Mainenti M, Rasotto R, Carnier P, Zappulli V
Department of Comparative Biomedicine and Food Science, Faculty of Veterinary Medicine, University of Padua, Viale dell'Università 16, Legnaro, PD 35020, Italy.
Pathology Department, Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU, UK.
Vet J. 2014 Oct;202(1):62-8. doi: 10.1016/j.tvjl.2014.06.003. Epub 2014 Jun 11.
The objective of this study was to investigate as a potential prognostic indicator the relationship between histological subtype of canine mammary tumours (CMTs) and oestrogen-α (ORα) and progesterone (PR) receptor expression. Using immunohistochemistry, receptor expression in neoplastic epithelial cells was assessed in 12 different subtypes in 113 CMTs (34 benign, 79 malignant) and 101 surrounding normal tissues. Sixty-eight and 45 CMTs were from intact and ovariectomised bitches, respectively. Histological subtype strongly influenced ORα/PR expression: simple and complex adenomas as well as simple tubular carcinomas exhibited the greatest expression, whereas immunohistochemical labelling for these receptors was weakest in carcinoma and malignant myoepitheliomas, as well as in solid/anaplastic carcinomas and comedocarcinomas. Receptor expression was generally higher in benign relative to malignant neoplasms, and in the latter it was significantly lower in ovariectomised vs. intact bitches. Lymphatic invasion, mitotic index, nodule diameter, and tumour grade were significantly associated with ORα/PR expression. Although not found to be an independent prognostic indicator, tumours from dogs with <10% cells with ORα/PR expression had a poorer prognosis. Lymphatic invasion, the state of the margins of excision, and mitotic index were found to be independent prognostic indicators. Overall, the results suggest that differences in histological subtype and whether or not a bitch has been ovariectomised should be considered when evaluating the significance of ORα and PR expression in CMTs.
本研究的目的是调查犬乳腺肿瘤(CMTs)的组织学亚型与雌激素-α(ORα)和孕激素(PR)受体表达之间的关系,以此作为一种潜在的预后指标。采用免疫组织化学方法,对113例CMTs(34例良性,79例恶性)的12种不同亚型以及101例周围正常组织中的肿瘤上皮细胞受体表达进行了评估。68例和45例CMTs分别来自未绝育和已绝育母犬。组织学亚型对ORα/PR表达有强烈影响:单纯性腺瘤和复杂性腺瘤以及单纯性管状癌表现出最高的表达,而这些受体的免疫组织化学标记在癌和恶性肌上皮瘤以及实性/间变性癌和粉刺癌中最弱。相对于恶性肿瘤,良性肿瘤中的受体表达通常更高,而在恶性肿瘤中,已绝育母犬的受体表达明显低于未绝育母犬。淋巴管浸润、有丝分裂指数、结节直径和肿瘤分级与ORα/PR表达显著相关。尽管未发现其为独立的预后指标,但ORα/PR表达细胞<10%的犬的肿瘤预后较差。发现淋巴管浸润、切除边缘状态和有丝分裂指数是独立的预后指标。总体而言,结果表明,在评估CMTs中ORα和PR表达的意义时,应考虑组织学亚型的差异以及母犬是否已绝育。