在早期乳腺癌患者中,肥胖和循环瘤细胞之间的关联
Marie Tzschaschel1, Thomas W P Friedl1, Fabienne Schochter1
1Department of Gynecology and Obstetrics, University Hospital Ulm, Ulm, Germany.
Clinical breast cancer
|June 19, 2023
概括
肥胖和循环瘤细胞 (CTC) 与乳腺癌的不良结果有关. 这项研究发现患者的体重指数 (BMI) 或体重变化与CTC存在之间没有关联,这表明它们是独立的预后因素.
科学领域:
- 在瘤学瘤学.
- 癌症研究 癌症研究
- 临床试验 临床试验
背景情况:
- 肥胖和循环瘤细胞 (CTC) 是已知的乳腺癌 (BC) 的预后因素.
- 在脂肪组织中激活的致癌途径表明肥胖和CTC之间存在潜在的联系.
- 了解这种关系对于改善乳腺癌患者的治疗结果至关重要.
研究的目的:
- 调查身体质量指数 (BMI),化疗期间体重变化和乳腺癌早期患者中CTC存在的关联.
- 确定肥胖和CTC是否是乳腺癌的独立预后因素.
主要方法:
- 分析了来自第三阶段成功A试验的1088名早期乳腺癌患者的数据.
- 使用CellSearch系统评估循环瘤细胞 (CTC).
- 根据身体质量指数 (BMI) 和化疗期间体重变化对患者进行分类.
主要成果:
- 在化疗前或后的CTC阳性和BMI之间没有发现显著的关联 (分别P=0.104和P=0.051).
- 在化疗前或后的体重变化组和CTC状态之间没有观察到任何关联 (P=0.332).
- 在化疗前和化疗后的20.1%和22.6%的患者中检测到循环瘤细胞.
结论:
- 肥胖和循环瘤细胞 (CTC) 的患病率似乎是乳腺癌的独立预后因素.
- 该研究没有发现BMI或体重变化与乳腺癌患者的CTC之间存在关联.
- 需要进一步的研究来阐明肥胖和CTC在乳腺癌预后中的独立作用.
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