探讨乳腺癌的特点及其对生存率的影响

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摘要

乳腺癌是最主要的肿瘤形式,它仍然是女性癌症相关死亡的主要原因。在过去的四十年中;由于在疾病管理方面取得了重大进展,乳腺癌死亡率显著降低。本回顾性研究旨在评估伊拉克基尔库克市乳腺癌的临床和病理特征及分子分型。本研究收集了基尔库克肿瘤中心自2020年4月起9个月的280例乳腺癌患者的数据,患者平均年龄为50.05岁,诊断为腔A型乳腺癌的患者最多(57%),其中大部分(56.9%)年龄在41 - 50岁之间,结果显示绝经状态与生存率有显著相关性(p=0.002)。肿瘤分期(AIII)与绝经后法规之间存在显著相关性(p=0.002)。同时,在诊断为肿瘤ii期的患者中记录了更高的生存率(≥5年),而在诊断为肿瘤IV期的患者中,85%的患者的生存率低于5年。本研究的结果强调了在疾病管理中考虑分期和分子亚型以及患者年龄的重要性,并通过开发更可靠的诊断工具和不同分子亚型的治疗靶点来解决与腔内A (Her2阴性)乳腺癌相关的结果,最终提高女性对早期发现的重要性的认识。
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Exploring of Breast Cancer Characteristic Features and Their Influences on Survival Rates
Breast cancer stands as the most predominant form of neoplasm and it remains the main cause of cancer-related deaths among females. Over the last four decades; a significant reduction in breast cancer mortality has been achieved due the substantial progress in the management of the disease.This retrospective study aims to evaluate the clinical and pathological features along with breast cancer molecular sub-types in city of Kirkuk-Iraq. In this study data were collected from 280 breast cancer patient who were under the care of Kirkuk oncology center from April 2020 and for nine months, patient's average age was 50.05 years and the most of the patient diagnosed with luminal A breast cancer (57%) of the cases, with the majority (56.9%) falling within the 41 to 50-year-old age range, results shows a significant correlation between menopausal status and the survival rate (p=0.002). A significant correlation (p=0.002) between tumor stage (AIII) and postmenopausal statutes has been noticed. On the same time a higher survival rate (≥5 years) has been recorded among those who diagnosed with tumor stage AIII, whereas in 85% of the cases who diagnosed with tumor stage IV showed survival rate for less than five years. Results from this study highlights the importance of considering the stage and molecular subtypes along with patient's age in the management of the disease and addressing the outcome associated with luminal A (Her2 negative) breast cancer via developing more reliable diagnoses tools and therapeutic targets among different molecular subtypes and finally enhancing women's awareness of the importance of early detection as a principle objective.
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