中华临床医师杂志(电子版)
中華臨床醫師雜誌(電子版)
중화림상의사잡지(전자판)
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2014年
21期
3841-3845
,共5页
王虎明%张文博%于立书%崔玉琴
王虎明%張文博%于立書%崔玉琴
왕호명%장문박%우립서%최옥금
乳腺肿瘤%病理学,临床%种族
乳腺腫瘤%病理學,臨床%種族
유선종류%병이학,림상%충족
Breast neoplasms%Pathology,clinical%Race
目的:目前,内蒙古地区仍然缺乏三阴性乳腺癌临床及病理特征的研究资料,本项研究旨在阐明内蒙古中部地区妇女三阴性乳腺癌相关危险因素及临床病理学特征。方法我们对210例于2009年5月至2013年10月收集的乳腺癌患者的临床资料进行分析,其中三阴性乳腺癌组90人,非三阴性乳腺癌组120人,比较两组之间的年龄、生活习惯、种族、居住地区、生殖因素以及临床病理学特征。结果三阴性乳腺癌发病率在年龄<60岁(OR=2.783,95%CI 1.380~5.001)、BMI>25 kg/m2(OR=3.804,95%CI 1.668~4.287)、抑制泌乳(OR=2.306,95%CI 1.426~5.048)、使用避孕药(OR=1.832,95%CI 1.046~3.656)、产次>2次的患者(OR=1.256,95%CI 1.321~4.347)、绝经前妇女(OR=1.631,95%CI 1.324-3.474)、牧区居民(OR=1.186,95%CI 0.463~2.165)、蒙古族(OR=1.58,95%CI:1.49~2.28)以及嗜酒(OR=1.276,95%CI 0.372~2.148)中高于对照组。三阴性乳腺癌主要为进展期的浸润性导管癌,并且具有更高的 T 和 M 分期。结论我们的研究表明年龄、肥胖、抑制泌乳以及使用口服避孕药等因素均为内蒙古地区妇女三阴性乳腺癌的危险因素。此外与非三阴性乳腺癌相比,三阴性乳腺癌远处转移早,恶性程度高,临床预后差。
目的:目前,內矇古地區仍然缺乏三陰性乳腺癌臨床及病理特徵的研究資料,本項研究旨在闡明內矇古中部地區婦女三陰性乳腺癌相關危險因素及臨床病理學特徵。方法我們對210例于2009年5月至2013年10月收集的乳腺癌患者的臨床資料進行分析,其中三陰性乳腺癌組90人,非三陰性乳腺癌組120人,比較兩組之間的年齡、生活習慣、種族、居住地區、生殖因素以及臨床病理學特徵。結果三陰性乳腺癌髮病率在年齡<60歲(OR=2.783,95%CI 1.380~5.001)、BMI>25 kg/m2(OR=3.804,95%CI 1.668~4.287)、抑製泌乳(OR=2.306,95%CI 1.426~5.048)、使用避孕藥(OR=1.832,95%CI 1.046~3.656)、產次>2次的患者(OR=1.256,95%CI 1.321~4.347)、絕經前婦女(OR=1.631,95%CI 1.324-3.474)、牧區居民(OR=1.186,95%CI 0.463~2.165)、矇古族(OR=1.58,95%CI:1.49~2.28)以及嗜酒(OR=1.276,95%CI 0.372~2.148)中高于對照組。三陰性乳腺癌主要為進展期的浸潤性導管癌,併且具有更高的 T 和 M 分期。結論我們的研究錶明年齡、肥胖、抑製泌乳以及使用口服避孕藥等因素均為內矇古地區婦女三陰性乳腺癌的危險因素。此外與非三陰性乳腺癌相比,三陰性乳腺癌遠處轉移早,噁性程度高,臨床預後差。
목적:목전,내몽고지구잉연결핍삼음성유선암림상급병리특정적연구자료,본항연구지재천명내몽고중부지구부녀삼음성유선암상관위험인소급림상병이학특정。방법아문대210례우2009년5월지2013년10월수집적유선암환자적림상자료진행분석,기중삼음성유선암조90인,비삼음성유선암조120인,비교량조지간적년령、생활습관、충족、거주지구、생식인소이급림상병이학특정。결과삼음성유선암발병솔재년령<60세(OR=2.783,95%CI 1.380~5.001)、BMI>25 kg/m2(OR=3.804,95%CI 1.668~4.287)、억제비유(OR=2.306,95%CI 1.426~5.048)、사용피잉약(OR=1.832,95%CI 1.046~3.656)、산차>2차적환자(OR=1.256,95%CI 1.321~4.347)、절경전부녀(OR=1.631,95%CI 1.324-3.474)、목구거민(OR=1.186,95%CI 0.463~2.165)、몽고족(OR=1.58,95%CI:1.49~2.28)이급기주(OR=1.276,95%CI 0.372~2.148)중고우대조조。삼음성유선암주요위진전기적침윤성도관암,병차구유경고적 T 화 M 분기。결론아문적연구표명년령、비반、억제비유이급사용구복피잉약등인소균위내몽고지구부녀삼음성유선암적위험인소。차외여비삼음성유선암상비,삼음성유선암원처전이조,악성정도고,림상예후차。
Objective Currently, there are limited clinical and pathological data for triple-negative breast cancer in developing country. The study aims to clarify the risk factors and clinicopathologic characteristics of triple-negative breast cancer in inner mongolia women. Methods We conduct an analysis about the clinical data of 210 breast cancer patients who were treated in baotou cancer hospital between May, 2009 and October, 2013. 210 patients were divided into triple negative breast cancer group (n=90) and control group (n=120), then the lifestyle, residence, race, reproductive factors and clinicopathological features were compared between two groups. Results Triple negative breast cancer risk was found to be increased in women with age<60 (OR=2.783, 95% CI 1.380-5.001), body mass index>25 kg/m2 (OR=3.804, 95%CI 1.668-4.287), lactation suppression (OR=2.306, 95%CI 1.426-5.048), the use of oral contraceptives (OR=1.832, 95% CI 1.046-3.656), parity>2 (OR=1.256, 95% CI 1.321-4.347), premenopausal women (OR=1.631, 95% CI 1.324-3.474), pasturing area residence (OR=1.186, 95% CI 0.463-2.165), mongol race (OR=1.58, 95% CI: 1.49-2.28) and drinking (OR=1.276, 95% CI 0.372-2.148). Furthermore, our result also showed that most triple negative breast cancer were advanced invasive ductal carcinoma, with a higher T and M stage. Conclusions Our results indicate that age, obesity, residence, mongol race, suppress of lactation and the use of oral contraceptives were found significant association with increased triple negative breast cancer. Moreover, compared with non-triple negative breast cancer, triple negative breast cancer have a higher degree of malignancy.