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HER2在尿路上皮癌中的表达及其意义。

Expression of HER2 in urothelial carcinoma and its significance.

作者信息

Chang Yao, Zhao Delong, Wang Zicheng, Zhu Kejia, Guo Andong, Cao Jishuang, Wu Chenrui, Ding Sentai

机构信息

Department of Urology, Central Hospital Affiliated to Shandong First Medical University, Jinan, China.

Department of Urology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.

出版信息

Curr Urol. 2025 May;19(3):201-207. doi: 10.1097/CU9.0000000000000249. Epub 2024 May 27.

Abstract

OBJECTIVES

We explored the expression levels and clinical significance of human epidermal growth factor receptor 2 (HER2) in urothelial carcinoma (UC) tissues.

MATERIALS AND METHODS

Patient data were reviewed, and 111 paraffin specimens of UC obtained from the Department of Urology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, from 2020 to 2021 were collected. Immunohistochemistry was used to detect HER2 protein expression in all UC tumor tissues. The and Fisher exact tests were used to analyze the relationship between HER2 protein expression and clinicopathological data (sex, age, histopathological diagnosis, invasiveness, histopathological grade, maximum tumor diameter, muscle invasion, regional lymph node metastasis, and clinical stage).

RESULTS

In this study, 92 cases (82.88%) showed HER2 protein expression, and there was a statistically significant difference in the distribution of HER2 positivity (immunohistochemistry 2+ and 3+) according to the pathological grades of UC ( = 0.021). Human epidermal growth factor receptor 2 positivity was not associated with sex, age, histopathological diagnosis, invasiveness, maximum tumor diameter, muscle invasion, regional lymph node metastasis, or clinical stage (all < 0.05).

CONCLUSIONS

Human epidermal growth factor receptor 2 protein is highly expressed in UC, and its expression may be closely related to the high pathological grade of UC.

摘要

目的

我们探讨了人表皮生长因子受体2(HER2)在尿路上皮癌(UC)组织中的表达水平及临床意义。

材料与方法

回顾患者数据,收集了2020年至2021年从山东第一医科大学附属山东省立医院泌尿外科获取的111例UC石蜡标本。采用免疫组织化学法检测所有UC肿瘤组织中HER2蛋白的表达。采用卡方检验和Fisher精确检验分析HER2蛋白表达与临床病理数据(性别、年龄、组织病理学诊断、浸润性、组织病理学分级、最大肿瘤直径、肌肉浸润、区域淋巴结转移和临床分期)之间的关系。

结果

在本研究中,92例(82.88%)显示HER2蛋白表达,根据UC的病理分级,HER2阳性(免疫组织化学2+和3+)的分布存在统计学差异(P = 0.021)。人表皮生长因子受体2阳性与性别、年龄、组织病理学诊断、浸润性、最大肿瘤直径、肌肉浸润、区域淋巴结转移或临床分期均无相关性(均P < 0.05)。

结论

人表皮生长因子受体2蛋白在UC中高表达,其表达可能与UC的高病理分级密切相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0700/12076403/2904f1154a8d/curr-urol-19-201-g001.jpg

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