浸润性乳腺癌的组织学分级与分子亚型关系
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A brief analysis of the histologic grade and molecular classification of invasive breast cancer
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    【摘要】 目的 探讨浸润性乳腺癌的组织学分级和分子分型之间的相关性。 方法 回顾性分析我院2017年~2019年诊断为原发性浸润性乳腺癌的病例128例,提取HE切片和免疫组化切片,根据WHO(2019版)推荐的Nottingham分级系统和分子分型模型,得到所有病例的组织学级别和分子亚型,分析组织学级别和分子亚型之间的独立性和相关性。 结果 根据计算结果,浸润性乳腺癌的组织学级别和分子亚型之间非独立(χ2=44。8,P<0.001),且二者之间存在中等程度的正相关性(r=0.49,P<0.001)。结论 浸润性乳腺癌的组织学级别和分子分型在反映癌生物学信息方面既有一定程度相关性,又存在一定程度的差异性;乳腺癌组织学分级和分子分型均在一定程度反映乳腺癌的基因表达信息,不仅具有一定的理论意义,还具有积极的临床病理意义,在诊断过程中,二者相互补充和相互印证,确保病理诊断的准确性,有利于个体化的乳腺癌治疗方案实施。

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    【Abstract】 Objective To investigate the relationships between histologic grade and molecular subtype of invasive breast cancer. Methods A retrospective study was performed on 128 cases of definitely diagnosed invasive breast carcinomas of our department from 2017 to 2019. All the HE slices and IHC slices of each case are reviewed, then each tumor was graded and put into molecular subtypes at the same time, according to the Nottingham grading system and molecular classification model recommend by WHO (2019). The data were statistically analyzed using spss26.0 software. Results According to the calculations,we have the ideas that the histologic grade and molecular subtype of a breast cancer are dependent on each other(χ2=44.8,P<0.001),furthermore there very likely exists a moderate positive correlation between them(r=0.49,P<0.001).Conclusion Histological grade and molecular typing of invasive breast cancer have a certain degree of correlation and a certain degree of difference in reflecting the biological information of cancer. The histological grading and molecular typing of breast cancer reflect the gene expression information of breast cancer to some extent, which not only has certain theoretical significance, but also has positive clinical and pathological significance. In the process of diagnosis, the two complement each other and confirm each other, so as to ensure the accuracy of pathological diagnosis and benefit the implementation of individualized treatment plan for breast cancer.

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  • 在线发布日期: 2021-09-30
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