三阴性乳腺癌中雄激素受体阳性的患病率

M. MartinPJovita, K. Kannan, K. Suresh
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摘要

三阴性乳腺癌(TNBC)是一种独特的乳腺癌亚组,呈上升趋势。TNBC的发生率约占所有乳腺癌的15-20%。因此,这使其成为治疗开发的理想靶点。TNBC被定义为缺乏靶标,因此,缺乏量身定制的靶向治疗,使其管理依赖于传统的细胞毒性方案。在ER阴性病例中AR的存在率为30%,在TNBC中AR阳性为10%的细胞免疫组化呈阳性。88%的患者雄激素受体为阴性,12%的患者AR阳性,其中8%为高阳性,3例为中阳性,1例为低阳性。p值为0.000,p值<0.05,因此p值显著。本研究中TNBC中AR阳性的百分比与文献结果一致。这解释了TNBC中same的重要性,因为它似乎是治疗靶向的重要途径,因为这组患者没有太多的治疗选择。进一步研究,可通过比卡鲁胺/恩杂鲁胺/阿比罗伊酮等药物对AR阳性TNBC进行雄激素受体阻断,了解其生存改善情况。
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Prevalence Of Androgen Receptor Positivity In Triple Negative Breast Cancer
A unique subgroup of breast cancer, the Triple negative Breast carcinoma (TNBC) is on the rising trend. TNBC occurrence is around 15-20% of all breast cancers. Therefore this makes it an ideal target for therapeutic exploitation. TNBC is defined by the absence of a target, therefore, there is absence of a tailored targeted therapy, leaving its management depend on conventional cytotoxic regimens. The presence of AR in ER negative cases is 30%, in TNBC the AR positivity is 10% of cells showed positivity in Immunohistochemistry. Androgen receptor is Negative amongst a majority of 88% of patients with 12% remaining AR Positive off which 8% is High, 3 Medium and 1 Low Positive. The p value is 0.000 which is <0.05 hence the value is significant. The percentage of AR positivity in TNBC in this study concurs with the literature findings. This explains the importance of the same in TNBC as it seems to be an important avenue for therapeutic targeting because, this group of patients do not have much options for treatment. Further studies, with the use of androgen receptor blockade through drugs like Bicalutamide/Enzalutamide/Abireterone in AR positive TNBC could be studied to know the survival improvement.
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