[PTHrP和骨唾液蛋白作为乳腺癌患者发生骨转移的预后标志物]。

S Loibl, A Königs, M Kaufmann, S D Costa, J Bischoff
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引用次数: 4

摘要

背景:骨转移是乳腺癌中最常见的转移灶。目前还没有血清标记物可以早期发现骨转移。患者与方法:对89例原发性乳腺癌患者进行了肿瘤中甲状旁腺激素相关肽(PTHrP)和血清中骨涎蛋白(BSP)的检测。这两种标志物都与经典预后因素和生存率相关。结果:患者中位年龄56岁。89例患者中17例发生骨转移,25例死亡。PTHrP与无骨转移生存率(p = 0.0004)和总生存率(p = 0.0005)显著相关,而BSP仅与无骨转移生存率相关(p = 0.03)。在多变量分析中,这两种标志物都被证明是骨转移无生存的独立预后因素。PTHrP也被发现是总体生存的独立预后因素。结论:PTHrP可作为骨转移的预后指标,BSP可作为早期发现骨转移的指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[PTHrP and bone sialoprotein as prognostic markers for developing bone metastases in breast cancer patients].

Background: Bone metastases belong to the most frequent metastases in breast cancer. Currently there exist no serum markers which allow early detection of bone metastases.

Patients and methods: 89 patients with primary breast cancer have been investigated for parathyroid-hormone-related peptide (PTHrP) in the tumour and bone sialoprotein (BSP) in the serum. Both markers have been correlated with classical prognostic factors and survival.

Results: The median age of the patients was 56 years. 17 of the 89 patients developed bone metastases and 25 died during the observation period of 5 years. PTHrP correlated significantly with bone metastases free survival (p = 0.0004) and overall survival (p = 0.0005), whereas BSP correlated only with the bone metastases free survival (p = 0.03). Both markers were shown to be independent prognostic factors for the bone metastases free survival in the multivariate analysis. PTHrP was also found to be an independent prognostic factor for the overall survival.

Conclusion: The investigation of PTHrP could be a prognostic marker for the presence of bone metastases while BSP could be a marker for the early detection of bone metastases.

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