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Hormone Receptors and Age Distribution in Breast Cancer Patients at a University Hospital in Northern Egypt

机译:埃及北部一所大学医院的乳腺癌患者激素受体和年龄分布

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Introduction: Breast cancer is the most common cancer among Egyptian women. The disease is often advanced at diagnosis. Since molecular profiling is not feasible in routine practice, we sought to examine the association of age distribution with hormone receptor profile, disease stage and outcome among Egyptian women.Patients and methods: We conducted a retrospective review of breast cancer patients treated at Mansoura University Cancer Center in the Nile Delta from 2006 through 2011. Age groups were examined in relation to hormone receptors status and tumor clinicopathological criteria. Additionally, the effect of receptor status on disease relapse and disease-free survival was examined with logistic regression and Kaplan–Meier analysis.Results: A total of 263 patients were included in the current analysis. About 66.9% (n = 176) of patients were hormone receptor positive, 14.1% (n = 37) were Her2eu positive, and 19.0% (n = 50) were triple negative. Median age of the patients was 52 years and was equal across all receptor status types. Triple negative status correlated with increased risk of disease relapse (odds ratio = 1.8, P = 0.03) and with shortened disease-free survival (hazards ratio = 2.6, P < 0.01).Conclusion: The age distribution and receptor status pattern in the Nile Delta region does not explain the aggressive behavior of the disease. The age of the patients at diagnosis is older than patients in earlier studies from Egypt emphasizing the importance of implementing mammographic screening programs.
机译:简介:乳腺癌是埃及女性中最常见的癌症。该病通常在诊断时就已发展。由于分子谱分析在常规实践中不可行,因此我们试图检查年龄分布与埃及女性之间的激素受体谱,疾病分期和预后之间的关系。患者和方法:我们对Mansoura University Cancer治疗的乳腺癌患者进行了回顾性研究。从2006年到2011年位于尼罗河三角洲。该研究针对年龄组与激素受体状态和肿瘤临床病理学标准的关系。此外,通过逻辑回归和Kaplan-Meier分析检查了受体状态对疾病复发和无病生存的影响。结果:本次分析共纳入263例患者。约66.9%(n = 176)患者的激素受体阳性,14.1%(n = 37)的Her2 / neu阳性,19.0%(n = 50)的三阴性。患者的中位年龄为52岁,在所有受体状态类型中均相等。三阴性状态与疾病复发风险增加(几率= 1.8,P = 0.03)和无病生存期缩短(危险比= 2.6,P <0.01)相关。结论:尼罗河的年龄分布和受体状态模式三角洲地区无法解释这种疾病的侵略行为。被诊断为患者的年龄比埃及早期研究中的患者年龄大,强调了实施乳房X线检查程序的重要性。

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