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1. 河北省沧州市中西医结合医院乳腺外科
2. 河北省沧州市中西医结合医院彩超室
3. 河北省沧州市中西医结合医院病理科
4. 天津医科大学肿瘤医院乳腺外科
纸质出版日期:2020,
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[1]陈秀霞,门泉斌,黄梅,姜秀贞,张凤梅,骆瑞珍,刘晶晶.自动乳腺全容积成像受激素表达水平的影响及对新辅助化疗效果的评估[J].临床超声医学杂志,2020,22(12):889-892.
CHEN Xiuxia, MEN Quanbin, HUANG Mei, et al. Influence of automatic breast volume scanner on hormone expression level and its evaluation of neoadjuvant chemotherapy effect[J]. Journal of Clinical Ultrasound in Medicine, 2020,22(12):889-892.
[1]陈秀霞,门泉斌,黄梅,姜秀贞,张凤梅,骆瑞珍,刘晶晶.自动乳腺全容积成像受激素表达水平的影响及对新辅助化疗效果的评估[J].临床超声医学杂志,2020,22(12):889-892. DOI: 10.16245/j.cnki.issn1008-6978.2020.12.004.
CHEN Xiuxia, MEN Quanbin, HUANG Mei, et al. Influence of automatic breast volume scanner on hormone expression level and its evaluation of neoadjuvant chemotherapy effect[J]. Journal of Clinical Ultrasound in Medicine, 2020,22(12):889-892. DOI: 10.16245/j.cnki.issn1008-6978.2020.12.004.
目的探讨自动乳腺全容积成像(ABVS)受激素表达水平的影响
分析其对乳腺癌新辅助化疗效果的评估价值。方法选取我院收治的术前行新辅助化疗的乳腺癌患者506例
于化疗前后行ABVS检查
测量乳腺肿块大小
记录ABVS征象
术后采用免疫组化法检测雌激素受体(ER)、孕激素受体(PR)及人类表皮生长因子受体2(Her-2)表达情况。根据化疗疗效将患者分为有效组和无效组
比较化疗前后两组乳腺肿块大小的差异
以及不同ER、PR、Her-2表达水平患者ABVS征象的差异。结果 506例患者中
最终498例完成新辅助化疗
其中有效组365例
无效组133例。498例患者新辅助化疗后乳腺肿块长度、宽度、厚度、面积及体积均较化疗前减少
差异均有统计学意义(均P<0.05);有效组乳腺肿块长度、宽度、厚度、面积及体积均较无效组缩小
差异均有统计学意义(均P<0.05)。ER、PR阳性表达患者"毛刺征"、"汇聚征"检出率均高于ER、PR阴性表达患者(χ2"毛刺征"=10.367、13.540
χ2"汇聚征"=28.050、30.710
均P<0.05);Her-2阳性表达患者钙化检出率高于Her-2阴性表达患者(χ2=26.646
P<0.05)。结论激素表达水平对ABVS图像特征有一定影响;ABVS可准确评估乳腺癌新辅助化疗效果
具有较好临床应用价值。
Objective To investigate the effect of automatic breast volume scanner(ABVS)on hormone expressionlevel
and to analyze its evaluation value of neoadjuvant chemotherapy for breast cancer.MethodsA total of 506 breast cancerpatients admitted to our hospital for preoperative neoadjuvant chemotherapy were selected for ABVS examination before and afterchemotherapy
the size of breast mass was measured
the signs of ABVS were recorded
and the expressions of ER
PR and HER-2 were detected by postoperative immunohistochemistry.According to the efficacy of chemotherapy
patients were divided into theeffective group and the non-effective group
and the differences in the size of breast mass between the two groups before and afterchemotherapy
as well as the differences in the signs of ABVS in patients with different ER
PR and HER-2 expression levelswere compared.ResultsAmong the 506 patients
498 patients finally completed neoadjuvant chemotherapy
including 365 patients in the effective group and 133 patients in the ineffective group.The length
width
thickness
area and volume of breastmass of 498 patients after neoadjuvant chemotherapy were reduced compared with those before chemotherapy
and thedifferences were statistically significan(tall P<0.05).The length
width
thickness
area and volume of breast mass in the effectivegroup were reduced compared with those in the ineffective group
and the differences were statistically significant(all P<0.05).The detection rates of"burr sign"and"aggregation sign"in patients with positive ER and PR expressions were higher than thosewith negative ER and PR expressions(χ2"burr sign"=10.367
13.540
χ2"aggregation sign"=28.050
30.710
all P<0.05).The detection rate ofcalcification in patients with positive HER-2 expression was higher than that in patients with negative HER-2 expression(χ2=26.646
P<0.05).ConclusionThe hormone expression level has a certain effect on the ABVS image characteristics.ABVS canaccurately evaluate the effect of neoadjuvant chemotherapy for breast cancer and has good clinical application value.
自动乳腺全容积成像乳腺肿块恶性新辅助化疗雌激素受体孕激素受体人类表皮生长因子受体2
Automatic breast volume scannerBreast massesmalignantNeoadjuvant chemotherapyEstrogen receptorProgesterone receptorHuman epidermal growth factor receptor 2
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