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103526

Relationship between Diabetes Mellitus and Clinicopathological Stages of Breast Cancer at Diagnosis

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Last updated: 22 Jan 2023

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Abstract

Diabetes is a risk factor for development of specific neoplasms, including breast cancer. Women with type-2 diabetes mellitus (T2DM) are at increased risk for developing breast cancer. Breast cancer subtypes have been extensively studied, but few studies have examined whether diabetic women present with more advanced breast cancer stages. Aim of study: evaluate whether T2DM has effect on clinicopathological stages of breast cancer at diagnosis. Subjects and methods: 102 breast cancer women were studied, 51 had T2DM and 51 were non-diabetic. Clinical assessment, BMI, FBS, 2-hPPBS, HbA1c level, total cholesterol, triglyceride, C-peptide, breast mammography, and body imaging and scanning were performed. Biopsy samples from breast tissues were reviewed; histologic morphology and grades were determined. Hormone receptor status (ER, PR, HER2) was determined. Clinical stages of breast cancer were determined based on TNM staging system. Results: BMI was significantly higher in type-2 diabetic breast cancer women compared to non-diabetic. Type-2 diabetic breast cancer women had more invasive pathologic subtypes and advanced stages of breast cancer compared to those who were non-diabetic. Breast cancer women with invasive duct carcinoma had significantly higher BMI (32.0±6.1kg/m2), FBS (130.3±30.4mg/dL), 2-hPPBS (221.6±72.5mg/dL), HbA1c (7.8±2.2%), cholesterol (202.2±39.9mg/dL), and triglyceride (154.9±16.1mg/dL) compared to those with ductal carcinoma in situ. Conclusion and recommendation: breast cancer in type-2 diabetic women is often diagnosed at advanced stages and being of more aggressive pathologic subtype. Whether proper control of diabetic status has effect on progression of breast cancer needs further studies.

DOI

10.21608/bmfj.2020.103526

Authors

First Name

Ali

Last Name

Ali

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Affiliation

Department of internal medicine, Benha faculty of medicine, Banha University, Egypt.

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lolo1969119@yahoo.com

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First Name

Mohamed

Last Name

Mohamed

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Affiliation

Department of internal medicine, Benha faculty of medicine, Banha University, Egypt.

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First Name

Nabil

Last Name

Khattab

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Affiliation

Department of internal medicine, Benha faculty of medicine, Banha University, Egypt.

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First Name

Abd El Shafee

Last Name

Tabl

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Affiliation

Department of internal medicine, Benha faculty of medicine, Banha University, Egypt.

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Orcid

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First Name

Reham

Last Name

Emam

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Affiliation

Department of internal medicine, Benha faculty of medicine, Banha University, Egypt.

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Volume

37

Article Issue

Special issue (Internal medicine and Hepatology)

Related Issue

18418

Issue Date

2020-11-01

Receive Date

2020-07-17

Publish Date

2020-11-01

Page Start

68

Page End

80

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_103526.html

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https://bmfj.journals.ekb.eg/service?article_code=103526

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6

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Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

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Article

Created At

22 Jan 2023