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[人乳腺癌中的表皮生长因子受体]

[Epidermal growth factor receptor in human breast cancer].

作者信息

Nakamura T, Hamada Y, Mukaida H, Tanaka T, Tanimoto M, Niimoto M, Hattori T

机构信息

Dept. of Surgery, Hiroshima University.

出版信息

Gan To Kagaku Ryoho. 1988 Sep;15(9):2737-41.

PMID:2458073
Abstract

For the purpose of demonstrating the relationship between epidermal growth factor receptor (EGFR) content in the tumor and histopathologic characteristics, 45 women with breast cancer who underwent mastectomy were analyzed. EGFR content was measured by competitive binding assay using 125I, while EGFR was detected by immunocytochemical staining. Tumors with more than 1 fmol/mg protein EGFR were defined as positive, and a good correlation between competitive binding assay and staining was observed. Seventeen of them (37.8%) had EGFR-positive tumors. Eight of the 17 EGFR-positive tumors (47.1%) were positive for estrogen receptor (ER), whereas 24 of the 28 EGFR-negative tumors (85.7%) were ER-positive. This inverse relation was statistically significant (chi 2; p less than 0.05). Twelve of the 17 EGFR-positive cases (70.6%) had axillary node involvements, against 11 of the 28 (39.3%) in the EGFR-negative cases. There was no difference in the size of primary tumor between the two groups. These results suggested that EGFR-positive tumors have more malignant potency than EGFR-negative tumors. In 8 cases, EGFR content in metastatic axillary nodes was compared with that in primary tumors. More EGFR content indicated in metastatic axillary nodes than in primary tumors without significant difference.

摘要

为了阐明肿瘤中表皮生长因子受体(EGFR)含量与组织病理学特征之间的关系,对45例行乳房切除术的乳腺癌女性患者进行了分析。采用125I竞争性结合分析法测定EGFR含量,同时通过免疫细胞化学染色检测EGFR。EGFR含量超过1 fmol/mg蛋白的肿瘤被定义为阳性,观察到竞争性结合分析与染色之间具有良好的相关性。其中17例(37.8%)肿瘤EGFR呈阳性。17例EGFR阳性肿瘤中有8例(47.1%)雌激素受体(ER)呈阳性,而28例EGFR阴性肿瘤中有24例(85.7%)ER呈阳性。这种负相关具有统计学意义(卡方检验;p<0.05)。17例EGFR阳性病例中有12例(70.6%)有腋窝淋巴结转移,而EGFR阴性病例中28例有11例(39.3%)有腋窝淋巴结转移。两组原发肿瘤大小无差异。这些结果表明,EGFR阳性肿瘤比EGFR阴性肿瘤具有更高的恶性潜能。在8例病例中,比较了腋窝转移淋巴结与原发肿瘤中的EGFR含量。腋窝转移淋巴结中的EGFR含量高于原发肿瘤,但差异无统计学意义。

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