伊朗东阿塞拜疆省侵袭性乳腺癌症中雄激素受体的患病率及其与临床病理特征的相关性:一项跨部门研究。

Alireza Nikanfar, Mahsa Nikanfar, Ashraf Fakhrjou
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摘要

背景:癌症是女性最常见的恶性肿瘤,也是导致癌症相关死亡的主要原因。因此,评估新的预后标志物和治疗靶点至关重要。在此,我们旨在检测侵袭性癌症患者的雄激素受体(AR)状态,并确定其与临床病理参数的关系。材料与方法:本研究采用免疫组织化学方法对104例浸润性乳腺癌患者的AR状态进行了研究。此外,还研究了其与临床病理因素的关系,如年龄、更年期状况、肿瘤大小、淋巴结转移、肿瘤分期、肿瘤分级以及雌激素受体(ER)、孕激素受体(PR)、Her2/neu、Ki-67和P53。结果:AR阳性84例(80.8%),在ER阳性(85.7%)和PR阳性(85.6%)患者中的表达显著高于ER阴性(46.2%)和PR阴性(50%)患者(分别为0.001和0.002)。Her2/neu阳性患者(25%)的AR表达明显低于Her2/neu阴性患者(87.9%)(p=0.000)。较小、早期和有丝分裂活性低的肿瘤患者的AR表达也较高,但这种相关性没有统计学意义。结论:AR在癌症患者中的表达较高,与ER阳性、PR阳性和HER2/neu阴性肿瘤有显著相关性。因此,这种受体可能在决定癌症的预后和靶向治疗中发挥重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Prevalence of Androgen Receptor in Invasive Breast Cancer and Its Association with Clinicopathologic Features in East Azarbaijan Province of Iran: A Cross-Sectional Study.

Background: Breast cancer is the most common malignancy and the leading cause of cancer-related deaths in females. Accordingly, the evaluation of new prognostic markers and therapeutic targets is of vital importance. Here, we aimed to detect androgen receptor (AR) status and define its association with clinicopathologic parameters in patients with invasive breast cancer. Materials and Methods: In this study, AR status was studied in 104 patients with invasive breast carcinoma by immunohistochemistry. Besides, its association with clinicopathologic factors, i.e., age, menopausal status, tumor size, lymph node involvement, tumor stage, tumor grade and estrogen receptor (ER), progesterone receptor (PR), Her2/neu, Ki-67and P53 were investigated. Results: AR was positive in 84 patients (80.8%), and its expression in ER-positive (85.7%) and PR-positive (85.6%) patients were remarkably higher than in ER-negative (46.2%) and PR-negative (50%) patients (p= 0.001 and p=0.002, respectively). AR expression was noticeably lower in Her2/neu-positive (25%) patients compared to Her2/neu-negative (87.9%) ones (p=0.000). AR expression was also higher in patients with smaller, earlier stage, and low mitotically active tumors, but the association was not statistically significant. Conclusion: The expression of AR in patients with breast cancer was found to be high and its association with ER-positive, PR-positive, and HER2/neu-negative tumors was found to be significant. In that light, this receptor may play an important role in the determination of prognosis and targeted therapy in breast cancer.

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