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A Clinicopathologic Study of Breast Cancer Patients during Pregnancy

フォーマット:
論文
責任表示:
Iijima, Kotaro ; Yoshimoto, Masataka ; Horiguchi, Jun ; Oyama, Tetsunari ; Morishita, Yasuo ; Kasumi, Fujio ; Sakamoto, Goi
言語:
英語
出版情報:
北関東医学会, 2006-05-01
著者名:
Iijima, Kotaro
Yoshimoto, Masataka
Horiguchi, Jun
Oyama, Tetsunari
Morishita, Yasuo
Kasumi, Fujio
Sakamoto, Goi
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掲載情報:
The Kitakanto medical journal = 北関東医学
ISSN:
1343-2826  CiNii Research  Webcat Plus  JAIRO
巻:
56
通号:
2
開始ページ:
93
終了ページ:
99
バージョン:
VoR
概要:
application/pdf<br />Journal Article<br />Background & Aims: The purpose of this study was to investigate the influence of pregnancy on breast\ncancer prognosis by analyzing clinical and pathological features of young patien ts with breast cancer in\nrelation to last birth. Method: A total of 622 young breast cancer patients under 35 years of age\nundergoing surgical treatment between 1960 and 1990 at Cancer Institute Hospital were included in this\nstudy. The patients were classified into four groups; group A patients who were diagnosed during\npregnancy or within one year after delivery, group B patients who were diagnosed from one to three years\nafter delivery, group C patients who were diagnosed three years or more after delivery, and group D\npatients who were nulliparous. All four groups were examined from the viewpoint of clinical and\npathological findings with regard to age, disease duration, first childbirth, clinical stage, histopathological\ntype, lymph node metastasis, and survival. Furthermore, nuclear grade and immunohistochemical\nstaining of both estrogen receptor (ER) and factor-VIII were examined in early-stage breast\ncancer patients. Result: The incidence of early-stage(0, I and II) breast cancer was significantly(p<\n0.05) lower in group A (69%) than in groups C (88%) and D (85%). The incidence of nodal involvement\ndecreased from group A (61%), B (59%), C (51%) to D (43%) in that order. The incidence of\nnodal involvement in group D was significantly (p<0.05) lower than that in groups A and B. The\npositive rate of estrogen receptor increased from group A (50%), B (56%) to C (72%) in that order. \nDisease-free survival was significantly (p<0.05) more favorable in group D than in groups A and C. \nThe similar result was obtained in patients with clinically early-stage breast cancer. Conclusion:\nPatients who developed breast cancer during pregnancy or within less than one year postpartum have a\npoor prognosis among patients under 35 years old. Patients having no childbirth history generally have\na high risk factor of developing breast cancer, however, breast cancer patients without childbirth history\nunder 35 years old result in a favourable prognosis. 続きを見る
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