Serum High Sensitivity C - reactive protein At Different Stages of Breast Cancer

Farzana Binte Abedin Leera, M. Billah, Md. Nazmus Sadat, Md. Rezwanur Rahman, Sabrina Tymee, Sanzana Binte Abedin
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Abstract

Background: Breast cancer continues to be a leading cause of morbidity and mortality worldwide. In recent years, there has been a growing interest in identifying reliable biomarkers that can aid in the early detection, prognosis, and monitoring of breast cancer. High sensitivity C-reactive protein (hs-CRP), a sensitive marker of systemic inflammation, has gained attention for its potential association with various malignancies, including breast cancer. Objective: This study was designed to estimate the serum level of hs-CRP in different stages of breast cancer patients and determine its relation with the disease progression. Methods: This cross-sectional analytical study included a total of 60 women ranging in age from 30 to 65, and divided into two groups. Group A includes 30 diagnosed breast cancer patients, and group B includes 30 age-matched apparently healthy women according to the selection criteria. Serum hs-CRP (mg/L) was estimated for both groups. The mean and median values of the variable were compared between the groups by unpaired students't-tests and Mann-Whitney U tests. The level of significance was defined as p-value <0.05 at 95% confidence interval. Results: There was no significant difference in age and BMI between study groups. The median value of serum hs-CRP (mg/L) level was significantly (p<0.009) higher in breast cancer patients (3.57 mg/L) when compared to age-matched healthy women (1.56 mg/L). Serum hs-CRP concentrations of cases were increased significantly with the staging of breast cancer. Conclusion: This study revealed a significant relationship between hs-CRP levels with different stages of breast cancer. Estimating hs-CRP might be a useful tool for early detection, prognosis, and monitoring of breast cancer.
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乳腺癌不同阶段的血清高敏 C 反应蛋白
背景:乳腺癌仍然是全球发病和死亡的主要原因。近年来,人们对确定有助于乳腺癌早期检测、预后和监测的可靠生物标志物越来越感兴趣。高灵敏度 C 反应蛋白(hs-CRP)是一种敏感的全身炎症标志物,因其与包括乳腺癌在内的各种恶性肿瘤的潜在关联而备受关注。研究目的本研究旨在估测不同阶段乳腺癌患者血清中的 hs-CRP 水平,并确定其与疾病进展的关系。研究方法这项横断面分析研究共纳入 60 名女性,年龄从 30 岁到 65 岁不等,分为两组。A 组包括 30 名确诊的乳腺癌患者,B 组包括 30 名年龄匹配、符合筛选标准的表面健康女性。对两组妇女的血清 hs-CRP(毫克/升)进行估算。通过非配对学生 t 检验和 Mann-Whitney U 检验比较两组变量的平均值和中位值。显著性水平定义为在 95% 置信区间内 p 值小于 0.05。结果研究组间的年龄和体重指数无明显差异。与年龄匹配的健康女性(1.56 mg/L)相比,乳腺癌患者血清中hs-CRP(mg/L)水平的中位值(3.57 mg/L)明显更高(p<0.009)。病例血清中的 hs-CRP 浓度随乳腺癌分期的增加而明显升高。结论本研究揭示了 hs-CRP 水平与乳腺癌不同分期之间的重要关系。估计 hs-CRP 可能是早期检测、预后和监测乳腺癌的有用工具。
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