Vitamin D Deficiency and Tumor Response Failure in Breast Cancer Patients Receiving Neoadjuvant Chemotherapy at a Medical Center in Mexico

S. Macías-Díaz, Ana Lilia Castruita Avila, J. G. Reinoso Toledo, M. García Carrasco
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Abstract

Background: Vitamin D deficiency has been associated with not achieving a complete pathological response in patients with breast cancer after neoadjuvant chemotherapy. The objective of this study was to determine whether vitamin D deficiency is associated with tumor response failure in patients with breast cancer operated and who received neoadjuvant chemotherapy. Materials and Methods: This was a prospective, cross-sectional, analytical and observational study. Vitamin D was measured in patients with breast cancer who had received neoadjuvant chemotherapy and its association with tumor response was determined. For the inferential analysis, the Student’s t-test, chi-square test, and Fisher’s exact test were used. A p value <0.05 was considered statistically significant. Results: Thirty-six patients were included. There was tumor response failure to treatment in 69.3% and vitamin D deficiency occurred in 58.3%. No association was found between vitamin D deficiency and tumor response failure (p = 0.729), histological type (p = 0.691), molecular profile (p = 0.969), clinical stage (p = 0.468) or menopause status (p = 0.701). Conclusion: Vitamin D deficiency is not associated with tumor response failure in breast cancer patients who received neoadjuvant chemotherapy.
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维生素D缺乏和肿瘤反应失败的乳腺癌患者接受新辅助化疗在墨西哥的医疗中心
背景:维生素D缺乏与乳腺癌患者在新辅助化疗后未达到完全病理反应有关。本研究的目的是确定维生素D缺乏是否与接受新辅助化疗的乳腺癌手术患者的肿瘤反应失败有关。材料和方法:这是一项前瞻性、横断面性、分析性和观察性研究。在接受新辅助化疗的乳腺癌患者中测量维生素D,并确定其与肿瘤反应的关系。对于推理分析,使用了学生t检验、卡方检验和Fisher精确检验。p值<0.05认为有统计学意义。结果:纳入36例患者。治疗无效的患者占69.3%,维生素D缺乏的患者占58.3%。维生素D缺乏与肿瘤反应失败(p = 0.729)、组织学类型(p = 0.691)、分子谱(p = 0.969)、临床分期(p = 0.468)和绝经期(p = 0.701)无相关性。结论:在接受新辅助化疗的乳腺癌患者中,维生素D缺乏与肿瘤反应失败无关。
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