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乳腺癌印片涂片的图像分析(DNA倍体)及c-erb B-2和p53的表达

Image analysis (DNA ploidy) and expression of c-erb B-2 and p53 in imprint smears of breast cancer.

作者信息

Malle D, Patakiouta F, Bousoulegas A, Karakitsos P, Destouni C

机构信息

Cytopathology Dept., "Theagenion" Anticancer Hospital, Thessaloniki, Greece.

出版信息

Eur J Gynaecol Oncol. 2003;24(6):531-4.

Abstract

PURPOSE OF INVESTIGATION

To co-evaluate DNA analysis and the expression of c-erb B-2 and p53 oncoproteins with the histologic type and the other known prognostic factors of breast cancer.

METHODS

Sixty-five imprint smears from breast surgical specimens were examined by immunocytochemical staining for c-erb B-2 and p53 and routine pap staining. The immunostaining was considered positive for c-erb B-2 if the cancer cells showed specific membrane staining and for p53 specific nuclear staining. In 30 breast carcinoma imprints, DNA ploidy was evaluated by an image analysis technique using a SAMBA 2005 analyser.

RESULTS

From the total number of 53 breast carcinomas which were evaluated in our study 25 (47.1%) showed c-erb B-2 immunopositivity, while 16 (30.18%) exhibited p53 positive nuclear immunoreactivity. Ten out of 13 (76.92%) aneuploid breast carcinomas were positive for c-erb B-2 while five out of 13 (38.46%) showed immunopositivity for p53.

CONCLUSION

From our findings it seems that detection of c-erb B-2 and p53 expression in samples of breast carcinomas could be an important prognostic factor and may identify patients with more aggressive disease.

摘要

研究目的

联合评估DNA分析以及c-erb B-2和p53癌蛋白的表达与乳腺癌的组织学类型及其他已知预后因素。

方法

对65份乳腺手术标本的印片涂片进行c-erb B-2和p53免疫细胞化学染色及常规巴氏染色检查。若癌细胞显示特异性膜染色,则c-erb B-2免疫染色被认为呈阳性;若显示特异性核染色,则p53免疫染色呈阳性。在30份乳腺癌印片中,使用SAMBA 2005分析仪通过图像分析技术评估DNA倍体。

结果

在我们研究中评估的53例乳腺癌总数中,25例(47.1%)显示c-erb B-2免疫阳性,而16例(30.18%)表现出p53阳性核免疫反应性。13例非整倍体乳腺癌中有10例(76.92%)c-erb B-2呈阳性,13例中有5例(38.46%)p53免疫阳性。

结论

从我们的研究结果来看,检测乳腺癌样本中c-erb B-2和p53的表达可能是一个重要的预后因素,并且可能识别出患有侵袭性更强疾病的患者。

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