首页|超声声像图征象与分子生物学指标在乳腺癌患者术后3年预后评估中的应用价值

超声声像图征象与分子生物学指标在乳腺癌患者术后3年预后评估中的应用价值

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[目的]探讨超声声像图征象与分子生物学指标在乳腺癌患者术后 3 年预后评估中的应用价值.[方法]回顾性分析 2017 年 3 月至 2020 年 3 月在本院诊治的 100 例女性乳腺癌患者的临床资料,采用 COX风险回归模型分析分子生物学指标[雌激素受体(ER)、孕激素受体(PR)、增殖细胞核抗原(Ki-67)、人表皮生长因子受体 2(HER2)、糖类抗原 15-3(CA15-3)、糖类抗原 125(CA125)]及超声征象(淋巴结转移、肿瘤大小、钙化灶、内部回声)对乳腺癌患者术后 3 年预后的预测价值.[结果]100 例患者 3 年随访期间,其中 17 例(17.00%)患者发生局部复发或转移,3 例(3.00%)患者死亡.单因素Cox回归分析显示:肿瘤直径、钙化灶、Ki-67、病理分期是乳腺癌患者术后 3 年总生存期和无复发生存期的影响因素(P<0.05);多因素 Cox回归分析显示:肿瘤直径>5.0 cm、钙化灶、Ki-67≥14%是影响乳腺癌患者术后 3 年总生存期和无复发生存期的危险因素(P<0.05).[结论]肿瘤直径、钙化灶、Ki-67 与乳腺癌患者预后密切相关.
The Application Value of Breast Cancer Ultrasonic Signs and Molecular Biological Indicators in the Prognosis Evaluation of Breast Cancer Patients 3 Years after Operation
[Objective]To explore the application value of breast cancer ultrasonic signs and molecular biological indi-cators in the prognosis evaluation of breast cancer patients 3 years after operation.[Methods]The clinical data of 100 female breast cancer patients diagnosed and treated in our hospital from March 2017 to March 2020 were retrospectively analyzed.Cox risk regression model was used to analyze the predictive value of molecular biological indicators[estrogen receptor(ER),progesterone receptor(PR),proliferating cell nuclear antigen(Ki-67),human epidermal growth factor receptor 2(HER2),carbohydrate antigen 15-3(CA15-3),carbohydrate antigen 125(CA125)]and ultrasound signs(lymph node me-tastasis,tumor size,calcification,internal echo)for the prognosis of breast cancer patients after 3 years.[Results]During the 3-year follow-up of 100 patients,17(17.00%)patients developed local recurrence or metastasis,and 3(3.00%)patients died.Univariate COX regression analysis showed that tumor diameter,calcification,Ki-67 and pathological stage were the influencing factors of 3-year overall survival and recurrence free survival of breast cancer patients(P<0.05);Multivariate COX regression analysis showed that tumor diameter>5.0 cm,calcification,Ki-67≥14%were the risk factors affecting the 3-year overall survival and recurrence free survival of breast cancer patients(P<0.05).[Conclusion]Tumor diameter,calcification and Ki-67 are associated with poor prognosis in breast cancer patients.

Breast Neoplasms/SUUltrasonographyMolecular BiologyPrognosis

王淑、闫静茹

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西安国际医学中心医院超声科,陕西 西安 710075

乳腺肿瘤/外科学 超声检查 分子生物学 预后

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(3)
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