不同分子亚型可手术乳腺癌患者个体化综合治疗的临床观察
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童钟, Email: toto6993@163.com

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国家自然科学基金资助项目(81172082)。


Clinical observation of the individualized comprehensive therapy for patients with breast cancer of different molecular subtypes
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    摘要:

    目的:探讨不同亚型可手术乳腺癌患者的治疗策略。 方法:回顾性分析2007年3月1日—2009年12月30日收治的80例可手术乳腺癌患者的临床资料。 结果:根据肿块大小、浸润深度和淋巴结转移情况决定手术方式。术后根据免疫组化测定的分子亚型[即luminal A型,luminal B型,HER-2过表达型,基底细胞样(basal-like)型]采用相应的个体化综合治疗措施。88.8%患者获得满意治疗效果,3例局部复发,6例出现远处转移。其中luminal A,B型的无瘤生存率较高,HER-2过表达型和basal-like型的预后较差,易出现局部复发或远处转移。 结论:可手术乳腺癌患者术后采用针对不同亚型的个体化综合治疗是有效的治疗策略。

    Abstract:

    Objective: To investigate the treatment strategies for patients with operable breast cancer of different subtypes. Methods: The clinical data of 80 patients with operable breast cancer admitted from March 2007 to December 2009 were retrospectively analyzed. Results: Different surgical procedures were done to the patients according to their tumor size, depth of invasion and lymphatic metastasis. Postoperatively, the patients underwent individualized combination therapy depending on their tumor molecular subtypes, namely luminal A, luminal B, HER2-enriched and basal-like, determined by immunohistological method. Satisfactory therapeutic results were obtained in 88.8% of the patients. Local recurrence occurred in 3 patients and distant metastasis occurred in 6 patients, respectively. The patients with luminal A or B breast cancer had a higher disease-free survival rate, while those with Her-2-enriched and basal-like breast cancer showed a poor prognosis as evidenced by increased local recurrence and distant metastasis. Conclusion: The postoperative individualized comprehensive therapy depending on different molecular subtypes is an effective treatment strategy for the operable breast cancer patients.

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童钟|李鸿君|朱立新.不同分子亚型可手术乳腺癌患者个体化综合治疗的临床观察[J].中国普通外科杂志,2012,21(11):1353-1356.
DOI:10.7659/j. issn.1005-6947.2012.11.007

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  • 收稿日期:2012-05-24
  • 最后修改日期:2012-10-11
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  • 在线发布日期: 2012-11-15