Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
Department of Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
Cancer Res Treat. 2021 Oct;53(4):1204-1212. doi: 10.4143/crt.2020.1201. Epub 2021 Feb 10.
The aim of this study was to examine the rate of expression of estrogen receptor α (ERα) and β1 (ERβ1), progesterone receptor (PR), and rate of overexpression of epidermal growth factor receptor (EGFR) in a relatively large cohort of patients with papillary thyroid carcinoma (PTC). We also aimed to examine whether each receptor influenced clinicopathological characteristics and prognosis of PTC.
We made a microarray of paraffin-embedded PTC surgical tissues from 436 patients. We compared the results of the immunohistochemical staining for each hormone receptor with clinicopathological characteristics.
The positive expression rate of hormonal receptors was 40.4% for ERα, 83.7% for ERβ1, and 71.3% for PR in patients with PTC. Overexpression of EGFR was shown in 19.3% of patients with PTC. The age was lower (44.6±12.1 years vs. 47.1±12.5 years, p=0.040) and tumor smaller (0.96±0.69 cm vs. 1.13±0.82 cm, p=0.020) in the ERα positive group, which also showed higher PR positivity (80.7% vs. 65.0%, p < 0.001) and overexpression of EGFR (27.3% vs. 13.8%, p < 0.001). However, neither the positivity of hormone receptors nor overexpression of EGFR affected the recurrence of PTC.
In conclusion, most (94.6%) patients with PTC were found to exhibit positive expression for ERs or PR. We also found that neither the positive expression of hormone receptors nor overexpression of EGFR were associated with the recurrence of PTC.
本研究旨在检测大量甲状腺乳头状癌(PTC)患者中雌激素受体α(ERα)和β1(ERβ1)、孕激素受体(PR)的表达率以及表皮生长因子受体(EGFR)的过表达率。我们还旨在研究每个受体是否影响 PTC 的临床病理特征和预后。
我们对 436 例 PTC 手术组织的石蜡标本进行了微阵列分析。我们将每种激素受体的免疫组织化学染色结果与临床病理特征进行了比较。
PTC 患者中 ERα 的阳性表达率为 40.4%,ERβ1 为 83.7%,PR 为 71.3%。PTC 患者中 EGFR 的过表达率为 19.3%。ERα 阳性组患者的年龄更低(44.6±12.1 岁比 47.1±12.5 岁,p=0.040),肿瘤更小(0.96±0.69cm 比 1.13±0.82cm,p=0.020),且 PR 阳性率更高(80.7%比 65.0%,p<0.001),EGFR 过表达率也更高(27.3%比 13.8%,p<0.001)。然而,激素受体的阳性表达和 EGFR 的过表达均与 PTC 的复发无关。
总之,94.6%的 PTC 患者被发现表达 ERs 或 PR。我们还发现,激素受体的阳性表达和 EGFR 的过表达均与 PTC 的复发无关。