浸润性小叶癌与浸润性导管癌的治疗效果比较

W. Abdelaty
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摘要

背景:在女性中,乳腺癌的发病率最高,也是全球癌症相关死亡的主要原因。目的:与浸润性小叶癌(ILC)不同,本研究旨在探讨如何管理浸润性导管癌(IDC)。患者和方法:本研究调查了 200 名在 2020 年 1 月至 2022 年 12 月期间在爱资哈尔大学医院数据库中登记并被诊断为非转移性浸润性乳腺癌的女性。根据世界卫生组织的分类标准,本次调查包括IDC或ILC组织学病例。结果:接受乳腺癌根治术的患者符合 M0 病症标准,其中 170 例(85%)被分类为 IDC,17 例(8.5%)被分类为 ILC。其余患者因被诊断为不同的组织学亚型而被排除在进一步研究之外,其中 13 例为 ILC 和 IDC 混合型。ILC患者接受乳房切除术的比例高于IDC患者(79.4%对67.7%)。与IDC病例相比,ILC病例的人类表皮生长因子受体2阳性率较低(9%对18%),但雌激素受体阳性病例(83%对70%)和孕激素受体阳性病例(75%对60%)较高。结论:ILC 具有独特的生物和预后特征,可能需要采用不同的治疗模式。
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OUTCOME OF MANAGEMENT OF INVASIVE LOBULAR CARCINOMA IN COMPARISON TO INVASIVE DUCT CARCINOMA
Background : Among females, breast cancer has the highest incidence and is the leading cause of cancer-related death globally. Aim : In contrast to invasive lobular carcinoma (ILC), the objective of this research is to examine how invasive duct carcinoma (IDC) is managed. Patient and methods : This examined 200 women who were registered in the Al-Azhar University Hospitals database between January 2020 and December 2022 and were diagnosed with nonmetastatic invasive breast cancer. The current investigation included cases with IDC or ILC histology based on the WHO classi fi cation ' s criteria. Results : The patient met the criteria for M0 illness by undergoing primary curative breast surgery, of which 170 (85%) were classi fi ed as IDC and 17 (8.5%) as ILC. The remaining patients were ruled out of further research due to their diagnosis of different histological subtypes, 13 of which had mixed ILC and IDC. Cases with ILC were offered mastectomy more often than those with IDC (79.4 vs. 67.7%). ILC cases had lower levels of human epidermal growth factor receptor 2 positivity (9 vs. 18%) but higher levels of estrogen receptor-positive illness (83 vs. 70%) and progesterone receptor-positive disease (75 vs. 60%) when compared with IDC individuals. Conclusion : ILC has unique biologic and prognostic characteristics that may call for various treatment modalities.
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