临床肿瘤学杂志

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原发性乳腺癌前哨淋巴结转移的影响因素分析

穆为民,王静,吕艳丽,李毅   

  1. 101300 北京 北京市顺义区妇幼保健院乳腺中心
  • 收稿日期:2016-11-18 修回日期:2016-01-20 出版日期:2017-04-30 发布日期:2017-04-30
  • 通讯作者: 李毅

Analysis of influencing factors on sentinel lymph node metastasis in primary breast cancer

MU Weimin, WANG Jing, LV Yanli, LI Yi   

  1. Breast Center,Shunyi Health Care Hospital for Women and Children, Beijing 101300,China
  • Received:2016-11-18 Revised:2016-01-20 Online:2017-04-30 Published:2017-04-30
  • Contact: LI Yi

摘要:

目的 探讨影响原发性乳腺癌前哨淋巴结转移(SLNM)的相关因素。方法 回顾性分析2008年1月至2014年12月北京市顺义区妇幼保健院乳腺中心收治的原发性乳腺癌且行前哨淋巴结活检的264例女性患者的临床病例资料。分析SLNM与临床病理特征的关系。结果 264例乳腺癌患者中,发生SLNM 59例。单因素分析显示,肿瘤大小、ER表达、HER-2表达均与SLNM有关(P<0.05)。非条件Logistic回归分析显示,肿瘤大小及HER2表达是影响SLNM的独立因素(均P<0.05)。结论 肿瘤大小和HER-2表达是影响乳腺癌SLNM的独立因素,其他临床病理特征与SLNM的关系有待进一步研究。

Abstract:

Objective To investigate the factors influencing sentinel lymph node metastasis(SLNM)in primary breast cancer. Methods The clinical data of 264 female primary breast cancer patients in Shunyi Health Care Hospital for Women and Children from Jan 2008 to Dec 2014 were retrospectively reviewed. The relationship between SLNM and clinicopathological features was analyzed. Results SLNM was found in 59 cases among 264 breast cancer patients. Tumor size,ER status and HER-2 status were significantly associated with SLNM in univariate analysis(P<0.05). Tumor size and HER-2 status were independent factors influencing SLNM in unconditional logistic regression analysis(P<0.05). Conclusion Tumor size and HER-2 status were independent factors influencing SLNM. Further study was needed to investigate the association between SLNM and other clinicopathological features.

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