Comprehensive Analysis of Receptor Status, Histopathological Classifications (B1–B5), and Cumulative Histological Dimensions in Breast Cancer: Predictors of Malignancy and Diagnostic Implications.

Simple Summary: The aim of this study was to assess the impact of various factors—such as age, age at menarche, age at first childbirth, number of births, body mass index (BMI), living environment (rural vs. urban), and other factors later discussed—on the likelihood of developing breast cancer. Thi...

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Publicado en:Cancers Vol. 16; no. 20; pp. 3471 - 3487
Autores principales: Burciu, Oana Maria, Sas, Ioan, Merce, Adrian-Grigore, Cerbu, Simona, Moatar, Aurica Elisabeta, Eftenoiu, Anca-Elena, Cobec, Ionut Marcel
Formato: research tables/charts Journal Article
Publicado: MDPI Oct2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2024
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      pub: MDPI
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        10.3390/cancers16203471
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        atl: Comprehensive Analysis of Receptor Status, Histopathological Classifications (B1–B5), and Cumulative Histological Dimensions in Breast Cancer: Predictors of Malignancy and Diagnostic Implications.
      aug:
        au:
          Burciu, Oana Maria
          Sas, Ioan
          Merce, Adrian-Grigore
          Cerbu, Simona
          Moatar, Aurica Elisabeta
          Eftenoiu, Anca-Elena
          Cobec, Ionut Marcel
        affil: Doctoral School, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania
      sug:
        subj:
          Breast Neoplasms Risk Factors
          Disease Progression Risk Factors
          Sociodemographic Factors
          Reproductive History
          Receptors, Estrogen Analysis
          Receptors, Progesterone Analysis
          Breast Neoplasms Pathology
          Risk Assessment
          Diagnosis, Gynecologic
          Human
          Female
          Romania
          Breast Examination
          Mammography
          Breast Ultrasonography
          Descriptive Statistics
          Data Analysis Software
          Biopsy Methods
          Comparative Studies
          Logistic Regression
          Linear Regression
          Receptors, Estrogen Blood
          Receptors, Androgen Blood
          Receptors, Progesterone Blood
          Immunohistochemistry
          Age Factors
          Geographic Factors
          Social Environment
          Prediction Models
          Menarche
          Parity
          Body Mass Index
          Childbirth
          Residence Characteristics
          Disease Susceptibility
          Female
      ab: Simple Summary: The aim of this study was to assess the impact of various factors—such as age, age at menarche, age at first childbirth, number of births, body mass index (BMI), living environment (rural vs. urban), and other factors later discussed—on the likelihood of developing breast cancer. This article's original research was based on data gathered from 687 breast biopsies, which were analyzed through comparative analysis and regression analysis to identify possible predictors for malignancy and tumor size. The comparative analysis and regression models in this study provide deeper insights into the roles of various variables, particularly positive hormonal receptor status, in malignancy. Introduction: Breast cancer has become one of the most serious and widespread public health concerns globally, affecting an increasing number of women—and, in rare cases, men—across the world. It is the most common cancer among women across all countries. In this study, we aimed to evaluate the influence of demographic factors, medical and reproductive history, diagnostic techniques, and hormone receptor status on the development and progression of breast cancer. Materials and Methods: A total of 687 female patients from Romania underwent standard breast examination techniques, including clinical breast examination, mammography, ultrasonography, and, ultimately, breast biopsy. Statistical analysis was performed using the R programming language and RStudio software. The study included a comparative analysis and a prediction analysis for malignancy and tumor size (cumulative histological dimension) through logistic and linear regression models. Results: The comparative analysis identified several variables associated with malignancy: older age (p < 0.001), non-vulnerability (p = 0.04), no daily physical activity (p = 0.002), no re-biopsy (p < 0.001), immunohistochemistry use (p < 0.001), use of larger gauge needles (p < 0.001), ultrasound-guided biopsy (p < 0.001), and vacuum biopsy (p < 0.001). The hormone receptor statuses—estrogen receptor (ER), progesterone receptor (PR), and androgen receptor (AR)—showed statistically significant differences in distribution across breast cancer B classifications. Logistic regression analysis identified ER, PR, and age as significant predictors of malignancy. Linear regression analysis revealed histopathological results, living environment, geographical region, vulnerability, prior breast examination, and the number of histological fragments as significant predictors of cumulative histological dimension. Conclusions: Our predictive models demonstrate the impact of demographic factors, medical history, diagnostic techniques, and hormone receptor status on breast cancer development and progression, accounting for a significant portion of the variance in malignancy and cumulative histological dimension.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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