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乳腺癌中激素受体状态、p53 突变及 c-erb B-2 过表达与核分级的关系

CORRELATIONSHIP OF HORMONE RECEPTOR STATUS, p53 MUTATION AND c-erb B-2 OVEREXPRESSION WITH NUCLEAR GRADING IN BREAST CANCERS.

作者信息

Deb Prabal, Deshpande G U, Rai Ramji

机构信息

Officer Commanding, 2 Corps Blood Supply Unit, C/o 56 APO, Pune 411 040.

Reader, Dept of Pathology, Armed Forces Medical College, Pune 411 040.

出版信息

Med J Armed Forces India. 2000 Oct;56(4):305-308. doi: 10.1016/S0377-1237(17)30215-0. Epub 2017 Jun 12.

Abstract

Thirty cases of infiltrating duct carcinoma of the breast were studied for the expression of estrogen receptor (ER) and progesterone receptor (PR) status; p 53 protein mutation and c-erb B2 overexpression. The results were correlated with the morphological differentiation, as determined by the Nottingham's modification of the Bloom-Richardson system. Hormone receptor positivity was seen in 46.67% cases, whereas p 53 mutation and c-erb B2 overexpression were seen in 50.00% and 60.00% cases respectively. In grade II tumours receptor positivity, p53 mutation and c-erb B-2 overexpression were 57.15%, 42.85% and 52.38% respectively. The corresponding figures for grade III tumours were 33.33%, 83.33% and 66.67% respectively. As grade 1 comprised only 3 cases no statistical correlation could be observed. Thus we conclude that receptor positivity declined, whereas p 53 mutation and c-erb B-2 overexpression increased, with increase in tumour grade.

摘要

对30例乳腺浸润性导管癌患者的雌激素受体(ER)和孕激素受体(PR)状态、p53蛋白突变及c-erb B2过表达情况进行了研究。结果与根据诺丁汉对布鲁姆-理查森系统的改良所确定的形态学分化相关。46.67%的病例出现激素受体阳性,而分别有50.00%和60.00%的病例出现p53突变和c-erb B2过表达。在Ⅱ级肿瘤中,受体阳性、p53突变和c-erb B-2过表达分别为57.15%、42.85%和52.38%。Ⅲ级肿瘤的相应数字分别为33.33%、83.33%和66.67%。由于Ⅰ级仅包含3例病例,未观察到统计学相关性。因此我们得出结论,随着肿瘤分级增加,受体阳性率下降,而p53突变和c-erb B-2过表达增加。

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本文引用的文献

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Routinely available indicators of prognosis in breast cancer.乳腺癌中常规可用的预后指标。
Breast Cancer Res Treat. 1998;51(3):195-208. doi: 10.1023/a:1006122716137.
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J Clin Oncol. 1989 Aug;7(8):1120-8. doi: 10.1200/JCO.1989.7.8.1120.

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