Risk factors and clinicopathological features of triple-negative breast cancer
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摘要: 目的 分析三阴乳腺癌患者的相关危险因素和临床病理特征。 方法 选取2013年2月-2016年6月在蚌埠医学院第一附属医院诊治过的180例乳腺癌患者,使用免疫组织化学法检测ER、PR及HRE-2的表达情况,60例三阴乳腺癌患者为观察组,120例非三阴乳腺癌患者为对照组,对比2组的年龄、抽烟饮酒状况、体质量指数、家族史、居住地、受教育程度、初潮年龄、泌乳情况、使用避孕药情况、产次、初产年龄、流产情况、绝经情况。将差异有统计学意义的指标筛选出来进行多因素Logistic回归影响分析。分析三阴性乳腺癌的相关危险因素和临床病理特征。 结果 2组患者在年龄、体质量指数、泌乳情况、避孕药物、产次、绝经情况方面差异具有统计学意义(P<0.05)。而2组患者在抽烟饮酒状况、家族史、居住地、受教育程度、初潮年龄、初产年龄、流产情况方面差异无统计学意义(P>0.05)。多因素Logistic回归影响分析结果表明:年龄<60岁、产次 ≥ 2次、绝经前状态对应的P值均>0.05,差异无统计学意义。体质质量指数、泌乳情况、避孕药物对应的P值均<0.05,差异有统计学意义。BMI ≥ 25 kg/m2、抑制泌乳、使用避孕药均是三阴乳腺癌的危险因素。三阴乳腺癌病理类型以浸润性导管癌为主,淋巴结转移率高,分期及分级更晚。 结论 三阴乳腺癌的恶性程度高于非三阴乳腺癌,肥胖、抑制泌乳、使用避孕药是三阴乳腺癌的危险因素。Abstract: Objective To analyze the risk factors and clinicopathological features of patients with triple-negative breast cancer. Methods Total 180 cases of breast cancer in our hospital between February,2013 and June,2016 were enrolled into this study.The expression of ER,PR and HRE-2 was detected by immunohistochemical method.The 60 patients with triple-negative breast cancer were chosen as observation group,and the other 120 patients with non-triple-negative breast cancer were chosen as control group.The Age,smoking and drinking history,body mass index (BMI),family history,place of residence,educational background,age of menarche,lactation status,use of contraceptive drugs,parity,age at primiparity,abortion history,menopausal time of the two groups were compared.The indexes with significant differences were screened out for multivariate logistic regression analyses.The risk factors and clinicopathological features of patients with triple-negative breast cancer were analyzed. Results Statistically significant differences (P<0.05) were found in age,body mass index (BMI),lactation status,use of contraceptive drugs,parity,and menopausal time between the patients in the two groups,but not in smoking and drinking history,family history,place of residence,educational background,age of menarche,age at primiparity,abortion history (P>0.05).Multivariate logistic regression analyses showed that the ORs of under the age of 60,twice or more than twice of parity,menopausal time were 2.384,1.213 and 3.324,respectively.The corresponding P values were all greater than 0.05,and there was no statistical significance.The ORs of body mass index,lactation status,use of contraceptive drugs were 5.789,5.672 and 8.932,respectively.The corresponding P values were all less than 0.05,and there was statistical significance.BMI ≥ 25 kg/m2,suppression of lactation and the use of contraceptive drugs were risk factors of triple-negative breast cancer.The main pathological type of triple-negative breast cancer was invasive ductal carcinoma,with higher incidence of lymph node metastasis.The tumor staging and grading of triple-negative breast cancer were advanced. Conclusion The malignant degree of triple-negative breast cancer is higher than that of non-triple-negative breast cancer.Obesity,suppression of lactation and the use of contraceptive drugs is risk factors of triple-negative breast cancer.
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