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HER2低表达的T1期乳腺癌患者临床病理特征分析

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目的 分析人表皮生长因子受体2(human epidermal growth factorreceptor2,HER2)低表达T1期乳腺癌患者的临床病理特征。方法 收集2011年1月至2020年12月濮阳油田总医院的274例T1期乳腺癌患者,根据HER2的表达情况分为HER2阴性组、HER2低表达组及HER2阳性组,总体比较及两两之间比较其临床病理特征。结果 HER2不同的表达水平在年龄、雌激素受体(estrogen receptor,ER)状态、Ki-67的表达水平及淋巴结转移、分子分型方面均存在统计学差异(P<0。05);与HER2阴性组相比,HER2低表达组在发病年龄、ER表达状态、淋巴结转移及分子分型方面,存在统计学差异(P<0。05);与阳性组相比,HER2低表达组在Ki-67低表达的ER阳性T1期乳腺癌患者中更具优势,差异存在统计学意义(P<0。05)。而对于淋巴结转移,T1期乳腺癌患者的多因素分析未发现独立的危险因素。结论 本研究显示,HER2低表达、阴性表达、阳性表达的三组T1期乳腺癌患者在临床病理特征方面存在一定的差异,其N分期与HER2低表达有关,T分期与HER2表达无关。HER2低表达是ER阳性T1期乳腺癌优势因素,提示对与这些因素有关的患者,在治疗方案的制定上应当获得更多的内分泌治疗方面的关注。
Clinicopathological characteristics of HER2 low T1-stage breast cancer patients
Objective To analyze the clinicopathological features of HER2 low T1-stage breast cancer patients.Methods Totally 274 patients with T1-stage breast cancer in the general hospital of Puyang Oilfield from January 2011 to December 2020,were divided into three groups according to the expression of HER2:HER2 low goup,HER2 negative group and HER2 positive group.Compared the clinical and pathological characteristics of HER2 in general and in pairs.Results The different expression levels of HER2 were statistically different in age,estrogen receptor(ER)status,Ki-67 expression level,lymph node metastasis and molecular typing(all P<0.05).Compared with the negative group of HER2,there were statistical differences in the age of onset,ER expression status,lymph node metastasis and molecular typing in the low expression group of HER2(all P<0.05).Compared with the positive group,the group with low expression of HER2 has more advantages in patients with ER-positive T1 breast cancer with low expression of Ki-67,and the difference is statisti-cally significant(all P<0.05).However,for lymph node metastasis,multivariate analysis of patients with T1 breast cancer found no independent risk factors.Conclusion From the results of this study,There are some differences in clinicopathologi-cal features among the three groups of T1 breast cancer patients with low expression of HER2,negative expression and positive expression.The N stage is related to the low expression of HER2,while the T stage has nothing to do with it.The low expres-sion of HER2 is the dominant factor of ER-positive T1 breast cancer,which suggests that patients related to these factors should be paid more attention to endocrine therapy in the formulation of treatment plan.

HER2Breast cancerERLymph node metastasis

朱峥艳、杨会杰

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濮阳油田总医院病理科,河南濮阳 457000

人表皮生长因子受体2 乳腺癌 雌激素受体 淋巴结转移

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(15)