三阴性乳腺癌患者的雄激素受体表达。

Allen Hung, J. Gutiérrez, Janelle Gasia, Yusmary Gil, José Guanipa, Julio Castro, A. Reigosa, Ángel Fernández
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摘要

三阴性亚型乳腺癌(TNBC)不表达雌激素、孕激素或人类表皮生长因子受体 2(HER2)受体。有人提出将 TNBC 划分为四个亚组,其中一个是腔内雄激素受体亚组。这项研究的目的是确定在委内瑞拉巴伦西亚北大都会医院(Hospital Metropolitano del Norte)通过免疫组化确诊的 TNBC 女性患者中雄激素受体(AR)的表达情况。样本包括191名符合纳入标准的患者。患者确诊时的平均年龄为 54.91 岁。从组织学角度来看,大多数肿瘤属于中度分化或未分化。AR表达率为22%(191例中有42例)。在AR表达与Ki-67增殖指数之间的关系中,Ki-67表达低于40%的肿瘤中AR阳性病例较多。与其他研究相比,本研究发现的 AR 阳性率属于中等水平。与一般TNBC相比,AR+肿瘤的Ki-67增殖指数较低,但与患者的年龄和肿瘤的组织学分级没有统计学差异。
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Expresión de receptores de andrógeno en pacientes con carcinoma de mama del subtipo triple negativo.
Breast carcinoma of the triple-negative subtype (TNBC) does not express estrogen, progesterone or human epidermal growth factor recep-tor 2 (HER2) receptors. A subclassification of TNBC has been proposed into four subgroups, one of which is the luminal androgen receptor. The objective of this work was to determine the expression of the androgen receptor (AR) in women with TNBC, diagnosed by immunohistochemistry, at the Hospital Metropolitano del Norte, Valencia, Venezuela. The sample consisted of 191 pa-tients who met the inclusion criteria. The mean age of the patients at the time of diagnosis was 54.91 years. Histologically, the majority of the tumors were moderately differentiated or undifferentiated. The percentage of AR expres-sion was 22% (42 of 191). In the association between AR expression and the Ki-67 proliferative index, a greater number of AR positive cases was observed in tumors with Ki-67 expression of less than 40%. The AR positivity found in this study represents an intermediate frequency in relation to other investigations. No statistically significant differences were found with the age of the patients and histological grade of the tumors, while the Ki-67 proliferative index was lower for AR+ tumors, compared to TNBC in general.
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