Relationship between micro-calcification and prognostic factors in breast cancer patients / 肿瘤

ABSTRACT

Objective: To investigate the correlation between the prognosis of breast cancer patients and mammographic calcification. Methods: A total of 1 035 breast cancer patients with complete clin ical information were in cluded in this study. According to mammographic calcification before operation, the patients were divided into calcification group and non-calcification group, and then the expressions of estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor-2 (HER-2) were compared between two groups. The influence of calcification on the positive expression rates of ER, PR and HER-2 and the relationship between calcification and tumor size, axillary lymph node status, histological grade, molecular classification and prognosis were analyzed. Results: The rate of calcification in the patients with axillary node metastasis was significantly higher than that in the patients without lymphatic metastasis [53.6% (199/371) vs 47.1% (312/663)] (P 0.05). In survival analysis, there was no obvious difference between the calcification group and non-calcification group. Conclusion: The breast cancer with micro-calcification shown on mammographic X-ray images was associated with the expression of HER-2, molecular typing and axillary lymph node status. The calcification is likely to have no effect on the survival of patients.