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乳腺癌的组织学分级与C-erbB2过度表达及激素水平的关系探讨

Histological grading and its relation between C-erb B2 superexpression and hormone level

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【作者】 许励; 曹维海; 于大有; 王树生;

【Author】 Xu Li; et al

【机构】 浙江省人民医院!310014; 齐齐哈尔市第一医院;

【摘要】 本文根据Blorm-Richarcisonde分级标准对46例浸润性导管癌进行分析,同时采用S-P法对其进行C-erbB2癌基因和ER、PR免疫组织化学标记。结果:组织学Ⅰ级Ⅱ例,C-erbB2癌基因和ER、PR的阳性率分别为18.12%、63%和、54%;组织学Ⅱ级25例,C-erbB2癌基因和ER、PR的阳性率分别为28%、48%和32%组织学Ⅲ级10例,C-erbB2癌基因和ER、PR的阳性率分别为40%、20%和10%。从而表明组织学分级越差,C-erbB2癌基因的过度表达越强,ER、PR阳性率越低,淋巴结转移的机率越高.组织学分级与C-erbB2癌基因的过度表达呈正相关,与ER、PR水平呈负相关,与淋巴结转移率呈正相关.C-erbB2癌基因过度表达预后差,复发及转移率高,RP、PR阳性率高提示预后好,复发、转移率低。

【Abstract】 We analyzed 46 cases of infiltraive brean cancer according to Blorm-Richarcisond grading standard, and carried out C-erbB2 oncogene, ER and PR immunohistochemistry labelling to them. The results showed 11 cases of histology type Ⅰ with the positive rates of C-erbB2 oncogene, ER and PR were 18.12%, 63% and 54%; Respectively; 25 cases of histology type Ⅱ with positive rates of C-erbB2 oncogene, ER and PR were 28%, 48% and 32%, respectively; 10 cases of histology type Ⅲ with positive rates of C-erbB2 oncogene, ER and PR were 40%, 20% and 10%, respectively. That means that the lower the histological grade is, the higher the C-erbB2 oncogene superexpression is, and the lower the ER and PR positive rates and the higher the chance of lymphatic metastasin. There is a positive relation of histology grade with C-erb B2 oncogene superexpression, a negtive retation with ER and PR and a positive relation with lymphation and mestastasis rate. C-erbB2 oncogene superexpresion indicates unfavourable prognosis, high recuremce rate and metheis rate. And high ER and PR positive rae indicates fovorable prognosis, low recurence rate and metaStasis rate.

  • 【文献出处】 黑龙江医药科学 ,HEILONGJIANG MEDICINE AND PHARMACY , 编辑部邮箱 ,1999年03期
  • 【分类号】R737.9
  • 【下载频次】26
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