文章摘要
吴朔 姜翠 徐君南 李晓睿 孙涛△.三阴性乳腺癌中Ki-67 的表达及其临床病理意义[J].,2016,16(28):5455-5459
三阴性乳腺癌中Ki-67 的表达及其临床病理意义
A Study on the Expression and ClinicoPathological Significance of Ki-67 inTriple-negative Breast Cancer
  
DOI:
中文关键词: 三阴性乳腺癌  Ki-67  表达  临床病理意义
英文关键词: Triple-negative breast cancer  Ki-67  Expression  Clinicopathological significance
基金项目:辽宁省自然科学基金项目(2015020251);辽宁省省直医院临床能力建设项目(LNCCC-C05-2015)
作者单位
吴朔 姜翠 徐君南 李晓睿 孙涛△ 中国医科大学肿瘤医院辽宁省肿瘤医院内一科 
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中文摘要:
      目的:探讨三阴性乳腺癌中Ki-67 的表达及其临床病理意义。方法:回顾性分析2010 年11 月1 日至2015 年12 月31 日辽 宁省肿瘤医院收治的110 例行乳腺癌根治术的三阴性乳腺癌患者的临床病理资料,检测其乳腺癌组织中Ki-67 的表达,并分析其 与患者年龄、绝经情况、组织学分型、临床分期、淋巴结转移、肿瘤大小等临床病理资料的关系。进一步采用Kaplan-Meier 生存分 析法绘制生存曲线,比较高表达Ki-67 和低表达Ki-67患者的3 年、5 年生存率。结果:Ki-67 在三阴性乳腺癌患者50 岁以下和50 岁以上相比较,差异具有统计学意义(P<0.05);Ki-67 在三阴性乳腺癌患者绝经情况、组织学分型、临床分期、淋巴结转移、肿瘤大 小的表达相比较,差异不具有统计学意义(P>0.05);高表达Ki-67 组3 年生存率为79.49 %,5年生存率为30.77 %;低Ki-67 组的 3 年生存率为85.92 %,5年生存率为46.48 %;两组3 年生存率相比较差异不具有统计学意义(P>0.05);两组5 年生存率相比较 差异具有统计学意义(P<0.05);两组总生存时间相比较,差异具有统计学意义(P<0.05)。结论:三阴性乳腺癌中Ki-67 呈高表达, 可作为乳腺癌预后不良的危险因素。
英文摘要:
      Objective:To study the expression and clinicopathologic significance of Ki-67 in triple-negative breast cancer.Methods:The clinical data of 110 cases of patients with triple-negative breast cancer in Liaoning Tumor Hospital from Nov 1, 2010 to Dec 31, 2015 were retrospectively analyzed and the Ki-67 expression in breast cancer were detected. The relationship between Ki-67 expression and the age, menopausal status, histological type, clinic stage, lymph node metastases and tumor size with triple-negative breast cancer were analyzed retrospectively. Further, Kaplan-Meier method was applied to assess the overall survival. The 3-year survival rate and 5-year survival rate of two groups were analyzed.Results:The expression level of Ki-67 was significantly higher in patients with triple-negative breast cancer at age 50 and over 50 years old (P<0.05). The menopause status, histological type, clinic stage, lymph node metastases, tumor size of the high expression level of Ki-67 group showed no significant difference compared with the low expression level of Ki-67 group (P>0.05). The 3-year survival rate and 5-year survival rate in the high expression level of Ki-67 group and the low expression level of Ki-67 group were 79.49 % and 30.77 %, 85.92 % and 46.48 %; no significant difference was found in the 3-year survival rate between two groups (P>0.05), the 5-year survival rate of high expression level of Ki-67 group was significantly lower than that of the low expression level of Ki-67 group (P<0.05). The overall survival of both groups had significant difference (P<0.05).Conclusion:The high expression level of Ki-67 in patients with triple negative breast cancer suggested a poor prognosis factor.
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