西苏门答腊分化程度与淋巴管浸润三阴性乳腺癌发病率之间的关系

Nur Latifah Alfaina Hidayat, Y. Yenita, D. Khambri
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摘要

背景:三阴性乳腺癌(TNBC)的分化程度和淋巴管浸润发生率是患者预后和生存的几个决定因素。与其他乳腺癌表型相比,这种疾病的临床病程更具侵袭性。靶向治疗无法提高 TNBC 患者的生存率。本研究旨在分析西苏门答腊三阴性乳腺癌分化程度与淋巴管浸润之间的关系。研究方法这是一项横断面观察分析研究。研究样本数量为2016-2021年巴东罗帕纳苏里特别外科医院、伊布努-西纳伊斯兰医院和RSUP Dr. M. Djamil的44名TNBC患者。研究数据为解剖病理检查结果中的分化程度和淋巴管浸润情况,并使用Chi Square检验进行分析。研究结果TNBC中最常见的组织病理学类型是无特殊类型的浸润性乳腺癌(79.5%),患者年龄大多在60岁以上(43.2%)。TNBC患者的分化程度大多为II级(75%),淋巴管浸润为阴性(65.9%),分化程度与淋巴管浸润之间存在显著关系(p < 0.001 结论:TNBC患者的分化程度与淋巴管浸润之间存在显著关系(p < 0.001):TNBC的分化程度与淋巴管浸润之间存在一定关系,即癌细胞的组织病理学分级越高,出现淋巴管浸润的概率就越高。
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The Relationship between Degree of Differentiation with the Incidence of Lymphovascular Infiltration Triple Negative Breast Cancer in West Sumatera
Background: The degree of differentiation and the incidence of lymphovascular infiltration in Triple Negative Breast Cancer (TNBC) are several determinants of the prognosis and survival of sufferers. This disease has a more aggressive clinical course than other breast cancer phenotypes. Targeted therapy has not been able to improve survival in TNBC patients. This study aims to analyze the relationship between the degree of differentiation and lymphovascular infiltration in Triple Negative Breast Cancer in West Sumatra. Methods: This is an observational analytic study with a cross-sectional approach. The number of study samples was 44 TNBC patients at the Ropanasuri Special Surgery Hospital, Ibnu Sina Islamic Hospital, and RSUP Dr. M. Djamil, Padang, in 2016–2021. The data studied were the degree of differentiation and lymphovascular infiltration from the results of anatomical pathology examination which were analyzed using the Chi Square test. Results: The most histopathological types in TNBC were Invasive Carcinoma Mammae of No Special Type (79,5%) with the most age range of patients over 60 years (43,2%). The majority of the degrees of differentiation found were grade II (75%), lymphovascular infiltration negative category (65,9%), and there was a significant relationship (p < 0,001) between the degree of differentiation and lymphovascular infiltration in TNBC Conclusions: There was a relationship between the degree of differentiation and lymphovascular infiltration in TNBC, namely the higher the histopathological grade of cancer cells, the higher the probability of experiencing lymphovascular infiltration.
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