Comparison of RCB grading and MP grading for prognosis of non-specific breast invasive cancer after neoadjuvant chemotherapy
10.13315/j.cnki.cjcep.2024.09.010
- VernacularTitle:非特殊型浸润性乳腺癌新辅助化疗后RCB分级与MP分级在预后分析中的比较研究
- Author:
Zhiwen GE
1
;
Yuan'e LIAN
;
Qiaoling ZHENG
;
Yinghong YAN
Author Information
1. 福建医科大学附属协和医院病理科,福州 350001
- Keywords:
breast neoplasm;
neoadjuvant chemotherapy;
MP grade;
RCB grade
- From:
Chinese Journal of Clinical and Experimental Pathology
2024;40(9):947-954
- CountryChina
- Language:Chinese
-
Abstract:
Purpose To analyze the impact of clinicopatho-logical factors on residual tumor burden(RCB)grading system and Miller-Payne(MP)grading system in non-specific invasive breast cancer patients after neoadjuvant chemotherapy,and to explore the predictive value of the two grading systems for patient survival.Methods The clinical data of 177 patients with non-specific invasive breast cancer diagnosed by preoperative punc-ture and treated with neoadjuvant chemotherapy were retrospec-tively analyzed.The relationship of RCB grading system or MP grading system with disease free survival(DFS)and overall sur-vival(OS)was studied,and the value of the two systems in predicting prognosis was analyzed and compared.Results RCB grading was related to menstrual status,histological grading be-fore treatment,and lymph node metastasis after treatment;MP grading was related to pre-treatment histological grading,post-treatment lymph node metastasis,and pre-treatment molecular typing.By evaluating the ROC curve of recurrence and survival and comparing the area under curve(AUC),it was shown that RCB grading system was superior to MP grading system in pre-dicting recurrence and evaluating survival.Univariate and multi-variate survival analysis showed that pre-treatment clinical stag-ing,post-treatment lymph node metastasis,and RCB grading were independent factors for DFS.Pre-treatment clinical stag-ing,pre-treatment molecular typing,and RCB grading were in-dependent factors for OS,while MP grading was not an inde-pendent factor for DFS and OS.Conclusion RCB grading sys-tem has a higher predictive value for patient survival than MP grading system.RCB grading evaluation system is recommended as evaluation system for non-specific invasive breast cancer after neoadjuvant chemotherapy.
