乳腺癌患者体质指数与新辅助化疗反应之间的关联
Jonas Busk Holm1,2, Stine Blaabjerg Skovbjerg3,4, Hanne Melgaard Nielsen4
1Department of Clinical Medicine, Aarhus University, Aarhus, Denmark. jonasbuskholm@oncology.au.dk.
Breast cancer research : BCR
|July 11, 2025
概括
肥胖与乳腺癌患者接受新辅助化疗的病理完整反应 (pCR) 率较低有关. 与正常体重患者相比,超重和肥胖个体的pCR实现的几率较低.
科学领域:
- 在瘤学瘤学.
- 临床研究 临床研究
- 流行病学 流行病学
背景情况:
- 肥胖 (身体质量指数≥30 kg/m2) 与较差的乳腺癌预后有关.
- 肥胖对新辅助化疗反应的影响尚不清楚.
- 这项研究调查了乳腺癌患者的肥胖和病理完整反应 (pCR) 之间的关联.
研究的目的:
- 为了确定肥胖是否会影响新辅助化疗后实现pCR的可能性.
- 分析身体质量指数 (BMI) 类别与pCR率之间的关系.
- 根据乳腺癌亚型和更年期状态来探索这种关联的潜在变化.
主要方法:
- 在丹麦,分析了2016-2020年期间接受新辅助化疗 (EC-TAX,+/- trastuzumab/pertuzumab) 的1819名乳腺癌患者队列.
- 根据BMI对患者进行分类:正常体重 (18.5-25 kg/m2),超重 (25-30 kg/m2) 和肥胖 (≥30 kg/m2).
- 多变量逻辑回归模型,根据年龄和更年期状态进行调整,用于计算pCR的几率比率 (ORs),按ER和HER2状态分层.
主要成果:
- 总的来说,在1819名患者中,417名患者实现了pCR.
- 与体重正常的患者相比,超重和肥胖的患者pCR的几率明显较低 (分别为ORadj=0.78和ORadj=0.73).
- 肥胖患者的pCR率较低,在HER2+瘤和绝经后妇女中更为明显.
结论:
- 超重和肥胖与接受新辅助化疗的乳腺癌患者实现pCR的几率降低有关.
- BMI和pCR之间的关联可能因乳腺癌亚型 (ER/HER2状态) 和更年期状态而异.
- 在乳腺癌患者中,BMI可能作为pCR的预后标志物.
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