C-kit (CD117)表达对预测乳腺浸润性导管癌预后无价值

M. Shomaf, A. Yousef, J. Masad, Murad Sahawneh, A. Halawa
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摘要

目的:C-kit作为酪氨酸激酶受体,是小分子激酶抑制剂的靶标。研究了c-kit在胃肠道间质瘤、恶性黑色素瘤、乳腺癌和肺癌、肉瘤和肥大细胞增生症等不同人类肿瘤类型中的表达谱。C-kit在恶性肿瘤中的表达可能是影响预后的一个因素,我们研究了C-kit在不同肿瘤中的表达与预后的相关性。kit阳性肿瘤的伊马替尼或舒尼替治疗是一种靶向癌症治疗的例子,需要免疫组织化学肿瘤分析来确定将从这种治疗中受益的患者。这项研究是在乳腺癌患者身上进行的,目的是找出c-kit表达的频率,并找出它是否对患者的预后有任何影响,并将结果与其他种族的结果进行比较。材料与方法:采用免疫组织化学方法分析81例乳腺浸润性导管癌石蜡包埋肿瘤组织中c-kit的表达,并利用随访资料与患者初诊后的生存率进行相关性分析。结果:患者平均年龄52.8岁。中位随访时间为22个月(范围1-37个月)。C-kit免疫阳性37例(46%)。c-kit的表达在不同强度和罕见的肿瘤样本中发现。结论:c-kit表达与预后无显著相关性。
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C-kit (CD117) Expression Is Not Valuable to Predict Prognosis in Invasive Ductal Carcinoma of Breast -
Objective: C-kit functions as a tyrosine kinase receptor and represents a target for small molecule kinase inhibitors. The expression pattern for c-kit was studied in different human tumor types as gastrointestinal stromal tumor, malignant melanoma, breast and lung cancer, sarcoma and mastocytosis. C-kit expression in malignant tumors can be a factor that might affect the prognosis and its expression in different tumors was studied in respect of its correlation with the outcome. Imatinib or sunitinib therapy of KIT-positive tumors is an example of a targeted cancer therapy requiring immunohistochemical tumor analysis to identify patients that would benefit from this kind of therapy. This study is done on patients with breast cancer to find out the frequency of c-kit expression and to find out if it has any effect on the outcome of the patients and to compare the results with that of other ethnicities. Materials and Methods: Paraffin-embedded tumor tissues from 81 patients with breast invasive ductal carcinoma were analyzed immunohistochemically for c-kit expression and correlated to the survival of the patients after initial diagnosis using the follow-up data. Results: The mean age of the patients was 52.8 years. The median follow-up period was 22 months (range 1-37 months). C-kit immunopositivity was found in 37 cases (46%). Expression of c-kit was found in tumor samples with varying intensities and infrequently. Conclusion: There was no significant correlation between c-kit expression and prognosis.
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