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乳腺癌术后接受内分泌治疗的患者发生子宫内膜癌的危险因素分析
引用本文:韩文鹤,王晓彤,陈艳丽. 乳腺癌术后接受内分泌治疗的患者发生子宫内膜癌的危险因素分析[J]. 医学临床研究, 2021, 38(3): 428-430,433
作者姓名:韩文鹤  王晓彤  陈艳丽
作者单位:山东省立第三医院,山东 济南 250031
摘    要:[目的]探讨乳腺癌术后接受内分泌治疗的患者发生子宫内膜癌的危险因素.[方法]回顾性分析2015年1月至2020年3月本院收治的288例乳腺癌术后接受内分泌治疗出现子宫内膜病变的患者临床资料,根据不同病变类型将其分为子宫内膜息肉组(n=209)、子宫内膜增生组(n=47)、子宫内膜癌组(n=32).收集患者的临床资料,回...

关 键 词:乳腺肿瘤/外科学  乳腺肿瘤/并发症  子宫内膜肿瘤/并发症  托瑞米芬/治疗应用  芳香酶抑制剂/治疗应用  危险因素

Risk factors of Endometrial Cancer in Patients Receiving Endocrine Therapy after Breast Cancer Surgery
HAN Wen-he,WANG Xiao-tong,CHEN Yan-li. Risk factors of Endometrial Cancer in Patients Receiving Endocrine Therapy after Breast Cancer Surgery[J]. Journal of Clinical Research, 2021, 38(3): 428-430,433
Authors:HAN Wen-he  WANG Xiao-tong  CHEN Yan-li
Affiliation:(Shandong Provincial Third Hospital,Jinan Shandong,250031,China)
Abstract:【Objective】To analyze the risk factors of endometrial cancer in patients undergoing endocrine therapy after breast cancer surgery.【Methods】The clinical data of 288 patients with endometrial lesions after endocrine therapy in our hospital from January 2015 to March 2020 were retrospectively analyzed.According to different types of lesions,they were divided into endometrial polyps group(n=209),endometrial hyperplasia group(n=47)and endometrial carcinoma group(n=32).The risk factors of endometrial cancer were analyzed retrospectively.【Results】There were significant differences in age,endometrial thickness,menopause and abnormal uterine bleeding among the three groups(P<0.05);endometrial thickness,menopause and abnormal uterine bleeding were independent risk factors for endometrial cancer in patients receiving endocrine therapy after breast cancer surgery(P<0.05);when endometrial thickness≥7.760 mm,the sensitivity of predicting endometrial cancer was 59.4%,the specificity was 73.9%,the sensitivity of menopause and abnormal uterine bleeding in predicting endometrial cancer was 75.0%and 71.9%respectively.The specificity was 39.1%and 24.5%respectively.【Conclusion】Menopause,abnormal uterine bleeding and endometrial thickness≥7.760 mm were independent risk factors for endometrial cancer in patients receiving endocrine therapy after breast cancer surgery.
Keywords:Breast Neoplasms/SU  Breast Neoplasms/CO  Endometrial Neoplasms/CO  Toremifene/TU  Aromatase Inhibitors/TU  Risk Factors
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