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Clinicopathological Features and Treatment Challenges in Triple Negative Breast Cancer Patients: A Retrospective Cohort Study
Faculty
Medicine
Year:
2021
Type of Publication:
ZU Hosted
Pages:
Authors:
Amira Elwan Mohamed Ahmad
Staff Zu Site
Abstract In Staff Site
Journal:
Turkish Journal of Pathology Turkish Journal of Pathology
Volume:
Keywords :
Clinicopathological Features , Treatment Challenges , Triple Negative Breast
Abstract:
Back ground:The genetic and molecular profiles of triple negative breast carcinoma (TNBC) are elucidated, multiple therapeutic targets have been produced. TNBC with less than 1% androgen receptor (AR) expression may respond to enzalutamide with greater response association in higher levels. A metronomic dose of capecitabine and docetaxel are effective developed drugs for angiogenic process inhibition. Purpose: The study aimed todemonstrate the treatment outcome of triple-negative breast cancer patients in correlation to their clinicopathological features. Materials and Methods:A retrospective cohort study of 80 TNBC patients was conducted. The patients underwent proper observation with thereporting of their treatment and follow-up data. Patients with a metastatic disease, neoadjuvant chemotherapy, follow-up drop or data shortage were excluded from the survival analysis. Results:The study results revealed a significant association between negative androgen expression and younger age ≤35 years, premenopausalstatus, higher grade, extracapsular extension, lymphovascular invasion, Ki 67, and CA15-3 (p=0.003, 0.02, <0.001, 0.001, 0.027, 0.005, 0.009respectively). The three-year overall survival (OS) in patients who received bicalutamide was better than those patients who received capecitabineor docetaxel but of no significance (p=0.46). The three-year disease free survival (DFS) was significantly better in the bicalutamide arm versusthe other two groups (p=0.012). Conclusions:We concluded that extended adjuvant antiandrogen such as bicalutamide and metronomic capecitabine are well tolerated withaccepted compliance and affordability compared to docetaxel and are warranted for problem-solving and better DFS and OS in some TNBCpatients.
Author Related Publications
Amira Elwan Mohamed Ahmad, "Outcome of radiotherapy using prone versus supine treatment position in breast cancer patients with conservative surgery", Cancer biology, 2016
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Amira Elwan Mohamed Ahmad, "Prognostic Value of Aquaporin-3, Vimentin and E-cadherin Expressions in Invasive Breast Carcinoma: An Immunohistochemical Study", Middle East Journal of Cancer, 2020
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Amira Elwan Mohamed Ahmad, "Clinicopathological and Prognostic Value of Immunohistochemical Expression of CD44 (Stem Cell Marker) and Ki67 in Serous Ovarian Cancer", clinical and diagnostic research, 2019
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Amira Elwan Mohamed Ahmad, "Prognostic significance of peroxisome proliferator-activated receptor-gamma (PPAR-γ) and Cyclin D1 in bladder urothelial carcinoma", Zagazig University medical jou, 2020
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Amira Elwan Mohamed Ahmad, "Radical Conformal Radiotherapy versus Two-Dimensional Radiotherapy in Oligometastatic Breast Cancer Patients: Response, Toxicity, and Survival", Zagazig university medical journal, 2021
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Department Related Publications
Foad Mohamed Mohamed Abotaleb, "دراسة العامل المنشط لمستعمرات الخلايا الجينية والخلايا الاكلة الكبيرة فى مرضى سرطان الدم الحاد", لايوجد, 1900
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Foad Mohamed Mohamed Abotaleb, "دراسة نشاط شعة الاكسجين الحر وكذا بعض مضادات الاكسدة فى بلازما المصابين بمرض هودجكس", لايوجد, 1900
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Foad Mohamed Mohamed Abotaleb, "الهير – م خارج الخلوى الدورى والاستجابة للعلاج الكيميائى فى سرطان الثدى المنتشر", لايوجد, 1900
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Foad Mohamed Mohamed Abotaleb, "الاحتفاظ بالمثانة البولية فى سرطان الخلايا الانتقالية التوسعى عن طريق الاستئصال الجزئى عبر قناة مجرى البول والعلاج الكيميائى سى . أم . ف", لايوجد, 1900
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Foad Mohamed Mohamed Abotaleb, "العلاقة بين ظهور مستقبلات هير-2 ومدى الاستجابة لبروتوكول جيمستاين سيسبلاتين فى سرطان الرئة من نوع الخلايا الغير صغيرة", لايوجد, 1900
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