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乳腺癌中Her-2/neu的表达——不同诊断方法的比较

Her-2/neu expression in breast cancer--A comparison of different diagnostic methods.

作者信息

Benöhr P, Henkel V, Speer R, Vogel U, Sotlar K, Aydeniz B, Reiser A, Neubauer H, Tabiti K, Wallwiener D, Clare S E, Kurek R

机构信息

Department of Nephrology and Rheumatology, University of Göttingen, Germany.

出版信息

Anticancer Res. 2005 May-Jun;25(3B):1895-900.

Abstract

BACKGROUND

Determination of Her-2/neu overexpression in breast cancer has previously been shown to be of prognostic significance. In this study, Her-2/neu expression in breast cancer was characterised by real-time PCR (RLT-PCR) based LightCycler-HER-2/neu DNA Quantification with immunohistochemistry (IHC) and fluorescence in situ hybridisation (FISH).

MATERIAL AND METHODS

Fifteen specimens of invasive breast cancer - whole tissue sections as well as microdissected tumour cells - were subjected to RLT-PCR. Additionally, IHC and FISH were performed.

RESULTS

Her-2/neu overexpression was detected by FISH and by real-time PCR in the same tumours. In contrast, IHC revealed discordant results.

CONCLUSION

Determination of Her-2/neu amplification by real-time PCR is a sensitive and specific method with some advantages over FISH. This method is simple and reliable and has the potential of categorizing those tumours with borderline Her-2/neu overexpression as determined by IHC.

摘要

背景

先前已证明,检测乳腺癌中Her-2/neu过表达具有预后意义。在本研究中,采用基于实时荧光定量PCR(RLT-PCR)的LightCycler-HER-2/neu DNA定量法,并结合免疫组织化学(IHC)和荧光原位杂交(FISH)对乳腺癌中的Her-2/neu表达进行了特征分析。

材料与方法

对15例浸润性乳腺癌标本——全组织切片以及显微切割的肿瘤细胞——进行了RLT-PCR检测。此外,还进行了IHC和FISH检测。

结果

在同一肿瘤中,通过FISH和实时荧光定量PCR均检测到了Her-2/neu过表达。相比之下,IHC结果不一致。

结论

通过实时荧光定量PCR检测Her-2/neu扩增是一种敏感且特异的方法,相较于FISH具有一些优势。该方法简单可靠,有可能对那些经IHC检测为Her-2/neu过表达临界的肿瘤进行分类。

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