乳腺癌的进展、预后和预期结果

Syed A. A. Aziz
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摘要

根据我实验室的工作,最重要的问题是癌症对东西方女性的平均影响年龄,东部女性的平均年龄为50岁,西部女性为60岁,存在明显的10年差异,而西部移民女性也存在这种10年的差异,许多研究认为这种差异纯粹是遗传的,而不是环境的。根据这些研究和倡导团体,东方血统女性的乳房X光检查年龄已降至10岁。一旦诊断出癌症,下一步就是预后。根据一项当代发表的研究,家族史在预后中确实扮演着不同的角色,在该研究中,ER阴性和PR阴性乳腺癌症的累积数量在有家族病史的年轻西班牙女性中备受赞誉[1]。一些备受尊敬的研究所正在使用的已建立/常规使用的预后标志物是ER、PR、Her-2、p53、CD31、Ki-67/PCNA。Trastuzumab被提供给Her-2阳性患者,他们将受益于这种单克隆药物,或者换句话说,Her-2正在一组选择性患者身上进行。而ER、PR、p53、CD31、Ki-67/PCNA几乎在每个癌症患者身上进行。
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Breast cancer progression, prognosis and prospective outcomes
According to the work done in my lab the most significant issues is the average age at which the breast cancer effect the women of east and west, there is a clear difference of 10 years as the average age of eastern women is 50 years and western female gets at 60 years and this difference of 10 year is being carried by the migrant women in the west as well and many studies should this difference is purely genetic and not environmental. Based these studies and advocacy group the age of mammography has been reduced to 10 years for eastern origin women. Once the breast cancer has been diagnosed the next step is prognosis. Family history does play a different role in prognosis according to a contemporarily published study where an accumulated number of ER negative & PR negative breast cancer was acclaimed among younger Spanish women who have a family account of the disease [1]. The established/routinely used prognostic markers which are being used by some of the highly respected institutes are ER, PR, Her-2, p53, CD31, Ki-67/PCNA. Trastuzumab is being offered to Her-2 positive patients who will benefit with this monoclonal drug or in other words Her-2 is being performed on a selective group of patients. Whereas ER, PR, p53, CD31, Ki-67/PCNA are being performed on almost every breast cancer patient.
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