Comparison of histopathological grading and staging of breast cancer with p53-positive and transforming growth factor-beta receptor 2-negative immunohistochemical marker expression cases

P. Mandal, Anindya Adhikari, Subir Biswas, A. Giri, Arnab Gupta, A. Bhattacharya
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Abstract

Background: Immunohistochemical analysis of biomarkers is essential to understand the nature of breast cancer (BC) and predict its prognosis. A noticeable correlation is found between p53-positive and transforming growth factor-beta receptor 2 (TGFBR-2)-negative immunomarker expression in BC cases. Materials and Methods: Between January 2018 and December 2018, immunohistochemical analysis of p53 and TGFBR-2 biomarkers was done in biopsy samples from 50 BC cases (49 females and 1 male). Results: p53 expression was positive in 24 (48%) and negative in 26 (52%) cases. Similarly, TGFBR-2 expression was positive in 26 (52%) and negative in 24 (48%) cases. Among p53-positive cases, 8 (16%), 15 (30%), and 1 (2%) cases correlated with histologic Grade 1, Grade 2, and Grade 3 cases, respectively. Among TGFBR-2-negative cases, 9 (18%), 13 (26%), and 2 (4%) cases correlated with histologic Grade 1, Grade 2, and Grade 3 cases, respectively. Further, Grade 2 cancer cases were found mostly associated with both p53-positive and TGFBR-2-negative cases. Maximum p53positive cases was in T2N1Mx stage while maximum TGFBR-2-negative cases were in T2N0Mx stage. Conclusion: p53-positive and TGFBR-2-negative cases are mostly associated with Grade 2 and T2 stage of BC.
p53阳性和转化生长因子-受体2阴性免疫组化标志物表达乳腺癌组织病理学分级和分期的比较
背景:生物标志物的免疫组织化学分析对于了解乳腺癌(BC)的性质和预测其预后至关重要。在BC病例中,p53阳性和转化生长因子- β受体2 (TGFBR-2)阴性的免疫标志物表达之间存在显著的相关性。材料和方法:2018年1月至2018年12月,对50例BC患者(49例女性和1例男性)的活检样本进行了p53和TGFBR-2生物标志物的免疫组织化学分析。结果:p53阳性24例(48%),阴性26例(52%)。同样,TGFBR-2阳性26例(52%),阴性24例(48%)。在p53阳性的病例中,分别有8例(16%)、15例(30%)和1例(2%)与组织学1级、2级和3级相关。在tgfbr -2阴性病例中,分别有9例(18%)、13例(26%)和2例(4%)与组织学1级、2级和3级相关。此外,发现2级癌症病例大多与p53阳性和tgfbr -2阴性病例相关。p53阳性以T2N1Mx期最多,tgfbr -2阴性以T2N0Mx期最多。结论:p53阳性和tgfbr -2阴性病例多与2级和T2期相关。
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