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HER3在乳腺癌中的表达及临床意义

Expression and Clinical Significance of HER3 in Breast Carcinoma

  • 摘要: 目的 探讨乳腺癌患者HER3与HER2、ER和PR之间的关系及其对乳腺癌预后的影响。方法采用免疫组织化学SP法检测癌组织中HER3、HER2、ER和PR蛋白的表达,对患者随访,随访终点为总生存时间(overall survival,OS)。结果 HER2、HER3、ER和PR在136例乳腺癌患者中的阳性表达率分别为:50%、41.18%、60.9%和27.21%。HER3与年龄、淋巴结转移、分期、肿瘤类型以及化疗状态的差异无统计学意义(P>0.05)。HER3阳性与阴性患者OS差异有统计学意义(P=0.015)。HER3(+)HER2(+)组乳腺癌患者较其他组OS明显缩短(P=0.047)。HER3的表达与PR表达无明显关系(P=0.214),但可抑制ER产生(P=0.001)。HER2阳性和HER3的过度表达高度相关(P=0.000)。结论HER3可作为独立的临床预后因子,HER3阴性患者OS较长。

     

    Abstract: Objective To investigate the relationships between the expression of HER3,HER2,ER and PR,and their effects on the clinical prognosis of human breast carcinoma. Methods The expressions of HER3,HER2,ER and PR were studied in 136 cases with breast carcinoma by using SP immunohistochemistry.The endpoint was overall survival(OS). Results HER2,HER3,ER and PR expression was detected in 136 cases with positive rates of 50%,41.18%,60.9% and 27.21%,respectively.The expression intensity of HER3 in breast carcinoma had no significant correlation with the age,lymph node metastasis,pathological types,TNM stage,chemotherapy of the patients(P>0.05).Compared with those patients with HER3-negitive profiles,the patients with HER3-positive profiles had significantly lower OS(P=0.015).The patients with HER3(+)HER2(+) expression profiles had significantly lower OS(P=0.047) than other groups.There is no interaction between HER3 and PR expression(P=0.214),but HER3 have a inverse relationship with ER expression(P=0.001).Overexpression of HER2 and HER3 was highly correlated(P=0.000). Conclusion HER3 expression is an independent predictor of breast cancer.Patients with HER3-negative have a longer OS. Key words:

     

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