摘要
目的:探讨EGFR和EGFRvⅢ在人乳腺癌及乳腺良性增生性疾病中的表达及临床意义。方法:应用Supervi-sionTM免疫组化方法检测30例乳腺良性增生性病变、病变旁及55例乳腺癌、癌旁和转移淋巴结组织的EGFR、EGFRvⅢ的表达。结果:EGFR在乳腺癌表达72.7%,癌旁29.1%,转移淋巴结58.3%(χ2=5.326,P=0.021);EGFRvⅢ在乳腺癌表达52.7%,癌旁1.8%,转移淋巴结45.8%(χ2=4.718,P=0.030)。EGFR表达与病理分级(χ2=11.840,P=0.002)、转移淋巴结数目(χ2=13.715,P=0.000)、ER阴性(χ2=10.785,P=0.007)、PR阴性(χ2=4.727,P=0.031)相关;EGFRvⅢ与病理分级(χ2=5.280,P=0.024)、有无远处转移(χ2=5.612,P=0.019)、淋巴结转移数目(χ2=4.464,P=0.038)、ER阴性(χ2=3.960,P=0.049)、PR阴性(χ2=17.517,P=0.000)和c-erbB-2阳性(χ2=7.424,P=0.005)相关。结论:EGFR、EGFRvⅢ过度表达可能与乳腺癌发生发展密切相关,EGFRvⅢ有望作为预测乳腺癌临床预后候选基因之一。
OBJECTIVE: To explore the expressions and clinical significanee of EGFR and EGFRv Ⅲ in human breast cancer tissues and benign mammary hyperplasia. METtlODES: SupervisionTM immunohistochemical staining (IHC) was used to detect the expressions of EGFR and EGFRv HI in 30 specimens of human benign mammary hyperplasia tissues, 55 specimens of human breast cancer tissues, all their adjacent non-cancerous mammary tissues and metastasis lymph nodes. RESULTS: The positive rate of EGFR in breast cancer tissues was significantly higher than that in adjaeent non-cancerous mammary tissues and metastasis lymph node tissues (72.7%, 29.1% vs 58.3%, X^2 = 5. 326,P=0. 021). The positive rate of EGFRv Ⅲ in breast cancer tissues was significantly higher than that in adjacent non-cancerous mammary tissues and metastasis lymph node tissues (52.7%, 1.8% vs 45.8%, X^2=4.718,P=0.030). The positive rate of EGFR was significantly correlated with the pathologic grade (X^2 = 11.840, P = 0. 002), the number of local metastasis LN (X^2 =13. 715,P=0. 000) , ER-(X^2=10. 785,P=0. 007) and PR-(X^2 =4. 727,P=0. 031). The positive rate of EGFRv Ⅲ was significantly correlated with the pathologic grade (X^2 =5. 280,P=0. 024), distant metastasis (X^2 =5. 612, P=0.019), the number of local metastasis LN (X^2 =4.464, P= 0. 038), ER- (X^2 =3. 960,P=0. 049), PR-(X^2 =17. 517,P=0. 000) and c-erbB-2 + (X^2 = 7. 424, P= 0. 005). CONCLUSION: Over-ex- pressed EGFR and EGFRvⅢ may be really related to initiation and progression of breast cancer. EGFRvⅢ could be considered as the marker for predicting the initiation and prognosis of human breast cancer.
出处
《中华肿瘤防治杂志》
CAS
2007年第3期185-188,共4页
Chinese Journal of Cancer Prevention and Treatment
关键词
乳腺肿瘤/病理学
乳腺纤维囊性病
受体
表皮生长因子
免疫组织化学
breast neoplasms/pathology
fibrocystic breast disease
receptor, epidermal growth factor
immunohistochemistry