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三联激素受体检测:治疗晚期乳腺癌更准确的预测工具?

Triple hormone-receptor assay: a more accurate predictive tool for the treatment of advanced breast cancer?

作者信息

Barnes D M, Skinner L G, Ribeiro G G

出版信息

Br J Cancer. 1979 Dec;40(6):862-5. doi: 10.1038/bjc.1979.277.

DOI:10.1038/bjc.1979.277
PMID:230853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2010127/
Abstract

In a group of 74 patients with advanced metastatic breast cancer, 57% of those with cytoplasmic oestrogen receptor activity in their tumours (REC+) showed a clinical response to endocrine therapy. Of 51 patients whose tumour was assayed for both REC and cytoplasmic progesterone (RPC) activity, 9/12 patients with REC+ RPC+ tumours responded to hormone treatment, whereas only 3/30 patients with REC-RPC-tumours had a clinical response. In a group of 19 patients in whom nuclear oestrogen receptor (REN) was also estimated in the pellets from tumour-tissue homogenates, 5/6 with tumours positive for all 3 receptors showed a clinical response. None of the 9 patients with triply negative tumours responded. Addition of the REN assay appears to reinforce the greater precision of prediction when RPC as well as REC are estimated in breast tumours.

摘要

在一组74例晚期转移性乳腺癌患者中,肿瘤具有细胞质雌激素受体活性(REC+)的患者中有57%对内分泌治疗有临床反应。在51例肿瘤同时检测了REC和细胞质孕激素(RPC)活性的患者中,9/12例REC+ RPC+肿瘤患者对激素治疗有反应,而REC-RPC-肿瘤患者中只有3/30例有临床反应。在一组19例患者中,还对肿瘤组织匀浆沉淀物中的细胞核雌激素受体(REN)进行了评估,6例所有3种受体均为阳性的肿瘤患者中有5例有临床反应。9例三重阴性肿瘤患者均无反应。当在乳腺肿瘤中同时评估RPC和REC时,增加REN检测似乎能提高预测的准确性。

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本文引用的文献

1
Two methods for measurement of oestradiol-17 beta and progesterone receptors in human breast cancer and correlation with response treatment.两种检测人乳腺癌中雌二醇-17β和孕激素受体的方法及其与治疗反应的相关性。
Eur J Cancer (1965). 1977 Oct;13(10):1133-43. doi: 10.1016/0014-2964(77)90012-3.
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An improved assay for nuclear estrogen receptor in experimental and human breast cancer.一种用于实验性和人类乳腺癌中核雌激素受体的改良检测方法。
Cancer Res. 1977 Sep;37(9):3333-7.
3
Regulation of progesterone receptor formation by estrogen action.雌激素作用对孕激素受体形成的调节。
Ann N Y Acad Sci. 1977 Mar 11;286:210-25. doi: 10.1111/j.1749-6632.1977.tb29418.x.
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Predicting response to endocrine therapy in human breast cancer: a hypothesis.预测人类乳腺癌内分泌治疗反应:一种假说。
Science. 1975 Aug 29;189(4204):726-7. doi: 10.1126/science.168640.
5
Nuclear oestrogen receptors and treatment of breast cancer.核雌激素受体与乳腺癌治疗
Lancet. 1977 Jul 23;2(8030):168-9. doi: 10.1016/s0140-6736(77)90183-0.