中国临床医学影像杂志
  乳腺影像学 本期目录 | 过刊浏览 | 高级检索 |
乳腺癌TIC曲线类型与ER/PR、CerbB-2的相关性研究
1. 兰州军区兰州总医院影像诊断科,甘肃 兰州  730050;2. 兰州大学第二临床医学院,甘肃 兰州  730000
A correlation study of breast cancer TIC types and ER/PR or CerbB-2
1. Department of Imaging Diagnosis, Lanzhou General Hospital of Lanzhou Military Command, Lanzhou 730050, China;
2. The Second Clinical Medical College of Lanzhou University, Lanzhou 730000, China
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摘要 目的:探讨乳腺癌动态增强时间-信号(TIC)曲线类型与生物因子ER/PR、CerbB-2的相关性。方法:回顾性分析33例经手术病理证实的乳腺癌患者的DCE-MRI资料及免疫组化结果,绘制并分析病灶的TIC曲线,统计ER/PR及CerbB-2表达水平,采用四格表资料χ2检验分析病灶TIC曲线与生物学因子的相关性。结果:33例病灶中,浸润性导管癌30例,浸润性小叶癌、皮脂腺癌、导管内癌各1例;动态增强后31例呈肿块型强化,2例呈局灶型强化;TIC曲线以Ⅱ型、Ⅲ型曲线为主,其中有12例病灶同时表现为Ⅱ型和Ⅲ型曲线,Ⅱ型曲线23例,Ⅲ型曲线22例。免疫组化结果显示ER/PR表达阳性者22例,阴性者11例;CerbB-2表达阳性者14例,CerbB-2阴性者19例。认为增强后的TIC曲线与ER/PR(χ2=0.012,P>0.05),CerbB-2(χ2=0.030,P>0.05)表达水平无相关性。结论:乳腺癌MRI动态增强扫描后的TIC曲线类型与患者体内ER/PR、CerbB-2表达水平无相关性。
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陈俐君1
魏清顺2
朱建文1
郑晓霞1
杨晓萍1
关键词 乳腺肿瘤磁共振成像    
Abstract:Objective: To investigate the correlation of dynamic contrast-enhanced time-signal intensity curve(TIC) of breast cancer and biological factors included ER/PR, CerbB-2. Methods: Dynamic contrast-enhanced MRI(DCE-MRI) imaging data and immunohistochemical results of 33 patients with breast cancer proved by operation and pathology were retrospectively analyzed, then the TIC was drawn for 33 lesions and ER/PR and CerbB-2 status were analyzed, a chi-square test was used to explore the correlation between TIC types and biological factors of breast cancers. Results: Among the 33 lesions, 30 lesions were invasive ductal carcinoma, the rest of the cases were invasive lobular carcinoma(1), sebaceous gland carcinoma(1) and ductal carcinoma in situ(1) respectively. Thirty-one masses enhancement lesions and 2 focal enhancement lesions were idenfied. The main type of TIC were type Ⅱ and type Ⅲ, and there were 12 lesions that behave as both type Ⅱ and type Ⅲ, therefore 23 cases with type Ⅱ and 22 cases with type Ⅲ. For the immunohistochemical results, 22 lesions were ER/PR positive, and 11 lesion were negative; 14 lesions were CerbB-2 positive, 19 were negative. There was no correlation between TIC types and biological factors include ER/PR(χ2=0.012, P>0.05) and CerbB-2(χ2=0.030, P>0.05) of breast cancers. Conclusion: There was no correlation between TIC of breast cancer and biological factors(ER/PR, CerbB-2).
Key wordsBreast neoplasms    Magnetic resonance imaging
收稿日期: 2016-10-24     
PACS:  R737.9  
  R445.2  
基金资助:

甘肃省自然科学基金(编号:1606RJZA160)。

通讯作者: 杨晓萍,兰州军区兰州总医院影像诊断科,730050。E-mail:lwyxp_zxl@sohu.com   
作者简介: 陈俐君(1990-),女,甘肃白银人,在读硕士研究生。E-mail:lzuclj_yxyx@sina.cn
引用本文:   
陈俐君1,魏清顺2,朱建文1,郑晓霞1,杨晓萍1. 乳腺癌TIC曲线类型与ER/PR、CerbB-2的相关性研究[J]. 中国临床医学影像杂志, 2017, 28(8): 549-552.
CHEN Li-jun1, WEI Qing-shun2, ZHU Jian-wen1, ZHENG Xiao-xia1, YANG Xiao-ping1. A correlation study of breast cancer TIC types and ER/PR or CerbB-2. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(8): 549-552.
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