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[受体(雌激素受体、孕激素受体)水平作为绝经前和绝经后III期浸润性乳腺导管癌和小叶癌患者内分泌治疗的预后因素]

[Receptor (ER, PgR) levels as prognostic factors in the endocrine therapy of pre- and post-menopausal patients with stage III infiltrative ductal and lobular cancer of the breast].

作者信息

Calzada L, Salazar E L, Pedron Nuevo N

机构信息

Hospital de Gineco-Obstetricia No. 4 Luis Castelazo Ayala, IMSS México.

出版信息

Ginecol Obstet Mex. 1996 Mar;64:135-9.

PMID:8729191
Abstract

Receptors group (ER+, PgR+) in post-menopausal and pre-menopausal patients with ductal and lobular infiltrating mammary cancer clinical stage III and poorly differentiated histological assessment was studied. Levels of (ER+, PgR+) were correlated to endocrine therapy response (Tamoxifen) after 5 years of its administration. Both pre and post-menopausal patients with infiltrating ductal carcinoma, the (RE+, RPg+) tumour content, the mean values were 52 +/- 8, 53 +/- 11 fmol/mg protein and 111 +/- 20, 36 +/- 7 fmol/mg protein, respectively. With regard to lobular carcinoma, the (RE+, RPg+) tumour content, the mean value was 109 +/- 28, 46 +/- 12 fmol/mg protein in pre-menopausal patients, whereas it was 287 +/- 60, 66 +/- 18 fmol/mg protein in post-menopausal patients. The tumour was considered (ER+, PgR+) when specific binding was than 10 fmol/mg protein. In both ductal and lobular carcinoma the mean (ER+) concentrations are significantly different between the post and pre-menopausal patients, while the mean (PgR+) concentrations are significantly different in post-menopausal women. After five years of treatment with tamoxifen, survival analysis of patients with ductal infiltrating and lobular infiltrating carcinoma revealed a very strong correlation between levels of receptor group (ER+, PgR+) and their response to endocrine therapy.

摘要

对绝经后和绝经前患有导管和小叶浸润性乳腺癌(临床分期为III期且组织学评估为低分化)的患者的受体组(ER +,PgR +)进行了研究。在给予他莫昔芬5年后,(ER +,PgR +)水平与内分泌治疗反应相关。对于浸润性导管癌的绝经前和绝经后患者,(RE +,RPg +)肿瘤含量的平均值分别为52±8、53±11 fmol/mg蛋白质和111±20、36±7 fmol/mg蛋白质。对于小叶癌,绝经前患者的(RE +,RPg +)肿瘤含量平均值为109±28、46±12 fmol/mg蛋白质,而绝经后患者为287±60、66±18 fmol/mg蛋白质。当特异性结合大于10 fmol/mg蛋白质时,肿瘤被认为是(ER +,PgR +)。在导管癌和小叶癌中,绝经后和绝经前患者的平均(ER +)浓度均存在显著差异,而绝经后女性的平均(PgR +)浓度存在显著差异。在用他莫昔芬治疗五年后,对导管浸润性癌和小叶浸润性癌患者的生存分析显示,受体组(ER +,PgR +)水平与其对内分泌治疗的反应之间存在非常强的相关性。

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