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[Robo1在乳腺癌中的表达及其与脑转移的关系]

[Robo1 expression in breast cancer and its relationship to brain metastasis].

作者信息

Wang Jing, Wang Le, Liu Fang-fang, Ma Yong-jie, Fu Li, Li Wen-liang, Gu Feng

机构信息

Central Laborarory, Tianjin Medical University Cancer Institute and Hospital, China.

出版信息

Zhonghua Zhong Liu Za Zhi. 2011 Jun;33(6):447-51.

Abstract

OBJECTIVE

To detect the expression of Robo1 in different breast tumors and its association with the breast cancer brain metastasis.

METHODS

Labelled streptavidin-biotin (LSAB) staining was used to examine the Robo1 expression in specimens from 24 cases of invasive ductal carcinoma (IDC) with brain metastasis, 71 cases of IDC without brain metastasis, 22 cases of ductal carcinoma in situ (DCIS) and 23 cases of fibroadenoma.

RESULTS

The expression pattern of Robo1 in DCIS (59.1%) and IDC (45.3%) was significantly lower than that in adenofibroma (87.0%, P < 0.05). The expression of Robo1 in IDC with brain metastasis (12.5%) was significantly lower than that in IDC without brain metastasis (56.3%, P < 0.05). The expression of Robo1 was much higher in more than 50 year-old-group (57.8%) than that in less than 50 year-old-group (34.0%) of IDC patients. The overall survival time in patients with the Robo1 negative expression was significantly shorter than those with positive expression (P < 0.05). No correlation was found between the Robo1 expression and the tumor size, lymph node metastasis, pathologic stage, histological grade and clinical stage (P > 0.05).

CONCLUSIONS

The Robo1 expression correlates negatively with IDC brain metastasis, and correlates positively with the age and prognosis of IDC patients. Robo1 may be applied as a marker in evaluation of the IDC prognosis and brain metastasis.

摘要

目的

检测Robo1在不同乳腺肿瘤中的表达及其与乳腺癌脑转移的关系。

方法

采用标记链霉亲和素-生物素(LSAB)染色法检测24例伴有脑转移的浸润性导管癌(IDC)、71例无脑转移的IDC、22例原位导管癌(DCIS)及23例纤维腺瘤标本中Robo1的表达。

结果

Robo1在DCIS(59.1%)和IDC(45.3%)中的表达模式显著低于纤维腺瘤(87.0%,P<0.05)。伴有脑转移的IDC中Robo1的表达(12.5%)显著低于无脑转移的IDC(56.3%,P<0.05)。在IDC患者中,年龄大于50岁组(57.8%)的Robo1表达明显高于年龄小于50岁组(34.0%)。Robo1阴性表达患者的总生存时间显著短于阳性表达患者(P<0.05)。未发现Robo1表达与肿瘤大小、淋巴结转移、病理分期、组织学分级及临床分期之间存在相关性(P>0.05)。

结论

Robo1表达与IDC脑转移呈负相关,与IDC患者年龄及预后呈正相关。Robo1可作为评估IDC预后及脑转移的标志物。

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