孙博, 李军楠, 青春, 赵玉梅, 顾林, 路红. 60岁以上乳腺癌的乳腺X线影像学表现及病灶微钙化与年龄的相关性研究[J]. 中国肿瘤临床, 2020, 47(4): 193-197. DOI: 10.3969/j.issn.1000-8179.2020.04.145
引用本文: 孙博, 李军楠, 青春, 赵玉梅, 顾林, 路红. 60岁以上乳腺癌的乳腺X线影像学表现及病灶微钙化与年龄的相关性研究[J]. 中国肿瘤临床, 2020, 47(4): 193-197. DOI: 10.3969/j.issn.1000-8179.2020.04.145
Bo Sun, Junnan Li, Chun Qing, Yumei Zhao, Lin Gu, Hong Lu. Mammographyfeatures of breast cancer patients older than 60 years: correlation between microcalcification and age[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2020, 47(4): 193-197. DOI: 10.3969/j.issn.1000-8179.2020.04.145
Citation: Bo Sun, Junnan Li, Chun Qing, Yumei Zhao, Lin Gu, Hong Lu. Mammographyfeatures of breast cancer patients older than 60 years: correlation between microcalcification and age[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2020, 47(4): 193-197. DOI: 10.3969/j.issn.1000-8179.2020.04.145

60岁以上乳腺癌的乳腺X线影像学表现及病灶微钙化与年龄的相关性研究

Mammographyfeatures of breast cancer patients older than 60 years: correlation between microcalcification and age

  • 摘要:
      目的  比较年龄60岁以上老年乳腺癌与60岁以下非老年乳腺癌患者的乳腺X线影像学表现并分析病灶微钙化阳性率与年龄的相关性。
      方法  回顾性分析2012年6月至2013年4月天津医科大学肿瘤医院1 959例经病理确诊的乳腺癌患者的乳腺X线影像学资料,以60岁为界分为老年组(n=512)和非老年组(n=1 447)并进行统计学分析。
      结果  老年组和非老年组中高密度肿块的患者分别占73.0%(330/452)和46.0%(464/1 008),等/低密度肿块的患者分别占27.0%(122/452)和54.0%(544/1 008),两组比较差异具有统计学意义(P < 0.05)。老年组和非老年组中病灶微钙化阳性率分别为34.8%(178/512)和41.7%(603/1 447),两组比较差异具有统计学意义(P < 0.05)。1 959例患者根据年龄 < 30岁、30~39岁、40~49岁、50~59岁、60~69岁和年龄≥ 70岁进行分组,病灶微钙化阳性率分别占58.8%(10/17)、42.8%(74/173)、41.0%(259/632)、41.6%(260/625)、38.2%(137/359)和26.8%(41/153),随着年龄增长病灶微钙化阳性率整体呈下降趋势,差异具有统计学意义(P=0.008)。
      结论  老年组与非老年组乳腺X线影像学表现中的肿块密度及病灶微钙化阳性率不同,病灶微钙化阳性率呈随年龄增长而降低的趋势。

     

    Abstract:
      Objective  We aimed to compare mammography features between breast cancers patients older and younger than 60 years and to investigate the correlation between rate of microcalcification and age.
      Methods  A retrospective analysis was conducted onmammography data of 1, 959 patients with breast cancer diagnosed based on pathology findings from June 2012 to April 2013 at the Tianjin Medical University Cancer Institute and Hospital. Our study population was divided into 2 groups: older patient group (n=512) and younger patient group (n=1, 447).
      Results  The proportions of cases involving high mass density were 73.0% (330/452) and 46.0% (464/1, 008) in the older and younger patient groups, respectively. Furthermore, the proportions of cases involving equal or low mass density were 27.0% (122/ 452) and 54.0% (544/1, 008) in the corresponding groups, respectively (P < 0.05). The older and younger patient groups included 178 (34.8%) and 603 (41.7%) patients with microcalcification, respectively (P < 0.05). We further divided our patient population (1, 959 patients) into various age groups: < 30, 30-39, 40-49, 50-59, 60-69, and ≥70 years. The proportions of cases involving microcalcification in the corresponding age groups were 58.8% (10/17), 42.8% (74/173), 41.0% (259/632), 41.6% (260/625), 38.2% (137/359), and 26.8% (41/153), respectively (P=0.008).
      Conclusions  Although the proportions of mass density and microcalcification were different between the older and younger patient groups, the fact that microcalcified foci decreased with age deserves further attention.

     

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