Wang Cheng-Hui, Li Jun-Zhi, Zhang Wei
Department of Pathology, First Affiliated Hospital of Xinjiang Medical University Xinjiang Uyger Automatic Region, Urumqi 830054, China.
Int J Clin Exp Med. 2014 Apr 15;7(4):1116-21. eCollection 2014.
To compare the difference between Uygur and Han patients with breast cancer in molecular subtype.
4 immunohistochemical (IHC) markers (ER, PR, HER-2 and KI-67) were used to divide Uygur and Han breast cancer patients into 4 subtypes (Luminal A, Luminal B, HER-2 over expression and Basal-like), respectively. statistical analysis were used to evaluate difference in molecular subtype characteristics by race, tumor size, age of onset, menstruation and birth status, histological grade and lymph node metastasis.
There is no statistical difference on the molecular subtypes between Han and Uygur. But some characteristics about four subtypes between Han and Uygur have statistical difference like age onset of the Her-2 overexpression cases, subtypes of age less than 35 years, menarche age of the Basal-like cases and tumor size of the Luminal A cases. Between Han and Uygur there is statistical difference on the menarche age, number of childbirths, and tumor size. The HER-2 overexpression and Basal-like subtypes were more likely to be grade III tumors both of Han and Uygur. Between 4 molecular subtypes of Han there have statistical difference in number of metastasis lymph nodes.
Our result shows that there are some significant differences between Uygur and Han in the pathological features as well as molecular subtypes. Correct understanding the difference of breast cancer between Uygur and Han can provide guidance for clinical practice.
比较维吾尔族和汉族乳腺癌患者分子亚型的差异。
使用4种免疫组化(IHC)标志物(雌激素受体、孕激素受体、人表皮生长因子受体2和Ki-67)将维吾尔族和汉族乳腺癌患者分别分为4种亚型(腔面A型、腔面B型、人表皮生长因子受体2过表达型和基底样型)。采用统计学分析评估种族、肿瘤大小、发病年龄、月经和生育状况、组织学分级及淋巴结转移在分子亚型特征方面的差异。
汉族和维吾尔族在分子亚型上无统计学差异。但汉族和维吾尔族在4种亚型的一些特征上存在统计学差异,如人表皮生长因子受体2过表达型病例的发病年龄、年龄小于35岁的亚型、基底样型病例的初潮年龄以及腔面A型病例的肿瘤大小。汉族和维吾尔族在初潮年龄、生育次数和肿瘤大小方面存在统计学差异。汉族和维吾尔族的人表皮生长因子受体2过表达型和基底样型亚型更有可能是Ⅲ级肿瘤。汉族的4种分子亚型在转移淋巴结数量上存在统计学差异。
我们的结果表明,维吾尔族和汉族在病理特征以及分子亚型方面存在一些显著差异。正确认识维吾尔族和汉族乳腺癌的差异可为临床实践提供指导。