三阴性乳腺癌的临床病理特征分析
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钱宏美 E-mail:qianhongmei2008@yahoo.cn

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Clinicopathological features of triple-negative breast cancer
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    摘要:

    目的:探讨三阴性乳腺癌(TNBC)的临床病理特征。
    方法:回顾性分析4年间资料完整的38例TNBC患者临床资料,包括患者的一般状况、病理特点、分子标志物、复发与转移状况,并与同期非TNBC进行比较。
    结果:≤35岁的患者在TNBC及非TNBC中分别占21.05%(8/38)和5.14%(15/292)(P<0.05)。TNBC组中有淋巴结转移者60.53%(23/38),高于非TNBC的43.49%(127/292)(P<0.05),TNBC组中组织学III级者52.63%(20/38)高于非TNBC组的35.27%(103/292)(P<0.05),TNBC中有瘤周脉管侵犯者占31.58%(12/38)高于非TNBC的15.41%(45/292)(P<0.05)。TNBC组表皮生长因子受体(EGFR)阳性率、血管内皮生长因子(VEGF)阳性率、E-钙黏附蛋白(E-cad)异常表达率分别为81.58%(31/38),78.95%(30/38),65.79%(25/38),高于非TNBC组的39.73%(116/292),61.30%(179/292),48.29%(141/292)(均P<0.05)。远处转移率在TNBC组中分别为23.68%(9/38),非TNBC为11.99%(35/292),差异有统计学意义(P<0.05)。
    结论:TNBC较多见于年轻患者,浸润转移率高,预后不良。

    Abstract:

    Objective: To identify the clinicopathological features of triple-negative breast cancer (TNBC).
    Methods: There were 38 TNBC patients with complete records available who were admitted to our hospital over a 4-year period. Their clinical data that included the general conditions, pathological features, molecular markers, recurrence and metastasis were retrospectively analyzed and were compared with those of non-TNBC patients admitted during the same period.
    Results: In the TNBC and non-TNBC patients, the cases less than 35 years old accounted for 21.05% and 5.14%, respectively (P<0.05). The patients with lymph nodes metastases accounted for 60.53% (23/38) of the TNBC patients, which was higher than that of the non-TNBC patients (43.49%, 127/292) (P<0.05). Tumors of histological grade III were found in 52.63% (20/38) of the TNBC patients, which was higher than that of the non-TNBC patients (35.27%, 103/292) (P<0.05). Peritumoral vascular invasion occurred in 31.58% (12/38) of TNBC patients, which was higher than that of the non-TNBC patients (15.41%, 45/292) (P<0.05). The positive rate of epidermal growth factor receptor (EGFR) and vascular endothelial growth factor (VEGF), and the abnormal expression rate of E-cadherin were 81.58% (31/38), 78.95% (30/38) and 65.79% (25/38), respectively, in the TNBC patients, all which were higher than those in the non-TNBC patients [39.73% (116/292), 61.30% (179/292) and 48.29% (141/292)] (all P<0.05). The distant metastasis rate was 23.68% (9/38) in the TNBC patients and 11.99% (35/292) in the non-TNBC patients, respectively, and that was statistically different (P<0.05).
    Conclusions: TNBC usually occurs in young people, and has a higher metastasis rate and poor prognosis.

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钱宏美|张亚男|张勇|嵇振岭.三阴性乳腺癌的临床病理特征分析[J].中国普通外科杂志,2011,20(11):1196-1198.
DOI:10.7659/j. issn.1005-6947.2011.11.012

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  • 收稿日期:2010-12-22
  • 最后修改日期:2011-06-14
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  • 在线发布日期: 2011-11-15