McGuire W L
Cancer Res. 1978 Nov;38(11 Pt 2):4289-91.
The measurement of cytoplasmic estrogen receptor in tumors from patients with breast cancer is now well established. Potential uses include prognosis of early recurrence following mastectomy, stratifying patients for adjuvant therapies, and selecting or rejecting endocrine therapy in advanced breast cancer. The use of progesterone receptor measurements to improve our selection process has a good theoretical basis, and early reports now emerging indicate that the presence of both estrogen and progesterone receptor in a breast tumor predicts a high response rate to endocrine therapy. Further work in this area is required, however, since patients with estrogen receptor but not progesterone receptor still have an appreciable response rate.
目前,乳腺癌患者肿瘤中细胞质雌激素受体的测量方法已得到充分确立。其潜在用途包括预测乳房切除术后早期复发的预后、对辅助治疗的患者进行分层,以及在晚期乳腺癌中选择或排除内分泌治疗。使用孕激素受体测量来改进我们的选择过程有很好的理论基础,目前出现的早期报告表明,乳腺肿瘤中同时存在雌激素和孕激素受体预示着对内分泌治疗有较高的反应率。然而,这一领域仍需进一步研究,因为只有雌激素受体而没有孕激素受体的患者仍有相当可观的反应率。