尼泊尔 BP 柯伊拉腊纪念癌症医院的乳腺癌免疫组化分析

Chin Bahadur Pun Magar, Greta Pandey, S. Uprety, Ishan Dhungana, N. Jha
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摘要

简介免疫组化检验用于鉴定所有组织中的细胞内蛋白质或各种细胞表面。它可用于解决诊断问题,或确定乳腺病理学中的预后和对治疗的反应。ER、PR 和 HER2 是乳腺癌预后和指导治疗的公认生物标志物。材料和方法:本研究为回顾性研究,在尼泊尔奇旺省巴拉特布尔的 B P 柯伊拉腊纪念癌症医院病理科进行,有效期为 2020 年 4 月 15 日至 2021 年 4 月 14 日。对所有数据进行了检索和分析。结果共分析了 205 例乳腺癌病例,其中 198 例为女性,占 96.5%,7 例为男性,占 3.5%。共有 125 个病例(60.9%)进行了ER、PR 和 HER2 免疫组化检测。ER阳性占48%,PR阳性占42.4%,HER2阳性占34.4%,三阴性占9.9%。结论女性患乳腺癌的比例高于男性。最常见的患病年龄段为 41-50 岁。最常见的组织学类型是浸润性导管癌 NST。为了改善乳腺癌的预后和生存率,应进行早期诊断、免疫组化激素分析和筛查。
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Immunohistochemical Analysis of Breast Cancer at BP Koirala Memorial Cancer Hospital Nepal
Introduction: Immunohistochemistry test is used to characterize intracellular proteins or various cell surfaces in all tissues. It is used to solve diagnostic problems or for determining prognosis and response to therapy in breast pathology. ER, PR and HER2 are well established biomarkers for breast cancer prognosis and for guiding treatment. Materials and methods: This is retrospective study at Department of Pathology of B P Koirala Memorial Cancer Hospital in Bharatpur, Chitwan, Nepal effective from 15 April 2020 to 14 April 2021. All the data were retrieved and analyzed. Results: Total 205 breast cancer cases were analyzed, among them 198 cases were females accounting 96.5 % and 7 cases were males accounting 3.5 %. Altogether 125 (60.9%) cases had immunohistochemistry panel of ER, PR and HER2 tests done. 48% cases were ER positive, 42.4% cases were PR positive, 34.4% were HER2 positive and 9.9% cases were triple negative. Conclusion: Breast cancer is more common in females than in males. Most common affected age group was 41-50 years. Most common histological type was invasive ductal carcinoma NST. In order to improve breast cancer outcomes and survival, early diagnosis, immunohistochemistry hormone analysis and screening tests should be done.
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