乳腺浸润性导管癌x线表现与er?pr及c-erbb-2表达的关系
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Correlation of mammographic signs to the expressions of er,pr and c-erbb-2 in invasive duct carcinoma of breast
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    摘要:

    目的:探讨乳腺浸润性导管癌的钼靶x线征象与激素受体er-pr和癌基因c-erbb-2之间的相关性-方法:回顾性分析68例经乳腺钼靶x线摄影-手术及病理证实的乳腺浸润性导管癌的x线表现-术后标本应用免疫组织化学染色测定乳腺癌原发灶癌细胞er-pr和c-erbb-2表达情况,并分析其与钼靶x线征象之间的关系-结果:68例乳腺浸润性导管癌中,肿块54例,占79.4%,出现毛刺征31例,占45.6%,有钙化者27例,占39.4%,结构紊乱和密度增高者6例,占8.8%-乳腺癌x线征象钙化与癌细胞er及pr阳性表达之间呈负相关性(p < 0.05);c-erbb-2阳性表达水平与钙化的癌细胞之间呈正相关性(p < 0.05)-结论:乳腺癌钼靶x表现与激素受体er-pr及癌基因c-erbb-2之间存在一定的相关性-通过乳腺癌的钼靶x线表现可以预测er-pr及c-erbb-2的表达,从一定程度上反映了癌细胞的生物学行为和预后,为临床内分泌治疗方案的选择提供客观依据-

    Abstract:

    objective:to study the correlation of mammographic signs to the expressions of er,pr(estrogen/progesterone recepter)and c-erbb-2 in infiltrating ductal carcinoma of breast(idc). Methods:pre-operative mammography was performed in all the 68 cases of patients with pathologically-proved idc of breast. The specimens of mastectomy of the idc were stained with immunohistochemistry,and the expression of er,pr,and c-erbb-2 were measured. Results:on the mammograms of the 68 cases,masses were shown in 54 cases(79.4%),spicule sign in 31 cases(45.6%),calcifications in 27 cases(39.4%)and breast architecture distortion only in 6 cases(8.8%). The positive expression of er,pr and c-erbb-2 were found in 41cases(60.3%),45 cases(66.2%)and 39 cases(57.4%)respectively. Er and pr positive expression was negatively correlated with the calcification of infiltrating duct carcinoma of breast(p﹤0.05),but c-erbb-2 positive expression was positively correlated with the calcification of infiltrating duct carcinoma of breast(p﹤0.05). Conclusion:the molybdenum target mammographic features of idc were closely correlated to the expressions of er,pr and c-erbb-2,and these features were in a considerable extent reflecting the biological behaviors of tumor cells and prognosis of cases. Therefore,molybdenum target mammographic features were helpful in treatment planning of breast cancer.

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朱昭环,施建华,黄 伟,张 昶.乳腺浸润性导管癌x线表现与er?pr及c-erbb-2表达的关系[J].南京医科大学学报(自然科学版),2009,29(9):1262-1264

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  • 收稿日期:2009-03-30
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