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HER-2低表达的三阴性乳腺癌患者的临床特征及预后研究

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目的 分析HER-2低表达的三阴性乳腺癌患者的临床特征及预后。方法 选取2020年10月—2022年12月本院收治的三阴性乳腺癌患者108例为研究对象,根据HER-2低表达不同将患者分为阴性组和低表达组,比较两组患者的临床特征、术后复发率、转移率及术后生存率。结果 低表达组患者的Ki-67、T3分期、淋巴结转移的发生率、腋窝淋巴结清扫率显著增高,术后3年复发率或转移率显著增高(P<0。05);HER-2低表达、淋巴结转移、T分期为T3是直接造成患者术后3年疾病再次发生的危险因素(P<0。05);低表达组患者的无病生存率显著低于阴性组(P<0。05)。结论 HER-2低表达的三阴性乳腺癌患者的临床征象与常规患者之间存在一定的差异,HER-2低表达、淋巴结转移、T3分期是直接造成患者术后3年疾病再次发生的危险因素,对患者的术后生存率有显著影响。
Clinical Characteristics and Prognosis Research of Triple Negative Breast Cancer Patients with Low HER-2 Expression
Objective To analyze clinical characteristics and prognosis of triple negative breast cancer patients with HER-2 low expression.Methods The paper chose 108 triple negative breast cancer patients from October 2020 to December 2022 as study objects,and divided them into negative group and low expression group according to difference of HER-2 low expression.Clinical characteristics,postoperative recurrence rate,metastasis rate and postoperative survival rate was compared between two groups.Results Incidence rate of lymph node metastasis,axillary lymph node dissection rate of low expression group with Ki-67 and T3 of T staging increased significantly,recurrence or metastasis rate 3 years after surgery increased significantly(P<0.05).Low expression of HER-2,lymph node metastasis,and T3 staging are direct risk factors for disease recurrence of patients 3 years after surgery(P<0.05).Disease-free survival rate in low expression group was significantly lower than negative group(P<0.05).Conclusion There is some certain difference between clinical characteristics of triple negative breast cancer patients with low HER-2 expression and those of routine patients.Low expression of HER-2,lymph node metastasis,and T3 of T staging are direct risk factors for disease recurrence of patients after surgery,which have no significant effect on postoperative survival rate.

HER-2 low expressionTriple negative breast cancerClinical featuresPrognosis

刘健

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天津市肿瘤医院,天津 300181

HER-2低表达 三阴性乳腺癌 临床特征 预后

天津市科技局中央引导地方科技发展专项天津市医学重点学科(与科)建设项目

18ZYPTSY00030TJYXZDXK-012A

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(16)