乳腺癌术后接受内分泌治疗的患者发生子宫内膜癌的危险因素分析  

Risk factors of Endometrial Cancer in Patients Receiving Endocrine Therapy after Breast Cancer Surgery

作　　者：韩文鹤 王晓彤 陈艳丽 HAN Wen-he;WANG Xiao-tong;CHEN Yan-li(Shandong Provincial Third Hospital,Jinan Shandong,250031,China)

机构地区：[1]山东省立第三医院,山东济南250031

出　　处：《医学临床研究》2021年第3期428-430,433,共4页Journal of Clinical Research

摘　　要：【目的】探讨乳腺癌术后接受内分泌治疗的患者发生子宫内膜癌的危险因素。【方法】回顾性分析2015年1月至2020年3月本院收治的288例乳腺癌术后接受内分泌治疗出现子宫内膜病变的患者临床资料,根据不同病变类型将其分为子宫内膜息肉组(n=209)、子宫内膜增生组(n=47)、子宫内膜癌组(n=32)。收集患者的临床资料,回顾性分析影响乳腺癌术后接受内分泌治疗患者发生子宫内膜癌的危险因素。【结果】三组患者的年龄、子宫内膜厚度、绝经和异常子宫出血之间差异有统计学意义(P<0.05);子宫内膜厚度、绝经和异常子宫出血为乳腺癌术后接受内分泌治疗患者发生子宫内膜癌的独立危险因素(P<0.05);子宫内膜厚度≥7.760mm时,预测子宫内膜癌的灵敏度为59.4%,特异度为73.9%,绝经和异常子宫出血预测子宫内膜癌的灵敏度分别为75.0%、71.9%,特异度分别为39.1%、24.5%。【结论】乳腺癌术后接受内分泌治疗的患者绝经、异常子宫出血和子宫内膜厚度≥7.760mm均为发生子宫内膜癌的独立危险因素。【Objective】To analyze the risk factors of endometrial cancer in patients undergoing endocrine therapy after breast cancer surgery.【Methods】The clinical data of 288 patients with endometrial lesions after endocrine therapy in our hospital from January 2015 to March 2020 were retrospectively analyzed.According to different types of lesions,they were divided into endometrial polyps group(n=209),endometrial hyperplasia group(n=47)and endometrial carcinoma group(n=32).The risk factors of endometrial cancer were analyzed retrospectively.【Results】There were significant differences in age,endometrial thickness,menopause and abnormal uterine bleeding among the three groups(P<0.05);endometrial thickness,menopause and abnormal uterine bleeding were independent risk factors for endometrial cancer in patients receiving endocrine therapy after breast cancer surgery(P<0.05);when endometrial thickness≥7.760 mm,the sensitivity of predicting endometrial cancer was 59.4%,the specificity was 73.9%,the sensitivity of menopause and abnormal uterine bleeding in predicting endometrial cancer was 75.0%and 71.9%respectively.The specificity was 39.1%and 24.5%respectively.【Conclusion】Menopause,abnormal uterine bleeding and endometrial thickness≥7.760 mm were independent risk factors for endometrial cancer in patients receiving endocrine therapy after breast cancer surgery.

关 键 词：乳腺肿瘤/外科学 乳腺肿瘤/并发症 子宫内膜肿瘤/并发症 托瑞米芬/治疗应用 芳香酶抑制剂/治疗应用 危险因素 

分 类 号：R737.9[医药卫生—肿瘤]