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Comparative analysis of clinicopathological characteristics and MRI manifestations of breast cancer with different Ki-67 expression |
WANG Yanlong1 ZHU Lina2▲ XIAO Lan3 LI Xing2 |
1.Department of Medical Imaging Center, Gansu Provincal Maternity and Child-care Hospital, Gansu Province, Lanzhou 730050, China;
2.Department of Medical Imaging Center, Tumour Hospital Affiliated to Xinjiang Medical University, Xinjiang Uygur Autonomous region, Urumqi 830011, China; 3.Department of Radiology, Hubei Provincial Hospital of Traditional Chinese Medicine, Hubei Province, Wuhan 430074, China |
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Abstract Objective To explore clinicopathological characteristics and MRI manifestations of breast cancer with different Ki-67 expression and compare their difference. Methods A total of 205 patients with non-special invasive breast cancer diagnosed by pathology were collected in Tumour Hospital Affiliated to Xinjiang Medical University from January 2014 to December 2018. Ki-67≥20% was used as the high expression group (146 cases), Ki-67<20% was used as the low expression group (59 cases). The clinicopathological characteristics, MRI manifestations and parameters(the maximum diameter of tumor, apparent diffusion coefficient [ADC] value, and early enhancement rate) between two groups were compared. Results There were no significant differences in lymph node metastasis and tumor shape between two groups (P>0.05); while there were significant differences in histological grade, estrogen receptor, progesterone receptor, human epidermal growth factor receptor-2, p53 expression, tumor margin, internal enhancement characteristics, time-signal intensity curve type, the maximum diameter of tumor, ADC value, and early enhancement rate between two groups. Conclusion There are certain difference in clinicopathological characteristics and MRI manifestations of breast cancer with different Ki-67 expression, which is helpful to guide the clinical development of treatment strategies.
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[1] Chen X,He C,Han D,et al. The predictive value of Ki-67 before neoadjuvant chemotherapy for breast cancer:a systematic review and meta-analysis [J]. Future Oncol,2017,13(9):843-857.
[2] Hashmi AA,Hashmi KA,Irfan M,et al. Ki67 index in intrinsic breast cancer subtypes and its association with prognostic parameters [J]. BMC Res Notes,2019,12(1):605- 609.
[3] 刘岩岩,童创,梁惠,等.Ki67、HER-2、VEGF和EGFR蛋白在乳腺癌组织中的表达及临床意义[J].新疆医科大学学报,2019,42(11):1419-1422.
[4] 姜雪,祖国,姜力群,等.不同Ki67表达的浸润性乳腺癌临床特征分析[J].大连医科大学学报,2019,41(1):33-36.
[5] 王月波,蒲红.乳腺癌增强MRI形态学特征及表观扩散系数值与相关分子生物学标记物的关系分析[J].实用放射学杂志,2020,36(2):219-222.
[6] 闫峰山,周晶,白岩,等.不同Ki-67表达状态乳腺癌患者临床和DCE-MRI特征[J].中国医学影像技术,2019, 35(11):1657-1662.
[7] 中国抗癌协会乳腺专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2019年版)[J].中国癌症杂志,2019,29(8):609-680.
[8] 王耀辉,高丽丽,王晨曦,等.ER,PR,Her-2及Ki-67在乳腺癌原发灶和前哨淋巴结转移灶中的表达对比研究[J].现代肿瘤医学,2019,27(6):959-963.
[9] 中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2021年版)[J].中国癌症杂志,2021,31(10):954-1040.
[10] 胡芸,金朝林,王翔,等.乳腺癌的磁共振强化方式与新辅助化疗后退缩模式间的相关性及其临床意义[J].中国肿瘤临床,2014,41(22):1446-1449.
[11] 高仁坎,徐慧,梁煜爽.维吾尔族女性三阴性乳腺癌MRI表现及其与Ki-67指数的相关性[J].中国医学影像技术,2018,34(3):362-366.
[12] Ma W,Ji Y,Qi L,et al. Breast cancer Ki67 expression prediction by DCE-MRI radiomics features [J]. Clin Radiol,2018,73(10):909.e1-909.e5.
[13] 李建,吴君辉,石光清.乳腺癌中不同水平的Ki-67表达及其相关性研究[J].中国现代医学杂志,2014,24(17):50-54.
[14] 袁明明,任晓燕,陶玉梅,等.P53在浸润性乳腺癌中的表达及意义[J].天津医药,2019,47(2):167-170.
[15] 栗辰,进淑娟,刘晓静,等.Ki-67、Her-2在乳腺浸润性导管癌中的表达与临床特征相关性研究[J].军事医学,2015,39(2):140-142,146.
[16] Shao GL,Fan LY,Zhang J,et al. Associate of DC/DWI- MRI features with prognostic factors in breast caner [J]. Int J Biol Markers,2017,32(1):e118-e125.
[17] 李凡,汪瑞,周军.乳腺癌DCE-MRI表现特征与生物因子表达及淋巴结转移的相关性研究[J].中国肿瘤外科杂志,2020,12(2):117-125.
[18] 周寨文,张延伟,曾道辉,等.乳腺癌MRI表现与Ki-67、E-cad表达的关系[J].中国医学物理学杂志,2017,34(10):1008-1012.
[19] Trimboli RM,Codari M,Khouri Chalouhi K,et al. Correlation between voxel-wise enhancement parameters on DCE- MRI and pathological prognostic factors in invasive breast cancers [J]. Radiol Medica,2018,23(2):91-97.
[20] 韦成相,顾娟,赵志勇,等.DCE-MRI联合IVIM-DWI早期诊断乳腺导管原位癌的价值[J].放射学实践,2020, 35(7):878-882.
[21] Montemurro F,Martincich L,Sarotto I,et al. Relationship between DCE-MRI morphological and functional features and histopathological characteristics of breast cancer [J]. Eur Radiol,2007,17(6):1490-1497.
[22] Shin JK,Kim JY. Dynamic contrast-enhanced and diffusion-weighted MRI of estrogen receptor-positive invasive breast cancers:Associations between quantitative MR parameters and Ki-67 proliferation status [J]. J Magn Reson Imaging,2017,45(1):94-102.
[23] 程雪,徐民,夏海红,等.磁共振DWI序列在早期乳腺癌诊断中的价值[J].医学影像学杂志,2020,30(12):2236- 2239,2243.
[24] Surov A,Clauser P,Chang YW,et al. Can diffusion-weighted imaging predict tumor grade and expression of Ki-67 in breast cancer? A multicenter analysis [J]. Breast Cancer Res,2018,20(1):58-64.
[25] Valentine MT,Perlman ZE,Mitchison TJ,et al. Mechanical properties of Xenopus egg cytoplasmic extracts [J]. Biophys J,2005,88(1):680-689. |
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