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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
【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.
【Key words】 breast cancer, histological grade, C-erbB2 oncogene; ER; PR;
- 【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