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怀孕对乳腺癌特征和预后的影响
Valentina E Bounous1, Carola Minella1, Luca Fuso1
1Gynecology and Obstetrics Unit, Umberto I Hospital, Department of Surgical Sciences, University of Turin, Largo Turati 62, 10128 Turin, Italy.
Current oncology (Toronto, Ont.)
|April 26, 2024
概括
与怀孕相关的乳腺癌 (PABC) 似乎不是一种独立的不良预后因素,用于无病生存 (DFS). 节点参与仍然是乳腺癌年轻女性DFS的主要负面预测因素.
科学领域:
- 在瘤学瘤学.
- 生殖健康 生殖健康
- 医学统计 医学统计
背景情况:
- 与怀孕相关的乳腺癌 (PABC) 很少见,每3000例怀孕中就有1例发生.
- PABC通常呈现出侵略性特征,需要对其预后影响进行进一步调查.
研究的目的:
- 评估怀孕对年轻女性乳腺癌预后的影响.
- 为了比较无病生存期 (DFS) 在无孕妇女,PABC妇女和怀孕后确诊的乳腺癌妇女中.
主要方法:
- 在1995年至2019年期间接受治疗的282名年轻乳腺癌 (BC) 患者 (≤45岁) 的回顾性分析.
- 患者被分为无卵性,PABC (在怀孕2年内诊断) 和怀孕后的BC组.
- 分析包括组织学因素,手术类型,复发和DFS,以及单变量和多变量统计评估.
主要成果:
- 诊断时的年龄较小的女性观察到,与女性相比,无阴性妇女的年龄较小 (p < 0.001).
- 两组之间没有发现组织学特征或复发率的显著差异.
- 在多变量分析中,节点参与 (OR=2.4,p<0.0001) 是DFS的唯一独立负预后因素,而怀孕本身并没有显著影响DFS (OR=0.8,p=0.30).
结论:
- 怀孕不是乳腺癌无病生存的独立不良预后因素.
- 节点参与是诊断为乳腺癌的年轻女性中更糟糕的DFS的关键独立预测因素.
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