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乳腺癌中分化簇44(CD44)免疫组化表达的评估

Assessment of Immunohistochemical Expression of Cluster of Differentiation 44 (CD44) in Breast Carcinoma.

作者信息

Kumari Ranu, Arakeri Satish G, Kulkarni Sai

机构信息

Pathology, Shri B. M. Patil Medical College, Hospital and Research Centre, Bijapur Lingayat District Educational (BLDE) Association (Deemed to be University), Vijayapura, IND.

出版信息

Cureus. 2025 Aug 27;17(8):e91104. doi: 10.7759/cureus.91104. eCollection 2025 Aug.

Abstract

Cluster of differentiation 44 (CD44) expression in breast carcinoma is associated with basal-like epithelial markers in tumor cells, advanced tumor stage, and metaplastic variants. Since CD44 is a recently identified marker, further research is necessary to understand its immunoexpression and its relationship with hormone receptor status and other prognostic factors that influence patient management and therapy. This study was conducted to assess the expression of CD44 in breast cancer tissue. A cross-sectional investigation was conducted in our hospital on 60 mastectomy specimens received in the histopathology section of the Department of Pathology. The patient's age, tumor size, histological type, histological grade, and lymph node status were recorded. Immunohistochemical staining for estrogen receptor (ER), progesterone receptor (PR ), human epidermal growth factor receptor 2/neu (HER2/neu), and CD44 markers was performed, and expression of CD44 was correlated with these clinicopathological and prognostic parameters. The results were subjected to statistical analysis. CD44 expression was detected in 51 of the 60 cases (85%). A statistically significant correlation was found between the expression of CD44 with patients' age, size of tumor, histological grade, and HER2/neu hormonal marker. No statistically significant relationship was observed between other factors, such as lymph node status and the expression of ER and PR. The expression of CD44 showed a strong correlation with known poor prognostic indicators, such as HER2/neu status and histological grade. Therefore, CD44 expression indicates an aggressive tumor biology and can serve as an independent marker for prognosis and therapy.

摘要

分化簇44(CD44)在乳腺癌中的表达与肿瘤细胞中的基底样上皮标志物、肿瘤晚期及化生型相关。由于CD44是最近才确定的标志物,因此有必要进一步研究以了解其免疫表达及其与激素受体状态以及其他影响患者管理和治疗的预后因素之间的关系。本研究旨在评估CD44在乳腺癌组织中的表达。我们医院对病理科组织病理学切片接收的60份乳房切除术标本进行了横断面调查。记录了患者的年龄、肿瘤大小、组织学类型、组织学分级和淋巴结状态。进行了雌激素受体(ER)、孕激素受体(PR)、人表皮生长因子受体2/neu(HER2/neu)和CD44标志物的免疫组化染色,并将CD44的表达与这些临床病理和预后参数进行关联。对结果进行统计学分析。60例中有51例(85%)检测到CD44表达。发现CD44的表达与患者年龄、肿瘤大小、组织学分级和HER2/neu激素标志物之间存在统计学显著相关性。未观察到其他因素(如淋巴结状态以及ER和PR的表达)之间存在统计学显著关系。CD44的表达与已知的不良预后指标(如HER2/neu状态和组织学分级)显示出强烈相关性。因此,CD44表达表明肿瘤生物学行为具有侵袭性,可作为预后和治疗的独立标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3f/12382596/2d223fe39756/cureus-0017-00000091104-i01.jpg

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