在乳腺癌中接受新辅助化疗后超重和复发风险
Anders Lerche Møller1, Signe Borgquist2, Ida Skarping3
1Department of Clinical Medicine, Department of Oncology, Aarhus University/Aarhus University Hospital, Central Denmark Region, Denmark; Steno Diabetes Centre Aarhus, Aarhus University Hospital, Central Denmark Region, Denmark.
Clinical breast cancer
|August 8, 2025
概括
接受乳腺癌 (BC) 新辅助化疗的超重患者面临更高的复发风险. 解决体重问题可能会改善这些人的结果.
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:
- 超重是乳腺癌 (BC) 不利后果的新兴风险因素.
- 高体重指数 (BMI) 与增加BC复发和死亡率有关.
- 有限的研究存在于接受新辅助化疗 (NACT) 的患者超重的影响.
研究的目的:
- 调查NACT.治疗的BC患者中超重和无复发生存期 (RFS) 之间的关联.
- 分析BMI对NACT后BC复发风险的影响.
主要方法:
- 该研究包括490名瑞典BC患者接受NACT治疗 (2005-2019).
- 随访时间平均为5年;116名患者 (24%) 经历了复发.
- 单变量和多变量考克斯回归分析超重 (BMI ≥25 kg/m2).
主要成果:
- 超重患者 (56%) 患病稍晚,更有可能患ER-/HER2-.
- 超重患者的复发风险增加了47% (HR 1.47,95% CI 1.01-2.15)
- 关联独立于病态完整反应,在ER+/HER2+亚组中最明显.
结论:
- 超重与乳腺癌的NACT后复发风险增加有关.
- 进一步的研究应该探索针对超重相关的可修改因素的干预措施,以改善BC预后.
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