Department of Breast Surgery, The First Affiliated Hospital of Zhengzhou University, ZhengZhou, China.
J Interferon Cytokine Res. 2018 Dec;38(12):578-582. doi: 10.1089/jir.2018.0085. Epub 2018 Nov 15.
This research explores the role of epidermal growth factor receptor (EGFR) in the clinical symptoms and metastasis of patients with invasive breast cancer (IBC). A total of 189 patients with IBC were selected in this research. Immunohistochemical staining and Western blot were performed to detect EGFR in IBC and paratumor breast tissues. The results of statistical analysis showed that the positive expression of EGFR in IBC (140/189 = 74.07%) was significantly higher than that of paratumor breast tissues (23/189 = 12.16%) ( < 0.01). There was no significant correlation between the expression of EGFR and patients' onset age as well as menopausal status ( > 0.05), but it was significantly correlated with the diameter of tumor mass, lymph node metastasis, TNM staging, and histological gradation ( < 0.05). The positive expression of EGFR in estrogen receptor (ER)-negative group (64 tissues, 84.2%) was significantly higher than that in ER-positive group (76 tissues, 67.3%) ( < 0.05). There was no significant difference in the positive expression of EGFR between progesterone receptor (PR)-positive group (73 tissues, 73.0%) and PR-negative group (67 tissues, 75.3%) ( > 0.05). The positive expression of EGFR in human epidermal growth factor receptor 2 (HER2)-positive group (67 tissues, 84.8%) was significantly higher than that in HER2-negative group (73 tissues, 66.4%), with a significant difference ( < 0.05). The high expression of EGFR can be used to predict the severity of IBC, as well as the candidate biomarkers of metastasis, and it may also be associated with poor prognosis of IBC patients.
这项研究探讨了表皮生长因子受体(EGFR)在浸润性乳腺癌(IBC)患者的临床症状和转移中的作用。本研究共选择了 189 例 IBC 患者。采用免疫组织化学染色和 Western blot 检测 IBC 和肿瘤旁乳腺组织中的 EGFR。统计分析结果显示,IBC 中 EGFR 的阳性表达(140/189=74.07%)明显高于肿瘤旁乳腺组织(23/189=12.16%)(<0.01)。EGFR 的表达与患者发病年龄和绝经状态无显著相关性(>0.05),但与肿瘤直径、淋巴结转移、TNM 分期和组织学分级显著相关(<0.05)。EGFR 在雌激素受体(ER)阴性组(64 例,84.2%)的阳性表达明显高于 ER 阳性组(76 例,67.3%)(<0.05)。孕激素受体(PR)阳性组(73 例,73.0%)与 PR 阴性组(67 例,75.3%)的 EGFR 阳性表达差异无统计学意义(>0.05)。HER2 阳性组(67 例,84.8%)的 EGFR 阳性表达明显高于 HER2 阴性组(73 例,66.4%),差异有统计学意义(<0.05)。EGFR 的高表达可用于预测 IBC 的严重程度及转移的候选生物标志物,可能与 IBC 患者的不良预后有关。