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A Case of Nodular Fasciitis of the Breast Previously Misdiagnosed as Breast Carcinoma; A Case Report 乳腺结节性筋膜炎误诊为乳腺癌1例病例报告
Pub Date : 2021-11-29 DOI: 10.31557/apjcb.2021.6.4.339-341
E. Nazar, E. Hashemi, S. Ahmadi, Keyvan Baloochi
Introduction: Nodular fasciitis is an exceptional benign soft tissue tumor of the breast that clinically and radiologically can simulate invasive duct carcinoma. Case presentation: We report a case of 67-year-old woman who had a palpable right breast mass of 2 months duration. Sonography showed a hypoechoic heterogeneous round nodule with irregular and speculated borders in right breast. Right breast mass core needle biopsy was inconclusive. Right mastectomy was done due to highly suspicious for malignancy on imaging. Pathological and immunohistochemical examination revealed that the tumor composed of a stellate spindle cell tumor with red blood cells extravasation, compatible with nodular fasciitis. Therefore, pathological evaluation of the lesion is crucial in the assembly of the diagnosis. Conclusion: Nodular fasciitis should be considered in the differential diagnosis of any suspicious breast mass.
结节性筋膜炎是一种罕见的乳腺良性软组织肿瘤,其临床和影像学表现与浸润性导管癌相似。病例介绍:我们报告一位67岁的女性,她有一个可触及的右乳房肿块,持续2个月。超声示右乳一低回声非均匀圆形结节,边界不规则、推测。右乳房肿块核心穿刺活检结果不确定。因影像学高度怀疑为恶性肿瘤而行右乳切除术。病理及免疫组化检查显示肿瘤为星状梭形细胞瘤,伴红细胞外渗,与结节性筋膜炎相吻合。因此,病理评估病变是至关重要的组装诊断。结论:结节性筋膜炎应作为乳腺肿块鉴别诊断的重要因素。
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引用次数: 0
A Study on BCR-ABL Kinase Domain Mutations in Chronic Myeloid Leukemia from Western India 西印度慢性髓系白血病BCR-ABL激酶结构域突变的研究
Pub Date : 2021-10-11 DOI: 10.31557/apjcb.2021.6.3.225-227
P. Gadhia, Jessica Jeejan, Vishma Shah, M. Patel, S. Vaniawala
Background: BCR-ABL kinase domain(KD) mutations accounts for 60-80% of Imatinib resistance in chronic myeloid leukemia (CML) – chronic phase (CP). Patients with CML who are receiving imatinib treatment, a mutation analysis is required to find out the resistance of imatinib as per European Leukemia Net (ELN) criteria. The present study was carried out to assess for different types of mutations responsible for resistance of imatinib treatment from Western India. Methods: In a retrospective study, the patients who were tested for imatinib resistance were analysed for IRMA testing using direct sequencing of BCR-ABL transcript by Sanger method. Results: A total of 215 patients were tested for Imatinib resistance analysis (IRMA), of which 45 (20.93%) had detectable mutations. The highest frequency of mutation recorded at T315I amino acids site, followed by M244V and G250E sites. Conclusion: The patients who were tested for IRMA showed 20.93 % positive mutations with reference to its resistance are discussed.  
背景:BCR-ABL激酶结构域(KD)突变占慢性髓性白血病(CML) -慢行期(CP)伊马替尼耐药的60-80%。接受伊马替尼治疗的CML患者,需要根据欧洲白血病网(ELN)标准进行突变分析,以找出伊马替尼的耐药性。本研究的目的是评估导致印度西部对伊马替尼治疗产生耐药性的不同类型突变。方法:回顾性分析经伊马替尼耐药检测的患者,采用Sanger法对BCR-ABL转录本进行直接测序进行IRMA检测。结果:215例患者进行了伊马替尼耐药分析(IRMA),其中45例(20.93%)检测到突变。T315I位点突变频率最高,其次是M244V位点和G250E位点。结论:IRMA阳性突变率为20.93%,对其耐药情况进行了探讨。
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引用次数: 0
The Expression, Morphology, and Clinical Characteristics of Fibroblast Growth Factor-10 in Breast Cancer 成纤维细胞生长因子-10在乳腺癌中的表达、形态和临床特征
Pub Date : 2021-10-11 DOI: 10.31557/apjcb.2021.6.3.219-224
Samira Molashahi, D. Farhud, M. Saffari, E. Ebrahimi, Amirnader Emamirazavi, R. Shirkoohi
Background: Fibroblast growth factor-10 (FGF-10) is a member of a superfamily with characteristics of epithelial cell proliferation and embryonic development and is assumed to have a role in a phenomenon called the epithelial-mesenchymal transition (EMT). The previous study has revealed the critical role of FGF-10 in type III EMT in breast cancer cell lines. The mentioned finding, demonstrates the possible role of this factor in type III EMT in cancers with different origins such as breast. The present study investigated the expression of FGF-10 as a mitotic-inducing growth factor, normally has a low expression in breast tissues amongst breast cancer patients. Materials and Methods: 67 breast cancer tissues and 8 normal breast tissues were randomly selected from the Iran national tumor bank. The FGF-10 gene expression analysis was performed after the RNA expression using the real-time RTPCR, which was followed by the Student’s t-test statistical analysis. Results: The findings revealed that the relative expression of FGF-10 was elevated in tumor tissues as compared with normal breast tissues, and the higher expression had a direct correlation with the progression of clinical and pathologic staging. The expression was also significantly higher in triple-negative breast cancer and p53 null tissues. Conclusion: Taken together, it is suggested that, although in some variables it was not significant but generally the invasion and migration in tumor tissues are the same as in-vitro analysis as indicated before, and the expression has a direct relationship with the molecular presentation and clinical -pathological progression. 
背景:成纤维细胞生长因子-10 (FGF-10)是一个具有上皮细胞增殖和胚胎发育特征的超家族成员,被认为在上皮-间充质转化(EMT)现象中起作用。先前的研究已经揭示了FGF-10在乳腺癌细胞系III型EMT中的关键作用。上述发现表明,这一因素在不同来源的癌症(如乳腺癌)的III型EMT中可能起作用。本研究研究了FGF-10作为一种有丝分裂诱导生长因子的表达,该因子通常在乳腺癌患者的乳腺组织中表达较低。材料与方法:从伊朗国家肿瘤库中随机抽取67例乳腺癌组织和8例正常乳腺组织。实时RTPCR表达RNA后进行FGF-10基因表达分析,然后进行Student 's t检验统计分析。结果:FGF-10在肿瘤组织中相对于正常乳腺组织表达升高,且与临床病理分期的进展有直接关系。在三阴性乳腺癌和p53阴性组织中的表达也显著升高。结论:综上所述,虽然在某些变量上并不显著,但总体上在肿瘤组织中的侵袭和迁移与体外分析相同,其表达与分子表现和临床病理进展有直接关系。
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引用次数: 0
MDM2 (T309G) Gene Polymorphism Determines the Susceptibility of Hepatocellular Carcinoma in Bangladesh MDM2 (T309G)基因多态性决定了孟加拉国肝细胞癌的易感性
Pub Date : 2021-09-22 DOI: 10.31557/apjcb.2021.6.3.213-217
M. Hosen, Narwana Khaleque, Sajib Chakraborty, M. Mahtab, Y. Kabir
Background: Hepatocellular carcinoma (HCC) is one of the fatal cancer types worldwide, and a variety of genetic factors are considered to be associated with this incidence. MDM2 gene plays a pivotal role in various pathways, which are essential to combat tumor formation. The study aimed to find out the associations of MDM2 (T309G, rs2279744) gene polymorphism with the development of HCC in the Bangladeshi population. Methods: A case-control study on 100 HCC patients and 110 control subjects was conducted. The genotyping of the MDM2 (T309G) gene was done using PCR-RFLP methods. Results: The percentage of TT and GG genotypes were significantly different (p<0.01) among the study subjects. There were four genotyping groups, while the subjects with TT genotypes were considered the reference group. Patients with GG genotypes were at high risk of developing HCC (OR, 3.6; 95 % CI, 1.64–7.80; p<0.01) compared to the control. On the other hand, the association of TG genotypes with HCC was not statistically significant (OR, 1.8; 95 % CI, 0.91–3.40, p>0.05). In addition, patients having either GG or TG genotypes showed higher risk for HCC compared to control group (OR = 2.20; 95% CI = 1.21–4.14; P < 0.05). Conclusion: Our study suggested that the MDM2 gene may have a strong association with the development of HCC, and the GG allele could serve as an essential determinant to identify the higher risk of HCC in the Bangladeshi population.
背景:肝细胞癌(HCC)是世界范围内致死性癌症类型之一,多种遗传因素被认为与HCC的发生有关。MDM2基因在对抗肿瘤形成的多种途径中起着关键作用。本研究旨在探讨MDM2 (T309G, rs2279744)基因多态性与孟加拉人群HCC发生的关系。方法:对100例HCC患者和110例对照组进行病例对照研究。采用PCR-RFLP方法对MDM2 (T309G)基因进行分型。结果:TT、GG基因型比例差异有统计学意义(p0.05)。此外,GG或TG基因型患者发生HCC的风险高于对照组(or = 2.20;95% ci = 1.21-4.14;P < 0.05)。结论:我们的研究表明,MDM2基因可能与HCC的发生密切相关,而GG等位基因可能是识别孟加拉国人群中HCC高风险的重要决定因素。
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引用次数: 8
Betel Quid, Smoking and Alcohol Dependency among Patients with Oral Potentially Malignant Disorders and Oral Cancer in Sri Lanka; A Preliminary Case-control Study 斯里兰卡口腔潜在恶性疾病和口腔癌患者的槟榔、吸烟和酒精依赖初步病例对照研究
Pub Date : 2021-09-08 DOI: 10.31557/apjcb.2021.6.3.207-212
Sumali Randhini Sumithrarachchi, W.A.Udari.C. Pemasiri, A. Pathiranage, P. Jayasooriya
Introduction: Oral cancer and Oral Potentially Malignant Disorders (OPMDs) arising due to risk habits like betel quid (BQ) chewing, smoking and alcohol use are preventable despite the high prevalence and poor survival rates. However, dependence to risk habits has become a barrier to prevent OPMDs and oral cancer. Objectives: This study was conducted to determine the dependence to risk habits among patients with such oral lesions, and the quitting among dependent users after diagnosis. Materials and method: A case-control study was conducted among 100 participants, 50 diagnosed with OPMDs and oral cancer from two Oral and Maxillo Facial clinics in Sri Lanka and a similar control group without any oral lesions. All participants practiced one or more risk habits such as BQ chewing, smoking and/or alcohol use. Dependence was assessed using Sinhala language translations of standardized scales such as Betel Quid Dependence Scale for BQ chewers, Fagerstrom Test for Nicotine Dependence for tobacco smokers and CAGE (“Cut down”, “Annoyed”, “Guilty” and “Eye opener”) scale for alcohol users. Results: Dependence on habits was more among the case group (BQ-93%; smoking-14%; alcohol-66%). Quitting rates of BQ and alcohol among those who were diagnosed with oral cancer [BQ (89%), alcohol (89%)] were higher (p<0.05) than those with OPMDs [BQ (50%), alcohol (22%)]. Lack of awareness due to low socio-economic status (97%) was a significant association for BQ dependence (p=0.01).Conclusion: In conclusion, development of OPMDs and oral cancer increases with dependence to BQ chewing, smoking and alcohol use. Increased awareness about OPMDs and its risk of malignancy is needed among public. Prevention of dependence to these risk habits also becomes essential.  
口腔癌和口腔潜在恶性疾病(OPMDs)是由咀嚼槟榔液(BQ)、吸烟和饮酒等危险习惯引起的,尽管患病率高、存活率低,但它们是可以预防的。然而,对风险习惯的依赖已成为预防opmd和口腔癌的障碍。目的:本研究旨在了解此类口腔病变患者对危险习惯的依赖程度,以及诊断后依赖使用者的戒烟情况。材料和方法:对100名参与者进行病例对照研究,其中50名来自斯里兰卡两家口腔和Maxillo面部诊所诊断为opmd和口腔癌,另一组相似的对照组没有任何口腔病变。所有参与者都有一种或多种危险习惯,如咀嚼、吸烟和/或饮酒。使用僧伽罗语翻译的标准量表来评估依赖性,如BQ咀嚼者的槟榔果依赖量表,吸烟者的法格斯特罗姆尼古丁依赖测试和酒精使用者的CAGE(“减少”,“烦恼”,“内疚”和“大开眼界”)量表。结果:病例组对习惯的依赖程度较高(BQ-93%;吸烟- 14%;酒精- 66%)。口腔癌患者的BQ和酒精戒烟率[BQ(89%),酒精(89%)]高于opmd患者[BQ(50%),酒精(22%)](p<0.05)。由于低社会经济地位而缺乏意识(97%)与BQ依赖有显著关联(p=0.01)。结论:opmd和口腔癌的发生与BQ咀嚼、吸烟和饮酒的依赖有关。公众需要提高对opmd及其恶性风险的认识。预防对这些危险习惯的依赖也变得至关重要。
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引用次数: 2
Hematologic Presentations of COVID-19 Can be Misinterpreted as Acute Myeloid Leukemia COVID-19的血液学表现可能被误解为急性髓性白血病
Pub Date : 2021-09-08 DOI: 10.31557/apjcb.2021.6.3.231-233
H. Tabriz, E. Nazar, Fatemeh Jazayeri, A. Javadi
Introduction: COVID-19 infection prompts inflammatory responses and acute lung injury in human beings. Complete blood count with differential is essential investigative tool in its managing. However, very few studies revealed the variations of blood cell morphology in this disease.Case report: We reported a 39-years- old female patient complained of respiratory distress one week prior to hospitalization. The patient suffered from cough, fever, and molecular test was reported positive for COVID-19 infection. Laboratory data revealed severe permanent leukopenia and peripheral blood smear examination showed blastoid cells after remission of respiratory signs. Patient underwent bone marrow biopsy for rule out acute myeloid leukemia. But, on bone marrow sample, only viral cytopathic effects were seen. COVID-19 virus stimulates inflammatory cells to produces various inflammatory cytokines and as a result, viral cytopathic effects on white blood cells is seen. Conclusion: We have described how the characteristic peripheral blood findings of COVID‐19 infection can be misinterpret as acute myeloid leukemia.
简介:COVID-19感染可引起人类炎症反应和急性肺损伤。全血细胞计数与鉴别是其治疗中必不可少的调查工具。然而,很少有研究揭示了这种疾病中血细胞形态的变化。病例报告:我们报告了一位39岁的女性患者,在住院前一周自诉呼吸窘迫。患者出现咳嗽、发热等症状,分子检测呈阳性。实验室数据显示严重的永久性白细胞减少,呼吸症状缓解后外周血涂片检查显示囊胚细胞。患者行骨髓活检以排除急性髓性白血病。但是,在骨髓样本上,只观察到病毒的细胞病变作用。COVID-19病毒刺激炎症细胞产生各种炎症细胞因子,因此可以看到病毒对白细胞的细胞病变作用。结论:我们已经描述了COVID - 19感染的特征性外周血结果如何被误解为急性髓性白血病。
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引用次数: 2
Significance of Immunohistochemical Expression of Survivin in Renal Cell Carcinoma Survivin在肾细胞癌中免疫组化表达的意义
Pub Date : 2021-08-12 DOI: 10.31557/apjcb.2021.6.3.201-205
M. Mohammed, N. Ahmed
Background: Evasion of apoptosis is an essential alteration for cellular genetic mutation. Survivin is a member of inhibitor of apoptosis protein (IAP) family. Under normal conditions, Survivin is expressed in embryonic and fetal tissues and markedly diminished in mature, differentiated adult tissues. Survivin was found to be re-expressed in multiple solid and hematological human malignant neoplasms. The purpose of this study was to evaluate the expression of Survivin in renal cell carcinoma (RCC), and to find statistically significant associations between Survivin and the tested Clinicopathological parameters.Methods: 39 patients with RCCs who underwent nephrectomy were included in the study. From each RCC specimen, two tissue sections were obtained; one was stained by H&E stain to determine both RCC phenotype and Fuhrman’s nuclear grades. The second tissue section was immunohistochemically stained by anti-human Survivin antibody. Results: The study revealed statistically significant associations between Survivin expression in RCC specimens and RCC histological types (p =0.002), high tumor grade (p< 0.001) and advanced tumor stage (p< 0.001). Conclusion: The study revealed that Survivin is positively correlated to poorly differentiated RCCs with high Fuhrman’s nuclear grade and advanced tumor stage. 
背景:细胞凋亡的规避是细胞基因突变的必要改变。Survivin是凋亡抑制蛋白(IAP)家族的成员。正常情况下,Survivin在胚胎和胎儿组织中表达,在成熟、分化的成体组织中表达明显减少。Survivin在多种实体和血液学恶性肿瘤中被发现重新表达。本研究的目的是评估肾细胞癌(RCC)中Survivin的表达,并发现Survivin与检测的临床病理参数之间存在统计学意义的关联。方法:39例行肾切除术的rcc患者纳入研究。从每个RCC标本中获得两个组织切片;其中一种采用H&E染色,以确定RCC表型和Fuhrman核分级。第二组组织切片采用抗人Survivin抗体免疫组化染色。结果:研究显示,Survivin在RCC标本中的表达与RCC组织学类型(p =0.002)、高肿瘤分级(p< 0.001)和肿瘤分期晚期(p< 0.001)有统计学意义。结论:Survivin与低分化、高Fuhrman核分级、肿瘤分期的rcc呈正相关。
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引用次数: 0
Poor Man’s Cell-block Preparation, a Novel Idea which Can be Applied to Basic Health Care Facilities in Resource-poor Settings 穷人的细胞块制备,一个可以应用于资源贫乏环境的基本卫生保健设施的新想法
Pub Date : 2021-07-09 DOI: 10.31557/APJCB.2021.6.3.173-179
Huzaifa Saleem, Mehwish Javed, A. Saleem, Sadia Atif, Rabia Rafi
 Objective: To determine the diagnostic yield of cell blocks, prepared by the vapour fixation method, using laboratory supplies easily available at any low resource laboratory setup or outpatient department of a basic healthcare unit. Methods: Prospective descriptive study was carried out at Healthways Laboratories Rawalpindi, for 6 months from 1st January 2017 to 30th June 2017. Walk in patients referred to the lab for FNAC were selected by non probability convenient sampling. After preparing FNAC slides from first pass, the patients were briefed about the cell block material and after informed consent second dedicated passes were done to make cell blocks. Results: Out of 47 cases, there were 25 (53.2 %) breast lumps, 8 (17%) superficial collections, 7 (15.1%) lymphadenopathies, 6 (12.8%) thyroid swellings and 1 salivary gland swelling. Technique yielded moderate to high cellularity in 33 (70.2%) cases, 16 from malignant and 1 from benign breast lumps, 5 from thyroid, 3 from reactive and 3 from metastatic lymphnodes, 3 from abscesses, 1 from lipoma and 1 from salivary gland. Low cellularity 14 (29.8%) cases were from 5 benign and 3 malignant breast lumps, 2 hematomas and 1 case each from thyroid, metastatic lymphnode, abscess and lipoma. Good cellularity was achieved in 16 (84.2%) of 19 cases of malignant breast lesions, 3 (15.8%) were hypo cellular of which 1 was non-diagnostic on FNAC smear. Cell block diagnosis was comparable to FNAC in 35 of 47 (74.4%) cases. Non diagnostic cases on cell block were more, 13 versus 3 cases on FNAC. The kappa value of agreement in diagnosis was 0.64. Conclusions: Poor man’s cell block method is simplest and effective method of cell block preparation which must be advocated at basic healthcare units and low tech laboratory. Its diagnostic potential must be further explored.
目的:确定细胞块的诊断率,由气相固定法制备,使用实验室用品容易在任何低资源的实验室设置或门诊基层卫生保健单位。方法:前瞻性描述性研究于2017年1月1日至2017年6月30日在拉瓦尔品第Healthways实验室进行,为期6个月。通过非概率方便抽样选择到实验室进行FNAC的步行患者。在第一次制备FNAC载玻片后,向患者简要介绍细胞块材料,并在知情同意后进行第二次专门处理以制作细胞块。结果:47例患者中,乳腺肿块25例(53.2%),浅表积液8例(17%),淋巴结病变7例(15.1%),甲状腺肿胀6例(12.8%),唾液腺肿胀1例。技术显示33例(70.2%)中至高细胞性,其中16例为恶性乳腺肿块,1例为良性乳腺肿块,5例为甲状腺肿块,3例为反应性淋巴结,3例为转移性淋巴结,3例为脓肿,1例为脂肪瘤,1例为唾液腺。低细胞14例(29.8%)来自乳腺良性肿块5例,恶性肿块3例,血肿2例,甲状腺、转移性淋巴结、脓肿、脂肪瘤各1例。19例乳腺恶性病变中有16例(84.2%)细胞性良好,3例(15.8%)细胞性低下,其中1例FNAC涂片无诊断。47例患者中有35例(74.4%)的细胞阻滞诊断与FNAC相当。细胞阻滞非诊断病例较多,13例,FNAC 3例。诊断一致性kappa值为0.64。结论:穷人细胞块法是制备细胞块最简单有效的方法,应在基层卫生保健单位和低技术含量实验室推广使用。它的诊断潜力必须进一步探索。
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引用次数: 1
Comprehensive Analysis of the Expression and Prognosis for DCTPP1 gene in Breast Cancer 乳腺癌DCTPP1基因表达及预后的综合分析
Pub Date : 2021-07-09 DOI: 10.31557/APJCB.2021.6.3.195-200
T. Hoang, Thi Thu Huong Bui, T. Nguyễn
Background: Breast cancer is a common malignancy in women. DCTPP1 is a potential target for the development of antitumor drugs, and plays an important role in the process of DNA replication. Aims: To investigate the biological role of DCTPP1 gene, as well as its expression in breast cancer and its relation to patient prognosis. Materials and Methods: Breast cancer data was derived from the TCGA database. Using the UALCAN database, the expression level of DCTPP1 mRNA in breast cancer tissues was investigated. The expression of DCTPP1 in various pathological types of breast cancer was studied using the Human Protein Atlas. UALCAN was also used to investigate the relationship between DCTPP1 gene expression and breast cancer patient prognosis. Bioinformatics studied the proteins related to DCTPP1 expression and their roles in the GeneMANIA and WebGestalt databases. Results: DCTPP1 mRNA was significantly expressed in breast cancer compared to normal breast tissue (P<0.001). DCTPP1 was shown to be highly expressed in breast cancer tissues from different pathological types and stages (P<0.001). The DCTPP1 protein was expressed at a higher frequency in breast cancer than in normal breast tissue. When compared to patients with low DCTPP1 expression, patients with high DCTPP1 expression had a considerably shorter overall survival time. The 20 proteins related to DCTPP1 expression were mostly located in the nucleus and membrane, and were involved in biological regulation, stimulus response, metabolic process, and other processes, according to gene ontology analysis. It plays an important role in protein binding, ion binding, and nucleic acid binding. Conclusion: DCTPP1 is highly expressed in breast cancer, and is associated to a poor prognosis for patients with breast cancer. DCTPP1 may be a potential therapy and intervention target for breast cancer.
背景:乳腺癌是女性常见的恶性肿瘤。DCTPP1是开发抗肿瘤药物的潜在靶点,在DNA复制过程中发挥重要作用。目的:探讨DCTPP1基因在乳腺癌中的生物学作用、表达及其与患者预后的关系。材料和方法:乳腺癌数据来源于TCGA数据库。利用UALCAN数据库,研究DCTPP1 mRNA在乳腺癌组织中的表达水平。利用人蛋白图谱(Human Protein Atlas)研究DCTPP1在不同病理类型乳腺癌中的表达。UALCAN还用于研究DCTPP1基因表达与乳腺癌患者预后的关系。生物信息学研究了DCTPP1表达相关蛋白及其在GeneMANIA和WebGestalt数据库中的作用。结果:DCTPP1 mRNA在乳腺癌组织中的表达明显高于正常乳腺组织(P<0.001)。DCTPP1在不同病理类型和分期的乳腺癌组织中均有高表达(P<0.001)。DCTPP1蛋白在乳腺癌中的表达频率高于正常乳腺组织。与DCTPP1低表达的患者相比,DCTPP1高表达的患者总生存时间明显缩短。基因本体论分析显示,与DCTPP1表达相关的20个蛋白多位于细胞核和细胞膜,参与生物调控、刺激反应、代谢过程等过程。它在蛋白质结合、离子结合、核酸结合中起重要作用。结论:DCTPP1在乳腺癌中高表达,与乳腺癌患者预后不良有关。DCTPP1可能是乳腺癌潜在的治疗和干预靶点。
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引用次数: 1
Histopathologic Characteristics of Invasive and Non-invasive Ductal Tumors have Relationship with Different Phenotypes of ER / PR Receptors in Breast Cancer Patients 乳腺癌浸润性和非浸润性导管肿瘤的组织病理学特征与ER / PR受体不同表型的关系
Pub Date : 2021-07-09 DOI: 10.31557/APJCB.2021.6.3.181-185
R. Golmohammadi, M. Mohajeri, A. Jarrahi, A. Moslem, A. Pejhan, A. Gohari
Objective: Contradictory reports have been published regarding the expression levels of the hormone receptors of estrogen and progesterone (ER / PR) and theirclinical importance in diagnosis of breast cancer. The aim of this study was to evaluate the relationship between pathological features of invasive and non-invasive ductal tumors by different ER / PR phenotypes. Methods: This descriptive-analytical study was performed on 74 specimens of breast cancer referred to Isfahan Hospitals for diagnosis between 2015 - 2018. After fixation of the specimens in formalin, tissue passage, cross section and H / E staining, the specimens were divided into two groups: non- invasive and Invasive ductal Carcinoma. After removing of mask, expression of different ER / PR phenotypes was performed using primary monoclonal antibody and immunohistochemically methods. Results: From 74 malignant specimens, 61 (82.4%) were in the category of invasive ductal tumors and 13 cases (17.6%) were in the category of non-invasive ductal tumors. Out of 73 patients with positive ER or PR phenotype 47 samples (63.5%) had ER + / PR +phenotypes, 6 samples had (8.1%) ER+ / PR –phenotype, 20 samples (27%) had ER- / PR + phenotype and only one sample (1.4%) had the ER- / PR- phenotype and was in the category of invasive ductal tumors. There was not detected ER- / PR- phenotype expression in non-invasive ductal tumor. Further analysis showed that there were not significant difference between ER / PR phenotype and tumor stage (p =0.36) or with tumor Grade (P=0.38), high age of menopause or post menopause (P> 0.05). Conclusion: Our data shows that expression of ER- / PR- phenotype only was detected in invasive ductal tumor. It is thought that the tumor type maybe affects the expression of different types of ER / PR hormone receptor phenotypes in breast cancer patients.
目的:关于雌激素和孕激素受体(ER / PR)的表达水平及其在乳腺癌诊断中的临床意义,已经发表了相互矛盾的报道。本研究旨在探讨不同ER / PR表型对侵袭性和非侵袭性导管肿瘤病理特征的影响。方法:对2015 - 2018年间转诊至伊斯法罕医院诊断的74例乳腺癌标本进行描述性分析研究。标本经福尔马林固定、组织传代、横切面及H / E染色后分为非浸润性和浸润性导管癌两组。去除掩膜后,采用一抗和免疫组织化学方法检测不同ER / PR表型的表达。结果:74例恶性肿瘤中浸润性导管肿瘤61例(82.4%),非浸润性导管肿瘤13例(17.6%)。在73例ER或PR表型阳性的患者中,ER+ / PR +表型47例(63.5%),ER+ / PR-表型6例(8.1%),ER- / PR +表型20例(27%),ER- / PR-表型仅1例(1.4%)为浸润性导管肿瘤。在非侵袭性导管肿瘤中未检测到ER- / PR-表型表达。进一步分析显示,ER / PR表型与肿瘤分期(p =0.36)、肿瘤分级(p =0.38)、高绝经年龄、绝经后绝经年龄之间无显著差异(p > 0.05)。结论:我们的数据显示,ER- / PR-表型仅在浸润性导管肿瘤中表达。认为肿瘤类型可能影响乳腺癌患者不同类型ER / PR激素受体表型的表达。
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引用次数: 2
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Asian Pacific Journal of Cancer Biology
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