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乳腺癌中的雌激素和孕激素受体:与肿瘤组织病理学及患者生存率的关系

Estrogen and progesterone receptors in breast cancer: relationships to tumour histopathology and survival of patients.

作者信息

Blanco G, Alavaikko M, Ojala A, Collan Y, Heikkinen M, Hietanen T, Aine R, Taskinen P J

出版信息

Anticancer Res. 1984 Nov-Dec;4(6):383-9.

PMID:6097159
Abstract

Estrogen receptor (ER) and progesterone receptor (PR) concentrations were measured in the tumours of 399 cases of primary breast carcinoma. Histological type and histological grading was also analysed. The correlation between survival and histological grading was observed and found to be of high significance statistically. Longer survival of patients with ER- and/or PR-positive tumours was also observed, but the ER and PR prognostic value did not reach the same magnitude as histological alone. The prognostic accuracy in breast cancer, when histological grading, ER and PR were used together, failed to reach statistically significant values. A lower proportion of ER- and PR-positive tumours were found in histological grade III. The majority of the tumours belonging to specific histological variants of carcinoma were ER- and/or PR-positive. Relationships between ER, PR, menopausal status, and age were also noted. It was apparent that the prognostic value of PR concentrations in the tumour was more relevant than that of ER alone.

摘要

对399例原发性乳腺癌患者的肿瘤组织进行了雌激素受体(ER)和孕激素受体(PR)浓度测定。同时分析了组织学类型和组织学分级。观察到生存与组织学分级之间的相关性,且具有高度统计学意义。还观察到ER和/或PR阳性肿瘤患者的生存期更长,但ER和PR的预后价值不如单独的组织学分级显著。当联合使用组织学分级、ER和PR来评估乳腺癌的预后准确性时,未达到统计学显著值。组织学III级中ER和PR阳性肿瘤的比例较低。大多数属于特定组织学类型的癌的肿瘤为ER和/或PR阳性。还注意到ER、PR、绝经状态和年龄之间的关系。显然,肿瘤中PR浓度的预后价值比单独的ER更具相关性。

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