卡拉奇金纳研究生医学中心对乳腺癌随年龄变化的放射学研究

KA Saldera, TA Khan, Ubk Samo, S. Mehboob
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摘要

关于女性年龄与乳腺癌之间的关系,存在着相互矛盾的观点。本研究旨在调查已确诊乳腺癌患者的组织病理学检查结果和特征,了解其年龄和病变的放射学检查结果,并确定不同年龄组侵袭性检查结果的关系。研究方法2022 年 9 月至 2023 年 9 月在卡拉奇 JPMC 放射科进行了一项横断面研究。为了确定肿瘤的组织学特征是否与患者的年龄有关,对 100 名确诊为乳腺癌的妇女的组织学报告进行了检查。根据超声波和乳房 X 射线照相术的放射学检查结果,按照 BIRAD 分类法对她们的癌症进行了分级。15 至 65 岁的患者被分为五个不同的年龄组。其中包括从未接受过任何癌症手术或药物治疗的天真患者。在获得同意后,填写一份详细的调查问卷,其中包括所需的数据和理化参数。研究中的组织样本主要包括信任活检、大块切除和乳房切除术的组织。研究结果结果显示,40 岁以下人群中 III 级浸润性导管癌的发病率较高(P 0.0001)。在老年人群中,小叶癌的发生率更高。随着年龄的增长,淋巴浆细胞基质反应、腋窝淋巴结转移和血管侵犯都明显下降,但不受肿瘤等级的影响。结论这些研究结果表明,乳腺癌的组织学可能会随着年龄的增长而改变,在某些情况下,老年患者可能会表现出侵袭性较低的特征。
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INVESTIGATING RADIOLOGICAL INSIGHTS OF BREAST CANCER WITH AGE AT JINNAH POSTGRADUATE MEDICAL CENTRE, KARACHI
There is a conflicting opinion regarding the association between age and breast cancer in women. This study was conducted to investigate the histopathological findings of findings and features of diagnosed patients of breast cancer about their age and radiological findings of lesions and to determine the relation of aggressive findings in different age groups. Methods: A cross-sectional study was conducted in the Radiological Department, JPMC, Karachi, from September 2022- September 2023. To ascertain if the histological characteristics of the tumors were connected to the age of the patient, the histology reports of 100 women with breast cancer diagnoses underwent examination. Grading of their cancer based on BIRAD Classification was done on the radiological findings of ultrasound and mammography. Patients between 15 and 65 years were split into five different age groups. Patients who were naive and had never had any surgical or medicinal treatment for cancer before were included. After obtaining consent, a detailed questionnaire with the required data and physical and chemical parameters was completed. Tissue samples in studies mainly included trust biopsies, large mass removal, and tissues from mastectomies. Results: People under the age of 40 were shown to have a higher incidence of grade III infiltrating ductal carcinoma (P 0.0001). Lobular carcinomas were observed more frequently in the elderly group. With advancing age, there was a discernible decline in lymphoplasmacytic stromal response, axillary lymph node metastases, and vascular invasion, all unaffected by tumor grade. Conclusion: These findings imply that the histology of breast cancer may alter with age and that older patients may exhibit less aggressive characteristics in some circumstances.
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