Correlation of CK5 and EGFR with Clinicopathological Profile of Triple-Negative Breast Cancer.

Pathology research international Pub Date : 2014-01-01 Epub Date: 2014-10-23 DOI:10.1155/2014/141864
Neelam Sood, Jitendra Singh Nigam
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引用次数: 23

Abstract

Purpose. Triple-negative breast cancer (TNBC) is defined by the loss of expression of ER, PR, and Her2neu expressions. The aim of this study was to examine the expression of the EGFR, CK5, and Ki-67 among triple-negative breast cancer cases and to correlate the expression of the basal markers with the clinicopathological prognostic parameters. Materials and Methods. Thirty-six female patients with TNBC based on ER, PR, and the HER2neu negativities were studied by immunohistochemistry for EGFR, CK5, and Ki-67 expression. Statistical analysis was done using the SPSS software version 20. Results. The mean and median ages were 45.18 years and 46.70 years, respectively. Infiltrating ductal carcinoma NOS was the predominant histopathological type (29/36 [80.6%]). The commonest histological grade was grade 2 (17/36 [47.2%]). Tumour necrosis was seen in 16/36 (44.4%) patients. Infiltrative margins were shown in 69.44% (25/36) cases. Ki-67 was positive in 80.56% (29/36) cases, 61.11% (22/36) were CK5-positive, and 86.11% (31/36) were EGFR-positive. The only significant positive association observed was between the CK5 and histological grade (P < 0.05). Conclusion. CK5 shows a statistically significantly correlation with TNBC histological grade. The majority of the specimens show EGFR expression. Therefore TNBCs could potentially benefit from EGFR-targeted therapeutic strategies.

Abstract Image

Abstract Image

CK5和EGFR与三阴性乳腺癌临床病理特征的相关性
目的。三阴性乳腺癌(TNBC)被定义为ER、PR和Her2neu表达缺失。本研究的目的是检测EGFR、CK5和Ki-67在三阴性乳腺癌病例中的表达,并将基础标志物的表达与临床病理预后参数联系起来。材料与方法。采用免疫组化方法研究了36例女性TNBC患者ER、PR和HER2neu阴性的EGFR、CK5和Ki-67的表达。采用SPSS软件20进行统计分析。结果。平均年龄为45.18岁,中位年龄为46.70岁。浸润性导管癌NOS为主要病理类型(29/36[80.6%])。最常见的组织学分级为2级(17/36[47.2%])。36例患者中有16例(44.4%)出现肿瘤坏死。69.44%(25/36)的病例有浸润边缘。Ki-67阳性占80.56% (29/36),ck5阳性占61.11% (22/36),egfr阳性占86.11%(31/36)。CK5与组织学分级呈正相关(P < 0.05)。结论。CK5与TNBC的组织学分级有显著的统计学相关性。大多数标本显示EGFR表达。因此,tnbc可能从egfr靶向治疗策略中获益。
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