Ahmed Shatha Th, Ahmed Azad M, Musa Dildar H, Sulayvani Farhad K, Al-Khyatt Muzahm, Pity Intisar S
MBChB, Msc, PhD mol. Pathology/UK, College of Medicine,Ninevah University, Iraq. Email:
Asian Pac J Cancer Prev. 2018 Apr 25;19(4):955-959. doi: 10.22034/APJCP.2018.19.4.955.
Background and objectives: To date, many tumor markers have been used to predict prognosis and therapeutic response in patients with breast cancer. The well established and routinely applied tumor markers are the estrogen-receptor, progesterone-receptor and Her2/neu-receptor. In the current study, we aimed to highlight any association of the proliferation index (Ki67) in breast infiltrative duct carcinoma with the tumor grade, tumor size and nodal status in addition to hormone receptor status. Tissue sections were stained immunohistochemically for Ki67 nuclear antigen, estrogen, progesterone and Her2/neu receptors using an automated Dako machine (Dako Denmark. There was a significant inverse relationship of Ki67 levels with ER and PR, while values were directly proportional to the tumor grade and Her2/neu status. No significant association was found between Ki67 and size of tumor or nodal status. Ki67 immunoexpression may offer an independent predictive tumor marker and for routine application in cases of breast cancer.
迄今为止,许多肿瘤标志物已被用于预测乳腺癌患者的预后和治疗反应。已确立且常规应用的肿瘤标志物是雌激素受体、孕激素受体和Her2/neu受体。在本研究中,我们旨在强调乳腺浸润性导管癌中增殖指数(Ki67)除了与激素受体状态外,还与肿瘤分级、肿瘤大小和淋巴结状态之间的任何关联。使用自动达科仪(丹麦达科公司)对组织切片进行免疫组织化学染色,检测Ki67核抗原、雌激素、孕激素和Her2/neu受体。Ki67水平与雌激素受体(ER)和孕激素受体(PR)呈显著负相关,而与肿瘤分级和Her2/neu状态呈正比。未发现Ki67与肿瘤大小或淋巴结状态之间存在显著关联。Ki67免疫表达可能提供一种独立的预测性肿瘤标志物,可用于乳腺癌病例的常规应用。