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三阴性乳腺癌的临床病理特征和预后影响因素分析
引用本文:须捷平,徐曙光,张云,俞羚,吴连明,殷志强,曹晖.三阴性乳腺癌的临床病理特征和预后影响因素分析[J].上海交通大学学报(医学版),2011,31(5):637-641.
作者姓名:须捷平  徐曙光  张云  俞羚  吴连明  殷志强  曹晖
作者单位:上海交通大学医学院附属仁济医院普外科,上海,200127
摘    要:目的探讨三阴性乳腺癌(TNBC)的临床病理特征和预后影响因素。方法收集547例女性乳腺癌患者的病历及随访资料,患者分为TNBC组和非三阴性乳腺癌(non-TNBC)组,分析TNBC的临床病理特征和预后影响因素。结果 TNBC组和non-TNBC组的患者数分别为71(13.0%)和476(87.0%)。TNBC组与non-TNBC组患者年龄<35岁(14.1%vs1.1%)、有乳腺癌家族史(29.6%vs9.2%)、肿瘤直径>50 mm(22.5%vs8.0%)、肿瘤分期Ⅲ期(23.9%vs16.4%)、肿瘤分级Ⅲ级(40.8%vs28.8%)、有转移或复发(28.2%vs10.9%)等指标的差异均具有统计学意义(P<0.01或P<0.05),绝经状态、转移淋巴结数、病理类型、手术方式等指标差异均无统计学意义(P>0.05)。Kaplan-Meier生存分析显示,TNBC组患者5年无病生存率(DFS)和5年总生存率(OS)均显著低于non-TNBC组患者(65.8%vs85.3%,P<0.01;77.7%vs88.7%,P<0.05)。Cox比例风险回归模型分析显示,乳腺癌家族史、肿瘤分级和转移淋巴结数是影响T...

关 键 词:乳腺肿瘤  三阴性  雌激素受体  孕激素受体  人表皮生长因子受体2  临床特征  预后

Clinicopathological features and prognostic factors of triple-negative breast cancer
XU Jie-ping,XU Shu-guang,ZHANG Yun,YU Ling,WU Lian-ming,YIN Zhi-qiang,CAO Hui.Clinicopathological features and prognostic factors of triple-negative breast cancer[J].Journal of Shanghai Jiaotong University:Medical Science,2011,31(5):637-641.
Authors:XU Jie-ping  XU Shu-guang  ZHANG Yun  YU Ling  WU Lian-ming  YIN Zhi-qiang  CAO Hui
Institution:XU Jie-ping,XU Shu-guang,ZHANG Yun,YU Ling,WU Lian-ming,YIN Zhi-qiang,CAO Hui(Department of General Surgery,Renji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai200127,China)
Abstract:Objective To investigate the clinicopathological features and prognostic factors of triple-negative breast cancer(TNBC). Methods A total of 547 females with breast cancer were selected,and were divided into TNBC group and non-TNBC group.The clinicopathological features and prognostic factors of TNBC were analysed. Results The numbers of patients in TNBC group and non-TNBC group were 71(13.0%) and 476(87.0%),respectively.There were significant differences in the parameters of age low than 35 years(14.1% vs 1...
Keywords:breast neoplasm  triple-negative  estrogen receptor  progesterone receptor  human epidermal growth factor receptor 2  clinical characteristics  prognosis  
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