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重庆医科大学附属第一医院内分泌乳腺外科,重庆,400016
纸质出版日期:2013,
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张作文, 刘胜春, 吴凯南, 等. 雌、孕激素受体状况对青年乳腺癌的远期预后价值[J]. 重庆医科大学学报, 2013,36(1):94-97.
ZHANG Zuowen, LIU Shengchun, WU Kainan, et al. Long term prognostic value of estrogen receptor and progesterone receptor in young patients with breast carcinoma[J]. Journal of Chongqing Medical University, 2013,36(1):94-97.
张作文, 刘胜春, 吴凯南, 等. 雌、孕激素受体状况对青年乳腺癌的远期预后价值[J]. 重庆医科大学学报, 2013,36(1):94-97. DOI:
ZHANG Zuowen, LIU Shengchun, WU Kainan, et al. Long term prognostic value of estrogen receptor and progesterone receptor in young patients with breast carcinoma[J]. Journal of Chongqing Medical University, 2013,36(1):94-97. DOI:
目的:探讨雌激素受体(estrogen receptor,ER)、孕激素受体(progesterone receptor,PR)状况对青年乳腺癌的远期预后价值。方法:对370例≤35岁乳腺癌患者用免疫组化方法检测ER及PR状况,并随访。结果:370例中366例随访,随访时间24~288月,平均132.46月。ER及PR阳性率分别为44.86%(166/370)和38.11%(141/370)。ER及PR状况与2年及5年生存率无明显相关,8、10、15年生存率中ER(+)与ER(-)组之间的差异有统计学意义( χ2=5.992,P=0.014; χ2=7.025,P=0.008; χ2=6.221,P=0.013);PR(+)组8年生存率明显高于PR(-)组( χ2=9.552,P=0.002);ER(+)PR(+)组的2年生存率与ER(-)PR(-)组无差异( χ2=1.963,P=0.161),5年及8年生存率明显高于ER(-)PR(-)组( χ2=7.365,P=0.007; χ2=5.236,P=0.022)。结论:ER及PR是影响青年乳腺癌患者中远期预后的重要因素;ER、PR同时检测对青年乳腺癌的预后更有价值,ER(-)、PR(-)及ER(-)PR(-)提示患者预后不良,应积极施行包括化疗在内的综合辅助治疗,加强随访,改善预后。
Objective:To investigate the effects of estrogen receptor(ER) and progesterone receptor(PR) on long term prognosis of young patients with breast cancinoma. Methods:ER and PR statuses in 370 patients with breast cancinoma(younger than 35 year) were immunohistochemical examined and followed up. Results:Totally 366 out of 370 patients were followed up for 24 to 288 months,with an average of 132.64 months. ER and PR positive rates were 44.86%(166/370)and 38.11%(141/370)respectively. ER and PR statuses were not associated with 2-year survival rate and 5-year survival rate. There were differences in 8-,10-,15-year survival rate between ER(+) and ER(-)( χ2=5.992,P=0.014; χ2=7.025,P=0.008; χ2=6.221,P=0.013). Eight-year survival rate in PR(+) was higher than that in PR(-)( χ2=9.552,P=0.002);2-year survival rate in ER(+)PR(+) was not different from that in ER(-)PR(-)( χ2=1.963,P=0.161);but 5-year and 8-year survival rates in ER(+)PR(+) were higher than those in ER(-)PR(-)( χ2=7.365,P=0.007; χ2=5.236,P=0.022). Conclusions:ER and PR are important long term prognostic factors in young patients with breast canci-noma. Simultaneous exam of ER and PR is of higher prognostic value. ER(-)PR(-) and ER(-)PR(-) indicate poor prognosis,therefore auxiliary treatment including chemotherapy should actively be put in force and followe up should be strengthen in order to improve the prognosis.
乳腺肿瘤青年远期预后受体雌激素/孕酮
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