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Comparative study of ultrasonographic features and quantitative parameters of different molecular subtypes of breast cancer |
GAO Jun-xi, MA Fang-jing, YANG Lei, SONG Tao |
The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, China |
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Abstract Objective: To investigate the difference of ultrasonographic features and quantitative parameters of different molecular subtypes of breast cancer. Methods: Preoperative ultrasonography was performed in 94 patients with breast cancer confirmed by pathology, and the characteristics and quantitative parameters of ultrasonography in different patients with breast cancer were analyzed. Results: There was a statistically significant difference in the enhancement pattern and the expansion of the enhancement range between the luminal epithelia and non-luminal epithelia(P<0.05), which the luminal epithelia mainly showed fast forward and slow backward and non-luminal epithelia mainly showed fast forward and backward and expansion of scope. In the enhanced mode, fast forward and slow backward were more common in Luminal A, and fast forward and fast backward were more common in Her-2 over-expression and basal-like. High enhancement was dominant in basal-like, high enhancement was also found in Luminal B and Her-2 over-expression, but other enhancement levels were also found. The unclear boundary was more common in Her-2 over-expression. The filling defects were more common in Luminal B and Her-2 over-expression. Expansion of scope was more common in basal-like. In the quantitative parameter index, the ascending branch slope of Luminal B was higher than that of Luminal A, the ascending branch slope of Her-2 over-expression was higher than that of Luminal A, the area under the curve was larger than that of Luminal A, and the ascending branch slope of basal-like was higher than that of Lumin A(P<0.05). Conclusion: There are differences between the characteristics and quantitative parameters of different molecular subtypes of breast cancer, which can be used to provide imaging reference for breast cancer chemotherapy and individual therapy.
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Received: 24 April 2018
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[1]江泽飞,王涛. 2008年NCCN乳腺癌临床实践指南(中国版)解读[J]. 中华外科杂志,2009,47(7):485-487.
[2]Goldhirsch A, Wood WC, Coates AS, et al. Strategies for subtypes—dealing with the diversity of breast cancer: highlights of the St. Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2011[J]. Ann Oncol, 2011, 22(8): 1736-1747.
[3]van TVL, Dai H, van de Vijver MJ, et al. Gene expression profiling predicts clinical outcome of breast cancer[J]. Nature, 2002, 415(6871): 530-536.
[4]Perou CM, Sorlie T, Eisen MB, et al. Molecular portraits of human breast tumours[J]. Nature, 2000, 406(6797): 747-752.
[5]Balleyguier C, Opolon P, Mathieu MC, et al. New potential and applications of contrast-enhanced ultrasound of the breast: own investigations and review of the literature[J]. Eur J Radiol, 2009, 69(1): 14-23.
[6]陈慧琪,郭顺华,过新民. 乳腺癌超声征象与分子分型相关性分析[J]. 中国超声医学杂志,2015,31(6):498-500.
[7]Calil LN, Igansi CN, Meurer L, et al. Chlamydia trachomatis and human papillomavirus coinfection: association with p16INK4a and Ki67 expression in biopsies of patients with pre-neoplastic and neoplastic lesions[J]. Braz J Infect Dis, 2011, 15(2): 126-131.
[8]Ceausu RA, Cimpean AM, Gaje P, et al. CD105/Ki67 double immunostaining expression in liver metastasis from colon carcinoma[J]. Rom J Morphol Embryol, 2011, 52(2): 613-616.
[9]Stoenescu TM, Ivan LD, Stoenescu N, et al. Assessment tumor markers by immunohistochemistry(Ki67, p53 and Bcl-2) on a cohort of patients with cervical cancer in various stages of evolution[J]. Rev Med Chir Soc Med Nat Lasi, 2011, 115(2): 485-492.
[10]Metz S, Daldrup-Unk HE, Richter T, et al. Detection and quantification of breast tumor necrosis with MR imaging: value of the necrosis-avid contrast agent Gadophrin-3[J]. Acad Radiol, 2003, 10(5): 484-490.
[11]Wan CF, Du J, Fang H, et al. Enhancement patterns and parameters of breast cancers at contrast-enhanced US: correlation with prognostic factors[J]. Radiology, 2012, 262(2): 450-459.
[12]沈建红,林勇,沈蔷,等. 应用ROC曲线分析超声造影对乳腺癌的诊断价值[J]. 广东医学,2009,30(3):396-397.
[13]熊雯,安绍宇,刘健,等. 乳腺癌超声造影表现与分子生物学指标的相关性研究[J]. 医学影像学杂志,2014,24(10):1753-1757. |
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