首页|乳腺癌患者MRI特征及与癌组织PR、ER、CerbB-2表达的关系研究

乳腺癌患者MRI特征及与癌组织PR、ER、CerbB-2表达的关系研究

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目的 探讨乳腺癌患者磁共振成像(MRI)特征及与癌组织孕激素受体(PR)、雌激素受体(ER)、原癌基因(CerbB-2)表达的关系.方法 收集2021年5月~2023年5月在我院治疗的86例乳腺癌患者的临床资料,所有患者均于术前进行MRI检查,并于术后对病理学标本进行免疫组化染色检测,计算入组患者癌组织PR、ER、CerbB-2阳性率,比较不同临床特征乳腺癌患者癌组织中PR、ER及CerbB-2阳性表达情况,不同MRI特征乳腺癌患者癌组织中PR、ER及CerbB-2阳性表达情况,Spearman相关性分析癌组织中PR、ER及CerbB-2阳性表达与MRI特征的关系.结果 入组86例乳腺癌患者中,PR、ER、CerbB-2阳性率分别为63例(73.26%)、51例(59.30%)和56例(65.12%).PR、ER及CerbB-2阳性表达率在肿瘤分化程度、肿瘤大小和TNM分期上差异有统计学意义(P<0.05),在不同年龄、淋巴结转移上差异无统计学意义(P>0.05).PR、ER及CerbB-2阳性表达率在不同肿瘤边缘、强化方式和动态增强方式上差异有统计学意义(P<0.05),在不同肿瘤形态上差异无统计学意义(P>0.05).Spearman相关性分析显示,癌组织中PR、ER及CerbB-2阳性表达与强化方式、动态增强方式呈正相关(P<0.05).结论 癌组织PR、ER、CerbB-2阳性表达与乳腺癌疾病进展程度有关,临床可以通过MRI特征评估肿瘤进展,指导临床治疗.
MRI Characteristics and Their Relationship with PR,ER and CerbB-2 in Patients with Breast Cancer
Objective To explore magnetic resonance imaging(MRI)characteristics and their relationship with progesterone receptor(PR),estrogen receptor(ER)and proto-oncogene(CerbB-2)in patients with breast cancer.Methods The clinical data were collected from 86 patients with breast cancer treated in the hospital between May 2021 and May 2023.All patients underwent MRI examination before surgery.Immunohistochemical staining of pathological specimens was conducted after surgery.The positive rates of PR,ER and CerbB-2 in cancer tissues were calculated.The positive expressions of PR,ER and CerbB-2 in patients with different clinical characteristics and MRI characteristics were compared.The relationship between positive expressions of PR,ER and CerbB-2 in cancer tissues and MRI characteristics was analyzed by Spearman correlation analysis.Results In the 86 patients with breast cancer,there were 63 cases(73.26%),51 cases(59.30%)and 56 cases(65.12%)with positive PR,ER and CerbB-2,respectively.There were significant differences in positive expression rates of PR,ER and CerbB-2 among patients with different tumor differentiation,tumor size and TNM staging(P<0.05),but there was no significant difference among patients with different age and lymph node metastasis(P>0.05).There were significant differences in positive expression rates of PR,ER and CerbB-2 among patients with different tumor margins,enhancement modes and dynamic enhancement modes(P<0.05),but there was no significant difference among patients with different tumor morphology(P>0.05).Spearman correlation analysis showed that positive expressions of PR,ER and CerbB-2 in cancer tissues were positively correlated with enhancement modes and dynamic enhancement modes(P<0.05).Condusion The positive expressions of PR,ER and CerbB-2 in cancer tissues are related to the progression of breast cancer.Clinically,MRI characteristics can be applied to evaluate tumor progression and guide clinical treatment.

Breast CancerMagnetic Resonance imagingProgesterone ReceptorEstrogen ReceptorProtooncogene

马利芹、刘丽、韩志刚、采丽、陈龙舟

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扬州大学附属淮安市妇幼保健院放射科(江苏淮安 223002)

新疆兵团第七师医院放射科(新疆奎屯 833299)

扬州大学附属淮安市妇幼保健院病理科(江苏淮安 223002)

扬州大学附属淮安市妇幼保健院乳腺科(江苏淮安 223002)

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乳腺癌 核磁共振成像 孕激素受体 雌激素受体 原癌基因

新疆生产建设兵团第七师胡杨河市科技项目第七师胡杨河市科技计划项目

2023A10

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(7)
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