Characteristics and prognostic values of traditional pathological parameters and advanced molecular subtypes in women in Beijing with operable breast cancer: a retrospective analysis
单位:[1]Department of Cancer center, Beijing Friendship Hospital, Capital Medical University, Beijing, China 临床科室肿瘤中心首都医科大学附属北京友谊医院[2]Department of Biochemistry and Molecular biology, Basic Medical College, Shanxi Medical University, Taiyuan, Shanxi, China [3]Department of Surgery, Beijing Changping Hospital of Traditional Chinese Medicine, Beijing, China
Objectives This study investigated the characteristics and prognostic values of traditional pathological parameters and advanced molecular subtypes in women with operable breast cancer in Beijing. Design A retrospective study through case information enquiry or telephonic follow-up. Setting Beijing Friendship Hospital. Participants 1042 patients with primary operable breast cancer between 2008 and 2012 were enrolled in the study. Measures The characteristics and 5-year relapse rates according to the Nottingham Prognosis Index (NPI) and molecular subtypes were analysed. Results In 1042 patients, the percentages of high histological grade, N1+N2, T2+T4 were 7.3%, 24.2%, 46.9%, respectively. In patients with invasive breast cancer, the percentages of auxiliary staging, positive margins, vascular invasion and nerve infiltration were 65.0%, 2.8%, 10.5% and 1.1%, respectively. The missing percentages of auxiliary staging, margins, vascular tumour invasion and nerve infiltration were 14.2%, 31.4%, 46.5% and 97.4%, respectively. The percentages of ER-positive, PR-positive, HER2-positive and Ki-67 high expression were 64.3%, 43.8%, 18.8% and 62.7%, respectively. The percentages of luminal A, luminal B, HER2-overexpression and basal-like breast cancers were 10.5%, 54.2%, 8.2% and 11.2%, respectively. Luminal A, luminal B and basal-like breast cancer subtypes were more common in the >60 years group, the 41-60 years group and the 20-40 years group, respectively. The 5-year relapse rates according to NPI were as follows: 6.2% in the low recurrence risk group, 10.4% in the moderate recurrence risk group and 12.9% in the high recurrence risk group. The 5-year relapse rates according to molecular subtypes were as follows: luminal A 4.0%, luminal B 7.0%, HER2-overexpression14.2%, basal-like 15.6%. Conclusions Reasonable analysis of traditional pathological parameters and advanced molecular subtypes in women with operable breast cancer in Beijing may be useful to guide precise treatment and predict prognosis.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81301912, 81272615]; Beijing Municipal Health System High-level Health Person Foundation Project [2014-3-005]; Beijing Municipal Science and Technology Commission (Capital Features) [Z161100000516083]
第一作者单位:[1]Department of Cancer center, Beijing Friendship Hospital, Capital Medical University, Beijing, China
通讯作者:
推荐引用方式(GB/T 7714):
Li Qin,Li Li,Jiang Xiaoyue,et al.Characteristics and prognostic values of traditional pathological parameters and advanced molecular subtypes in women in Beijing with operable breast cancer: a retrospective analysis[J].BMJ OPEN.2018,8(11):doi:10.1136/bmjopen-2018-021819.
APA:
Li, Qin,Li, Li,Jiang, Xiaoyue,Du, Qi,Li, Yingrui...&Cao, Bangwei.(2018).Characteristics and prognostic values of traditional pathological parameters and advanced molecular subtypes in women in Beijing with operable breast cancer: a retrospective analysis.BMJ OPEN,8,(11)
MLA:
Li, Qin,et al."Characteristics and prognostic values of traditional pathological parameters and advanced molecular subtypes in women in Beijing with operable breast cancer: a retrospective analysis".BMJ OPEN 8..11(2018)