Genç Kadınlarda İnvaziv Meme Kanseri Histopatolojik Özellikleri ve Hormon Reseptörleri

Öz

Giriş/Amaç:Meme kanseri, özellikle ileri yaş kadınlarda yaygındır. Genç kadınlarda da kansere bağlı ölümlerin önde gelen nedenleri arasındadır. Genç kadınlarda survey daha kısa olup, medikal tedaviye cevap daha düşük olmaktadır, nedeni bu hasta grubunda görülen kanser olgularının diğer yaş gruplarında görülenlerden farklı olarak kanser hücrelerindeki hormon reseptörlerindeki farklılıklar olarak düşünülmektedir. Çalışmamızdaki amaç 40 yaş altı kadınlardaki meme kanserinin klinik, histopatolojik özellikleri, ve hormon reseptörleri değerlendirip, bu yaştaki hastalara uygulanacak medikal tedavilerde farklı yöntemler geliştirilmesi için veri setleri oluşturmaktır. Gereç ve Yöntemler:Hastanemiz patoloji kliniğinde tanı almış 40 yaş altı 72 invaziv meme karsinom vakası; lokalizasyon, tümör büyüklüğü, histolojik grade, lenf nodu tutulumu, multifokalite/multisentrisite, uzak organ metastazı, hormon reseptör (Östrojen-ER, progesteron-PR) durumu, HER2 ve ki-67 proliferasyon belirteçleri retrospektif olarak incelendi. Bulgular:Hastaların yaş ortalaması 35.31 olup, %59.7?si sağ memede lokalizedir. Duktal karsinoma en yaygın histolojik tip olup, olguların %52.8?inde yüksek grade saptandı. Vakaların büyük çoğunluğu ER (%87.5) ve PR (%73.6) pozitif, HER2 (%83.3) negatif bulundu. Ki-67 proliferasyon indeksi %52.8?inde yüksek oranda izlendi. Sonuç:Bu bulgularla genç kadınlarda izlenen meme kanseri tümörlerinin daha yüksek histolojik grade ve yüksek proliferasyon indeksine sahip olduğunu göstermektedir. Bu nedenle bu yaş grubunda görülen kanserlerin biyolojik olarak daha agresif seyredeceğini ve prognozun kötü olacağını göstermektedir.

Anahtar Kelimeler

• Meme Kanseri
• Genç Kadın
• Histopatolojik Özellikleri
• Hormon Reseptörleri

Invasıve Breast Cancer Histopathological Properties and Hormone Receptors In Young Women

Abstract

Objective:Breast cancer is common, especially in older women. It is also one of the leading causes of cancer-related deaths in young women. Survey in young women is shorter and the response to medical treatment is lower, because cancer cases in this group of patients are considered as differences in hormone receptors in cancer cells, unlike those seen in other age groups. The aim of our study is to evaluate the clinical, histopathological features, and hormone receptors of breast cancer in women under the age of 40, and to create datasets to develop different methods in medical treatments to be applied to patients of this age. Methods:Localization, tumor size, histological grade, lymph node involvement, multifocality/multicentricity, distant organ metastasis, hormone receptor (Estrogen-ER, progesterone-PR) status, HER2 and ki-67 proliferation markers were retrospectively analyzed in 72 invasive breast carcinoma cases under the age of 40 diagnosed in the pathology clinic of our hospital. Results:The average age of the patients is 35.31 and 59.7 % of them are localized in the right breast. Ductal carcinoma is the most common histological type, and high grade was detected in 52.8 % of cases. The majority of cases were ER (87.5%) and PR (73.6 %) positive, HER2 (83.3 %) negative. Ki-67 proliferation index was observed at a high rate in 52.8 %. Conclusion:These findings show that breast cancer tumors observed in young women have higher histological grade and high proliferation index. Therefore, it shows that cancers seen in this age group will progress more biologically and the prognosis will be poor.

Keywords

• Breast Cancer
• Histopathological Features
• Hormone Receptors
• Young Woman

Kaynakça

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