海伦·约瑟夫医院的三阴性乳腺癌:流行率,年龄和成像特征
Tsholofelo Zondi1, Grace Rubin1, Carol-Ann Benn2
1Department of Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
SA journal of radiology
|November 7, 2025
概括
三重阴性乳腺癌 (TNBC) 是攻击性的,在南非很常见. 图像可能不反映其侵略性,需要提高临床警,以便早期检测.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 三阴性乳腺癌 (TNBC) 是一种缺乏雌激素,孕激素和HER2受体的侵袭性乳腺癌亚型.
- 在南非,TNBC经常更早,更积极地呈现,对其特征的数据有限.
研究的目的:
- 在海伦约瑟夫三级医院 (HJTH) 确定TNBC的流行率.
- 描述TNBC的组织病理特征,诊断时的年龄,以及南非的成像模式.
- 调查早期出现的TNBC趋势.
主要方法:
- 在2021年1月至2023年12月期间诊断出280名女性乳腺癌患者的回顾性评估.
- 用描述性统计和千平方测试分析人口统计,成像和组织病理学数据.
主要成果:
- 在乳腺癌病例中,TNBC占17% (48/280).
- TNBC病变的平均长度为1-5厘米,结节参与率为73%.
- 尽管TNBC具有攻击性生物学,但TNBC成像通常看起来是良性的;61%的乳腺癌是高等级的,TNBC显示最高的平均Ki-67指数 (52%).
结论:
- 在南非,乳腺癌的呈现是复杂的,瘤生物学和成像发现之间存在潜在的不一致.
- 调查结果提供了关于在城市公共卫生保健环境中TNBC的关键当地数据.
- 强调需要加强对TNBC的成像意识和临床警,在资源有限的环境中.
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