及腋窝或锁骨上淋巴结的有无。腋窝淋巴结受累是唯一精确的预后变量。然而,还应考虑其他有价值且重要的因素。事实上,肿瘤的生长速度、雌激素和孕激素受体状态以及组织病理学分级可能更准确地反映肿瘤生物学特性,在选择辅助治疗之前应将这些因素纳入研究变量之中。