Cyclin D1和PSA是乳腺癌良好的预后和临床病理指标

N. Holah, A. Hemida
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引用次数: 9

摘要

乳腺癌是女性恶性肿瘤的主要病因之一。许多预后参数得到了验证,但它们不能提供关于患者预后的充分数据。因此,我们必须寻找新的预后和临床病理参数。本研究旨在探讨细胞周期蛋白D1和PSA在乳腺癌中的免疫组化表达及其与预后的关系。其中包括79例乳腺浸润性导管癌。所有患者的总生存时间均可获得。PSA阳性表达与较低的肿瘤分期、淋巴结分期、肿瘤分级相关,PSA阴性表达与有无转移相关,差异均有统计学意义(P值分别为0.05、0.01、0.03、0.011)。cyclin D1低表达率(<10%)与肿瘤分期、分级、转移相关(P值分别为0.002、0.003、0.000),cyclin D1低表达率与中度表达率(<10%、10-50%)与淋巴结分期相关(P值分别为0.01),具有高度统计学意义。我们得出结论,Cyclin D1和PSA与良好的预后和临床病理参数相关,因此我们认为它们可能被用作有利的预后指标,应该在分子亚型的背景下进行分析。
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Cyclin D1 and PSA act as good prognostic and clinicopathological indicators for breast cancer
ABSTRACT Breast cancer is one of the main causes of malignancies in females. Many prognostic parameters are verified but they do not give sufficient data about patients’ outcome. So, we must search for new prognostic and clinicopathological parameters. This study aimed to evaluate immunohistochemical expression of cyclin D1 and PSA in breast carcinoma and their relation to prognosis. It includes 79 specimens of breast invasive duct carcinoma. Overall survival time was available for all patients. There is a statistically significant association between positive PSA expression and lower tumor stage, nodal stage and tumor grade and between negative PSA expression and presence of metastasis (P value = .05, 0.01, 0.03 and 0.011, respectively). There is a highly statistically significant association between low percentage of cyclin D1 expression (<10%) and advanced tumor stage, advanced grade and presence of metastasis (P value = .002, 0.003 and 0.000, respectively) and between low and moderate percentage of Cyclin D1 expression (<10% and 10–50%) and advanced nodal stage (P value = .0.01). We concluded that Cyclin D1 and PSA were associated with good prognostic and clinicopathological parameters and therefore we suggested that they might be used as favorable prognostic indicators and should be analyzed in the context of molecular subtypes.
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