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Expression and clinicopathological significance of Her-2 and Ki-67 in invasive ductal carcinoma of the breast |
ZHU Ting SUN Xiaochong LYU Yanguan |
Deparbment of Laboratory of Clinical Medicine, Huai’an Women & Children Hospital, Affiliated to Yangzhou University, Jiangsu Province, Huai’an 223002, China |
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Abstract Objective To explore the expression of human epidermal growth factor receptor 2 (Her-2) and cell proliferation index Ki-67 in invasive ductal carcinoma of breast and its clinicopathological significance. Methods From January 2017 to January 2020, 91 cases of embedded paraffin pieces of invasive ductal carcinoma of the breast in Department of Pathology, Huai’an Maternal & Child Health Hospital, Affiliated to Yangzhou University were selected as the experimental group, and 30 cases of normal breast tissue with a distance of more than 5 cm were randomly selected as the control group. The expression levels of HER-2 and Ki-67 in the two groups were detected by immunohistochemistry, and the relationship between the two levels and patients’ age, lymph node metastasis, tumor diameter and TNM stage was analyzed. Results The positive expression rates of HER-2 and Ki-67 in the experimental group were higher than those in the control group, with statistically significance (P < 0.05). The expression of HER-2 and Ki-67 in patients with infiltrating ductal carcinoma of breast was correlated with TNM stage (P < 0.05), but had no correlation with age, lymph node metastasis or tumor size (P > 0.05). Spearman correlation analysis showed that there was a positive correlation between the expression of HER-2 and Ki-67 in invasive ductal carcinoma of breast (r = 0.275, P < 0.05). Conclusion The expressions of HER-2 and Ki-67 in invasive ductal carcinoma of the breast are increased and positively correlated, suggesting that they may be related to the malignant degree and stage of breast cancer, and may be an important indicator for the prognosis of breast cancer.
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[1] Aytekin A,Karatas F,Sahin S,et al. Clinicopathological features ofpatients with breast cancer aged 70 years or over [J]. J Buon,2017,22(1):200-207.
[2] 陈万青,郑荣寿.中国女性乳腺癌发病死亡和生存状况[J].中国肿瘤临床,2015,42(13):668-674.
[3] 李帆,陈颖.ER、PR、HER-2、Ki67在乳腺癌中的表达及其临床意义[J].医学综述,2014,20(13):2361-2363.
[4] Turken O,Kunter E,Cermik H,et al. Prevalence and prognostic value of c-erbB-2 expression in non-small cell lung cancer [J]. Neoplasma,2003,50(4):257-261.
[5] 孙秀玲.浸润性乳腺癌HER-2蛋白过表达人群中ER、PR的表达及与HER-2 基因扩增之间的相关性[J].中国妇幼保健,2015,30(24):4226-4228.
[6] 陈余英,周小花,陈晓文,等.乳腺浸润性导管癌中ER、PR、Her-2、Ki-67表达与病理特征及预后的相关性[J].医学信息,2020,33(1):68-71.
[7] 靳娟,谭宏强,何蕾蕾,等.Ki67在非特殊型浸润性乳腺癌中的表达及临床病理意义[J].临床医学研究与实践,2019,4(29):32-33.
[8] 曹亚,杨丽春.乳腺癌超声征象与cerbB-2、Ki67、P53表达之间的相关性研究[J].大理大学学报,2016,1(8):70-75.
[9] 王增燕,吴雄,杨乐艺.Ki67在早期乳腺癌中的表达及临床意义[J].中国继续医学教育,2015,7(24):56-57.
[10] 周晨阳,黄月英,范天苗,等.三阴性乳腺癌中CK5/6与Ki-67的表达及其与患者临床病理特征的相关性[J].华中科技大学学报:医学版,2019,48(2):225-227.
[11] Wolff AC,Hammond ME,Schwartz JN,et al. American Society of Clinical Oncology College of American Pathologists guideline recommendations for human epidermal growth factor receptor 2 testing in breast cancer [J]. J Clin Oncol,2007,25(1): 118-145.
[12] Pardo C,Cendales R. Cancer incidence estimates and mortality for the top five cancer in Colombia,2007-2011[J]. Colomb Med(Ca-li),2018,49(1):16-22.
[13] 贾举闻,付峥,葛麟,等.血清半乳凝素-3、糖类抗原153和肿瘤特异生长因子结合乳腺钼靶X线对乳腺癌的早期诊断价值[J].中国肿瘤临床与康复,2017,24(2):135-138.
[14] W?觟rmann B. Breast cancer:basics,screening,diagnostics and treatment [J]. Med Monatsschr Pharm,2017,40(2):55-64.
[15] 金光华,范莹,李子豪.乳腺癌新辅助化疗前后激素受体变化对术后内分泌治疗的影响[J].中国现代普通外科进展,2017,20(1):22-26.
[16] 王希梅,肖春花.TILs预测不同分子分型乳腺癌新辅助化疗疗效的研究进展[J].天津医科大学学报,2018,24(1):91-93.
[17] Hussein O,EI Nahhas W,EI Saed A,et al. Video-assisted axillary surgery for cancer: non-randomized comparison with conventional techniques [J]. Breast,2007,16(5): 513-519.
[18] 崔志超,马杰,王雅琪,等.HER2阳性乳腺癌患者新辅助化疗后免疫分型变化的研究[J].中华普外科手术学杂志,2020,14(2):189-192.
[19] 章杰,徐菁铭,王蓓,等.脂肪酸合成酶促进HER2阳性乳腺癌曲妥珠单抗耐药的研究进展[J].中国现代医生,2020,58(12):179-183.
[20] 韩东艳,朱延波,蒋虹伟.CerbB2、ER、PR、Ki-67在乳腺癌中的表达及其意义[J].武警后勤学院学报:医学版,2012,21(2):85-87.
[21] Aboushousha T,Hamman O,Safwat G,et al. Differential ex-pression of RAGE,EGFR and ki-67 in primary tumors and lymphnode deposits of breast carcinoma [J]. Asian Pac J Cancer Prev,2018,19(8):2269-2277.
[22] Aetrelli F,Viale G,Cabiddu M,et al. Prognostic value of different cut-off levels of ki-67 in breast cancer:a systematic review and meta-analysis of 64,196 patients [J]. Breast Cancer Res Treat,2015,153(3):477-491.
[23] 阎红琳,陈创,孙胜荣,等.Ki67在乳腺癌中的研究进展[J].医学综述,2016,22(22):4392-4395.
[24] 程新宇,周成美,孙洁,等.p62和Ki67在乳腺浸润性导管癌中的表达及意义[J].中国老年学杂志,2019,39(8):1857-1859.
[25] 徐秀梅,钟守军,陈志强,等.P16及Ki67在宫颈鳞状上皮内肿瘤中的表达及临床意义分析[J].中国医药科学,2020,10(7):195-197,210.
[26] 张娜,张儒英,张林燕.P16和Ki67的异常表达在宫颈病变筛查及诊治中的研究进展[J].中国医药,2020,15(6):968-972.
[27] 夏颖,张艳,杜聚,等.CD146、P16、Ki67在子宫肌瘤和富于细胞型平滑肌瘤中的表达及临床意义[J].临床和实验医学杂志,2020,19(15):1607-1609.
[28] Mlco G,Bozdogan A,Selamoglu D,et al. Clinical and his-topathological factors associated with Ki-67 expression in breast cancer patients [J]. Oncol Lett,2015,9(3):1046-1054.
[29] Shokouh TZ,Ezatollah A,Barand P. Interrelationsships Between Ki-67,HER2/neu,p53,ER,and PR Status and Their Associations with tumor grade and lymph node involvement in breast carci-noma subtypes:retrospective-observational analytical study [J]. Medicine(Baltimore),2015,94(32):e1359. |
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