在阿曼,中东早期乳腺癌患者的BRCA1/2突变和结果
Waleed S Al Amri1, Ahmed H Al Amri2, Aisha Al Abri1
1Department of Histopathology and Cytopathology, Royal Hospital, P.C. 111, Muscat, Oman.
The oncologist
|August 26, 2024
概括
早期发病的乳腺癌 (EOBC) 在中东很常见,但BRCA1/2基因突变在阿曼EOBC病例中并不过多. 这表明其他因素有助于这一群体中早期乳腺癌的高发病率.
科学领域:
- 在瘤学瘤学.
- 遗传学 是一个遗传学.
- 流行病学 流行病学
背景情况:
- 早期发病的乳腺癌 (EOBC) 在中东人口中具有很高的患病率,在阿曼,超过50%的患者在45岁之前被诊断出乳腺癌.
- 这种EOBC高发病率的根本原因尚不清楚.
- 虽然生殖线BRCA基因突变与EOBC有关,但它们在阿曼的流行率和EOBC与EOBC的关联尚未先前评估.
研究的目的:
- 在阿曼的早期乳腺癌 (EOBC) 患者中调查生殖线BRCA1/2突变的患病率.
- 确定BRCA1/2突变状态与EOBC中的临床病理特征之间的相关性.
- 分析BRCA1/2突变对EOBC患者结局的影响.
主要方法:
- 分析了1336名在阿曼 (2010-2022) 接受治疗的中东乳腺癌 (BC) 患者的临床数据.
- 使用测序和MLPA技术识别了生殖系BRCA1/2基因突变.
- 进行了相关性和卡普兰-梅尔生存分析,以评估临床病理特征,基因突变和结果之间的关系.
主要成果:
- 在BRCA1/2突变状态和早期乳腺癌 (EOBC) (P=.229) 之间没有发现显著的相关性.
- 与晚期发病病例相比,EOBC瘤显著更大,更高等级,并且更频繁的 HER2 丰富或三阴性亚型.
- 无论BRCA突变状态如何,EOBC与明显更差的无疾病生存率 (P=.002) 有关.
结论:
- 在阿曼的EOBC病例中,生殖系BRCA1/2突变并不过多,不太可能是高EOBC率的主要原因.
- 在这一群体中,EOBC表现出明显的临床病理特征和较差的生存结果.
- 该研究确定了新的BRCA2突变和潜在的创始人复发突变,有助于理解该地区的遗传变异.
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