2 392例乳腺肿瘤临床病理特征分析
作者: |
1邵云,
1许春伟,
1姜春婷,
1张俊,
1王怀涛,
1张博,
1邰艳红,
1李晓兵,
2江泽飞,
3吴世凯,
2宋三泰,
4黄焰,
4尉承泽
1 军事医学科学院附属医院病理科,北京 100071 2 军事医学科学院附属医院乳腺肿瘤内科,北京 100071 3 军事医学科学院附属医院放疗科,北京 100071 4 军事医学科学院附属医院普外科,北京 100071 |
通讯: |
邵云
Email: shysep@163.com |
DOI: | 10.3978/j.issn.2095-6959.2015.05.016 |
摘要
目的:根据WHO(2003版)乳腺肿瘤分类标准,探讨军事医学科学院附属医院乳腺肿瘤的病理类型及分布特点。方法:收集2009年8月~2014年8月军事医学科学院附属医院诊治2 392例乳腺肿瘤, 复习其临床资料、HE及免疫组织化学切片。按WHO(2003版)分类标准进行病理诊断及分类。 结果:2 392例乳腺肿瘤中,绝大多数为女性患者(2 382例),占99.58%,男性10例(0.42%)。乳腺良性肿瘤982例(41.05%),浸润性乳腺癌和原位癌1 389例(58.07%),乳腺恶性和交界性叶状肿瘤10例(0.42%),淋巴瘤2例(0.08%),转移性肿瘤9例(0.38%)。其中乳腺良性肿瘤中构成比居前5位分别为纤维腺瘤、导管内乳头状瘤、叶状肿瘤、脂肪瘤和管状腺瘤;纤维腺瘤患者发病高峰为20~40岁。浸润性乳腺癌中浸润性导管癌1 112例(87.63%),浸润性小叶癌37例(2.91%),其他特殊类型癌120 例(9.46%)。乳腺癌中以浸润性导管癌、浸润性小叶癌、基底细胞样乳腺癌、黏液癌最为多见。浸润性导管癌发病年龄以40~60岁居多。导管原位癌61例,导管内癌伴微浸润35例,小叶原位癌3 例。Paget病10例(其中4例合并浸润性癌,4例合并导管内癌且3例伴微浸润)。乳腺癌中分子亚型分类Luminal A型693例(60.63%);Luminal B型127例(11.11%);Her-2过表达型130例(11.37%);正常乳腺样(normal breast -like)型172例(15.05%);Basal-like型21例(1.84%)。结论:对乳腺定期检查,提高早期诊断率,以期早期发现及时治疗。
关键词:
乳腺肿瘤
乳腺癌
临床病理分析
2 392 cases of clinicopathological analysis of breast neoplasms
CorrespondingAuthor: Shao Yun Email: shysep@163.com
DOI: 10.3978/j.issn.2095-6959.2015.05.016
Abstract
Objective: To analyze clinicopathological features and observe the pathological type and distribution among breast neoplasms in Affiliated Hospital of Academy of Military Medical Sciences, according to the World Health Organization criteria (2008). Methods: A retrospective analysis of 2,392 cases of breast neoplasms, which was made by authors, from August 2009 to August 2014. All the histopathological slides including HE slides and immunohistochemistry slides were re-examined and the medical records were reviewed. Results: Among the 2,392 cases, most patients were female (2,382, 99.58%) and rare patients were male (10, 0.42%), 982 cases were benign tumor (41.05%), 1,389 were breast cancer or carcinoma in situ (58.07%), 10 were malignant or borderline phyllodes tumors (0.42%), 2 were lymphoma(0.08%), and 9 were metastase tumor (0.38%). Among the benign tumors, fibroadenoma, intraductal papilloma, benign phyllodes tumor, lipoma and tubular adenoma were more common in turn, the peak of fibroadenoma occurs in patients aged 20~40, while most of breast cancer were invasive ductal carcinoma 1,112 cases (87.63%), then lobular carcinoma (37, 2.91%), other special types cancer (120, 9.46%). Among breast cancer, infiltrating ductal carcinoma, invasive lobular carcinoma, basal-like breast cancer, mucinous carcinoma were more common in turn. The peak of invasive ductal carcinoma occurs in patients aged 40~60. Among breast cancer 693 cases were Luminal A type, 127 were Luminal B type, 130 were Her-2 type, 172 were normal breast-like type, and 21 were basal-like type. Conclusion: It is important to promote the early diagnosis of breast carcinoma by periodic inspection for early treatment breast neoplasms.