在新辅助治疗后进行乳腺保护手术时,基于MRI的边缘状态决定因素,手术前预测因素和预后结果的评估
Xinyu Liu1,2,3,4, Yan Liu1,2,3,4, Tao Ma1,2,3,4
1The Third Department of Breast Cancer, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin, China.
World journal of surgery
|August 26, 2025
概括
在接受新辅助治疗和乳腺保护手术的乳腺癌患者中,非质量增强在治疗前的MRI和淋巴血管侵袭是影响手术边缘状态的关键因素. 这些发现有助于优化手术策略和改善患者的结果.
科学领域:
- 癌症学
- 放射学
- 外科瘤学
背景情况:
- 经乳腺保护手术 (NAT-BCS) 后的新辅助治疗是乳腺癌的标准治疗方法.
- 优化手术边缘状态对于成功的BCS和减少复发至关重要.
- 预测手术前的边缘状态可以为手术规划提供信息.
研究的目的:
- 在接受NAT-BCS的患者中研究影响手术边缘状况的因素.
- 使用MRI识别边缘状态的预测因素.
- 在NAT-BCS后评估局部和远程控制结果.
主要方法:
- 对117名接受NAT-BCS的乳腺癌患者进行了回顾性分析.
- 在新辅助治疗前后进行MRI检查.
- 分析因素,包括分子亚型,MRI发现,节点状况和病理反应.
主要成果:
- 单变分析显示了分子亚型,NAT前MRI上的非质量增强 (NME),淋巴结转移,收缩模式,pCR,pN状态和淋巴血管入侵 (LVI) 影响边缘状态.
- 多变量分析显示LVI独立影响了边际状态,而NME在NAT前MRI上独立预测了边际状态.
- 106名患者接受BCS治疗,其局部复发率为1. 9%,远程转移率为2. 8%.
结论:
- 预NATMRINME是潜在的边缘状态预测器,有助于手术策略.
- 影响利率的决定因素之一是LVI.
- NAT-BCS显示有利的局部和远程控制.
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