雌激素和孕激素受体在乳腺癌中的地位——与年龄、腋窝淋巴结状况、肿瘤最大尺寸和肿瘤分级的关系

Hasanuzzaman, Mizanur Rahman, Johirul Lslam, Ashraf Ui Haque, S. Rahman, Mohammad Muntasir Rahman
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引用次数: 0

摘要

背景:乳腺癌是我国妇女最常见的恶性肿瘤之一。本研究旨在评估乳腺癌雌激素受体(ER)和孕激素受体(PR)状态与患者年龄、肿瘤大小、腋窝淋巴结转移及组织学分级的相关性。方法:采用非概率抽样方法,选取国立肿瘤研究所肿瘤外科手术的女性乳腺癌患者119例,将手术标本送行雌激素受体和孕激素受体的免疫组化研究。采用Windows软件的SPSS version 12进行统计分析。p值小于0.05为显著性。结果:患者平均年龄41.64岁(95% Cl 39.8, 43.5)。约87%的ER+和PR+患者肿瘤尺寸< 5cm。以浸润性导管细胞癌为主。66例ER+中63例为浸润性导管细胞癌,63例PR+中60例为相同组织学类型的患者。多数病例表现为II级(59.1%),其次为i级(33.9%)。60%的患者有腋窝淋巴结转移。大多数患者(51.3%)在其乳房组织中表达这两种受体,而约43%的患者没有显示任何受体。结论:本研究发现乳腺癌中ER和PR的表达与已发表的国内和国际数据相当。对于乳腺癌患者的临床管理,预后指标的评估被强烈提倡,以提供最佳的治疗方案。外科杂志(2013)Vol. 17 (2): 84-88
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Estrogen and Progesterone Receptor Status in Breast Cancer-Its Relation to Age, Axillary Lymph Node Status, Tumour's Maximum Dimension and Grade of Tumour
Background: Carcinoma of the breast is one of the most common malignancies of women in our country. The current study was conducted with the objective of assessing Oestrogen receptor (ER) and progesterone receptor (PR) status of carcinoma breast for correlation with age of the patient, tumor dimension, axillary lymph node metastasis and histologic grade. Methodology: One hundred and nineteen female breast cancer patients operated at the surgical oncology department of National Institute of Cancer Research & Hospital were selected by non-probability sampling method and operated specimens were sent for immunohistochemical study of the Oestrogen receptor and progesterone receptors. Statistical analysis was conducted using SPSS version 12 for Windows software. P-value 0.05 or less was considered as significant. Result: Mean age of the patients was 41.64 years (95 % Cl 39.8, 43.5). About 87% of the ER+ and PR+ patients had tumour dimension < 5 cm. The predominant morphology was infiltrating duct cell carcinoma. Out of 66 ER+ cases 63 were the patients of Infiltrating duct cell carcinoma and in 63 PR+ cases 60 were the patients of same histological type. The majority of the cases presented as grade II (59.1%) followed by grade Ill (33.9%). Sixty percent patients had axillary lymph node metastasis. Majority of the patients (51.3%) expressed both the receptors in their breast tissue while around 43% of the patients did not show any receptor. Conclusion: ER and PR expression in breast cancers in the current study was found to be comparable to published national and international data. Assessment of prognostic markers for the clinical management of breast cancer patients is strongly advocated to provide best therapeutic options. Journal of Surgical Sciences (2013) Vol. 17 (2) : 84-88
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