雄激素受体和细胞周期蛋白D1在乳腺浸润导管癌中的预后价值

D. El-Ghaffar, Amal AF Halim, E. Abdallah, Doaa A Sharaf, S. Yussif
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摘要

目的:乳腺癌(BC)组织是异质的,有许多细胞通路参与细胞的生长和增殖。雄激素受体(AR)信号通路的激活在BC中起作用。另一方面,细胞周期蛋白是影响细胞周期G1/S转变的细胞周期蛋白依赖激酶的调控亚基。本研究旨在探讨AR和cyclin D1的表达与我科特定时期登记的BC患者临床病理细节的关系,并确定其表达对预后的影响。方法:纳入2013年1月至2015年12月在临床肿瘤与核医学科档案登记的182例IDC患者,年龄20 ~ 65岁。所有临床病理资料均来自患者病历。病理标本行AR和细胞周期蛋白D1免疫组化研究。结果:AR在182例标本中的表达率为43.4%(79/182)。AR阳性与雌激素受体(ER)、孕激素受体(PR)阳性、HER2阴性、肿瘤分级低、肿瘤大小小、淋巴结阴性累及相关(P值< 0.05)。116/182(64%)报告Cyclin D1阳性。cyclin D1与ER、PR阳性、三阴性、小肿瘤大小、淋巴结阴性累及均呈正相关(P值< 0.05)。的
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The prognostic value of androgen receptor and cyclin D1 in infiltrating duct carcinoma of the breast
Objective : Breast cancer (BC) tissue is heterogeneous with a number of cellular pathways involved in cell growth and proliferation. Activation of androgen receptors (AR) signaling pathways plays a role in BC. On the other hand, cyclin is a regulatory subunit of cyclin-dependent kinases that affect cell cycle G1/S transition. This study aimed at investigating the relationship between the expression of AR and cyclin D1 and the clinicopathological details of BC patients registered in the archive of our department within a speci fi ed period and determining the prognostic impact of such expression. Methods : The study included 182 IDC patients aged from 20 to 65 whom were registered in the archive of the Clinical Oncology & Nuclear Medicine Department from January 2013 to December 2015. All clinicopathological data were obtained from patient records. Immunohistochemistry study for AR and cyclin D1 was done for the pathologic specimens. Results : The expression ratio of AR in 182 specimens was 43.4% (79/182). AR positivity was signi fi cantly associated with estrogen receptor (ER) and progesterone receptor (PR) positivity and negative HER2 status, lower tumor grade, smaller tumor size, and negative lymph node involvement ( P values < 0.05). Cyclin D1 positivity was reported in 116/182 (64%). There was positive correlation between cyclin D1 and ER, PR positivity, triple negativity, small tumor size, and negative lymph node involvement ( P value < 0.05). The
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