原创力文档adenoid cystic carcinoma of the breast in the united states (1977 to 2006) a population-based cohort study腺样囊性癌的乳房在美国(1977 - 2006)以人群为基础的队列研究.pdfVIP
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adenoid cystic carcinoma of the breast in the united states (1977 to 2006) a population-based cohort study腺样囊性癌的乳房在美国(1977 - 2006)以人群为基础的队列研究
Ghabach et al. Breast Cancer Research 2010, 12:R54
/content/12/4/R54
RESEARCH ARTICLE Open Access
Adenoid cystic carcinoma of the breast in the
United States (1977 to 2006): a population-based
cohort study
1,2* 3 3 1,2 3
Bassam Ghabach , William F Anderson , Rochelle E Curtis , Mark M Huycke , Jackie A Lavigne ,
Graça M Dores1,3
Abstract
Introduction: Adenoid cystic carcinoma of the breast (breast-ACC) is a rare and special type of basal-like tumor for
which scant population-based descriptive data exist. We sought to provide new population-based information on
breast-ACC incidence, relative survival, and associated cancer risk in the United States.
Methods: Using data from the Surveillance, Epidemiology and End Results Program, we calculated age-adjusted
incidence rates (IRs), IR ratios (IRRs), and relative survival for breast-ACC, and standardized incidence ratios (SIRs) for
other cancers.
Results: Overall 338 women (IR = 0.92/1 million person-years) were diagnosed with breast-ACC during 1977 to
2006. Blacks had 39% lower IRs than Whites (IRR = 0.61, 95% confidence interval = 0.37 to 0.96), and IRs remained
constant over the 30-year period. Ninety-five percent of cases presented with localized stage (n = 320; IR = 0.87),
and the highest IRs were observed for estrogen receptor (ER)-negative/progesterone receptor (PR)-negative tumors
(IR = 0.56). Like other typically ER-negative tumors, age-specific IRs increased until midlife and then plateaued. Five-
year, 10-year, and 15-year relative survival was 98.1%, 94.9%, and 91.4%, respectively. The risk of female breast
cancer was not increased following (SIR = 0.89, 95% confidence interval = 0.43 to 1.64) or preceding (SIR = 0.71,
95% confi
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