良性乳腺疾病患者雌激素受体的行为、组织学相关性和临床结果。

A K Khanna, J K Tapodar, H D Khanna, S Khanna, Anuradha Khanna
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引用次数: 10

摘要

目的:评估雌激素受体(ER)在乳腺良性疾病中的价值,探讨乳腺良性疾病对那那唑的反应是否依赖于组织ER状态。设计:前瞻性研究。地点:印度大学医院。材料:乳腺良性病变组织样本,40例纤维囊性疾病和10例纤维腺瘤。干预措施:酶免疫法检测胞质内质网的存在。主要观察指标:内质网浓度及与那那唑治疗效果的相关性。结果:纤维囊性疾病和纤维腺瘤的ER阳性率分别为30%和40%。绝经前患者ER平均(SD)浓度14.75 (3.79)fmol/mgm显著高于绝经后患者6.2 (1.59)fmol/mg (p < 0.05)。10例乳痛er阳性病变患者(n = 26)对达那唑均有应答,而16例er阴性病变患者中有6例对达那唑有应答(p < 0.05)。组织学上弥漫性纤维化病变(14例)和淋巴细胞浸润病变5例均为er阴性。结论:雌激素受体阳性乳腺癌患者对达那唑的疗效优于雌激素受体阴性乳腺癌患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Behaviour of estrogen receptor, histological correlation, and clinical outcome in patients with benign breast disorders.

Objective: To estimate the value of estrogen receptor (ER) in benign breast diseases and to find out if the response of benign breast diseases to danazol depends on the ER status of the tissue.

Design: Prospective study.

Setting: University hospital, India.

Material: Samples of tissue from benign breast lesions, 40 fibrocystic disease and 10 fibroadenomas.

Interventions: Enzyme immunoassay for the presence of cytosolic ER.

Main outcome measures: ER concentrations, and correlation with effect of treatment with danazol.

Results: Fibrocystic disease and fibroadenomas showed 30% and 40% ER positivity, respectively. The mean (SD) ER concentration was significantly higher in premenopausal than postmenopausal patients 14.75 (3.79) fmol/mgm compared with 6.2 (1.59) fmol/mg (p < 0.05). All ten patients with mastalgia who had ER-positive lesions (n = 26) responded to danazol, compared with 6 of 16 patients who had ER-negative lesions (p < 0.05). Lesions with diffuse fibrosis (n = 14) and five with lymphocytic infiltration on histology were all ER-negative.

Conclusion: The patients with ER positive breast disease responded better to danazol than patients with ER negative breast disease.

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