Comparison of the expression of GATA-3 protein from the transcription factor family and pathological prognostic parameters in invasive ductal carcinomas of the breast

Leymune Parlak, O. Kandemir
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Abstract

Background GATA binding protein 3 (GATA-3) is one of the six transcription factor family members and is important for glandular development in the breast. Its expression becomes important in breast cancer. We aimed to compare GATA-3 immunoreactivity and pathological prognostic factors in patients with invasive ductal carcinoma. Material and Methods Our study was conducted retrospectively with 300 breast invasive ductal carcinoma patients who were operated on in our hospital between May 2013 and June 2014. Patient reports, slides and blocks in the pathology archive were scanned. GATA-3 immunohistochemical (IHC) staining was evaluated according to the nuclear staining, intensity and percentage. The relationship between clinicopathological prognostic parameters and GATA-3 IHC staining results was investigated. Results A positive staining was observed in 286 (95.3%) cases. According to the GATA-3 staining intensity and percentage, 210 (70%) cases stained strongly and 246 (82%) stained +4, respectively. There was a significant relationship between GATA-3 immunoreactivity with ER, PR, Cerb-B2, Ki-67, mitotic degree, mitotic count and histological grade. Conclusions There was a correlation between the high expression of GATA-3 and good prognostic markers. Hormone receptors can be evaluated with Cerb-B2 and Ki-67 and used as prognosis determinants in breast cancers. They can be used to identify both primary and secondary breast tumors.
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乳腺浸润性导管癌中转录因子家族GATA-3蛋白表达与病理预后指标的比较
GATA结合蛋白3 (GATA-3)是6个转录因子家族成员之一,在乳腺腺体发育中起重要作用。它的表达在乳腺癌中变得很重要。我们的目的是比较侵袭性导管癌患者的GATA-3免疫反应性和病理预后因素。材料与方法对2013年5月至2014年6月在我院行乳腺浸润性导管癌手术的300例患者进行回顾性研究。扫描病理档案中的患者报告、载玻片和切片。采用GATA-3免疫组化(IHC)染色,根据核染色、强度、百分比进行评价。探讨临床病理预后参数与GATA-3免疫组化染色结果的关系。结果阳性染色286例(95.3%)。根据GATA-3染色强度和百分比,强染色210例(70%),+4染色246例(82%)。GATA-3免疫反应性与ER、PR、Cerb-B2、Ki-67、有丝分裂程度、有丝分裂计数和组织学分级有显著相关。结论GATA-3高表达与预后指标良好相关。激素受体可以用Cerb-B2和Ki-67来评估,并作为乳腺癌预后的决定因素。它们可用于识别原发性和继发性乳腺肿瘤。
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