Howat J M, Barnes D M, Harris M, Swindell R
Br J Cancer. 1983 May;47(5):629-40. doi: 10.1038/bjc.1983.101.
Two hundred and eighty-eight primary breast tumours were examined for the presence or absence of oestrogen (REc) and progesterone (RPc) receptors. Analysis has shown a relative interdependence between the steroid receptor status of primary breast cancer and other prognostic variables such as histological grade, lymphocytic infiltration and tumour elastosis. There were significant associations between epithelial cellularity, stromal fibrosis and the value of REc in those tumours in which the receptor was present. Cellularity and fibrosis were unrelated to the presence or absence of oestrogen receptor. By contrast, neither the presence or absence nor the value of RPc could be related to cellularity or fibrosis. The value of REc and RPc analysis as an indicator of prognosis was examined in a sub-group of 175 patients receiving no additional treatment following mastectomy. Overall relapse-free survival (RFS) was no different for those patients with receptors compared to those without them (REc P = 0.11, RPc P = 0.7). There was no difference in RFS of receptor positive and negative tumours when the axillary node status was taken into account.
对288例原发性乳腺肿瘤进行了雌激素(REc)和孕激素(RPc)受体的检测,以确定其是否存在。分析表明,原发性乳腺癌的类固醇受体状态与其他预后变量之间存在相对的相互依赖性,如组织学分级、淋巴细胞浸润和肿瘤弹性组织变性。在那些存在受体的肿瘤中,上皮细胞密度、间质纤维化与REc值之间存在显著关联。细胞密度和纤维化与雌激素受体的存在与否无关。相比之下,RPc的存在与否及其值均与细胞密度或纤维化无关。在175例乳房切除术后未接受额外治疗的患者亚组中,研究了REc和RPc分析作为预后指标的价值。有受体的患者与无受体的患者相比,总体无复发生存期(RFS)无差异(REc P = 0.11,RPc P = 0.7)。当考虑腋窝淋巴结状态时,受体阳性和阴性肿瘤的RFS没有差异。