1326名墨西哥妇女乳腺癌亚型与肿瘤特征和生殖因素的关系

G. Pérez-Rodríguez, Catalina Aranda-Moreno, I. Olivares-Corichi, J. García-Sánchez
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引用次数: 4

摘要

在乳腺癌中,雌激素受体(ER)、孕激素受体(PgR)和HER2 (HER2/Neu)的表达状况是将肿瘤分为Luminal A、Luminal B、HER2/Neu和Basallike亚型的依据。本研究的目的是确定墨西哥妇女乳腺癌的分子亚型及其与肿瘤特征和生殖因素的关系。材料与方法采用免疫组化(IHC)方法对1326例乳腺肿瘤组织活检进行ER、PR和HER2/Neu检测。收集有关年龄、肿瘤特征和淋巴结受累情况的信息。结果IHC确定乳腺癌最常见亚型为Luminal A(64.93%),其次为Basal-Like(13.88%)、Luminal B(12.52%)和HER2/Neu(8.67%)。47.59%的患者存在t2大小的肿瘤(> 2 cm但< 5 cm)。单因素分析显示,淋巴结阳性(p = 0.009)、分期(p = 0.013)和肿瘤位置(p = 0.001)是与乳腺癌亚型相关的因素。结论:我们的数据表明IHC可用于区分不同亚型的乳腺癌,而Luminal A是墨西哥人群中最常见的乳腺癌亚型。所有亚型都与不利的临床病理特征相关,这表明晚期诊断是墨西哥人口高死亡率的重要因素。
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The association of subtypes of breast cancer with tumour characteristics and reproductive factors in 1326 Mexican women
Aim of the study In breast cancer, oestrogen receptor (ER), progesterone receptor (PgR), and HER2 (HER2/Neu) expression status are used to classify neoplasms into subtypes: Luminal A, Luminal B, HER2/Neu type, and Basallike. The aim of the present study was to establish the molecular subtypes of breast cancers and their association with tumour characteristics and reproductive factors in Mexican women. Material and methods A total of 1326 biopsies of breast tumour tissues were analysed for ER, PR, and HER2/Neu by immunohistochemistry (IHC). Information regarding age, tumour characteristics, and node involvement profiles were collected. Results IHC established that the most common subtype of breast cancer was Luminal A (64.93%), followed by Basal-Like (13.88%), Luminal B (12.52%), and HER2/Neu (8.67%). T2-size tumours (> 2 cm but < 5 cm) were present in 47.59% of all patients. Univariate analysis showed that lymph node positivity (p = 0.009), stage (p = 0.013), and placement of the tumour (p = 0.001) were factors associated with breast cancer subtype. Conclusions Our data show that IHC is useful for distinguishing different subtypes of breast cancer and that Luminal A is the most common breast cancer subtype in the Mexican population. All subtypes were associated with unfavourable clinicopathological features, suggesting that late diagnosis is an important contributor to high mortality rates in the Mexican population.
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