ER及PR表达对乳腺癌新辅助化疗疗效的影响
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谷元廷 E-mail:guyuanting2010@163.com

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Influences of ER and PR expression on neoadjuvant chemotherapeutic efficacy of breast cancer
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    目的: 研究雌激素受体(ER)及孕激素受体(PR)的表达对于乳腺癌新辅助化疗(neoadjuvant chemotherapy, NACT)疗效的影响。 方法:采用免疫组化法检测52例乳腺癌组织中接受NACT前后的ER及PR的表达,分析ER、PR表达与NACT疗效的关系。 结果:ER(-)患者NACT有效率为85.0%(17/20); ER(+)患者为56.3%(18/32), 两组间差异有统计学意义(P﹤0.05); PR(-)患者NACT有效率为80%(21/25), PR(+)患者为51.6%(14/27), 两组间差异有统计学意义(P﹤0.05)。 结论:ER(-)及PR(-)乳腺癌患者在NACT中的获益分别较ER(+)及PR(+)者明显。测定激素受体的表达状态, 可预测乳腺癌患者对NACT是否有效, 初步指导肿瘤个体化辅助化疗。

    Abstract:

    Objective:To study the influences of the expression of estrogen receptor (ER) and progestogerone receptor (PR) on neoadjuvant chemotherapeutic (NACT) efficacy of breast cancer (BC). Methods:The expressions of ER and PR in 52 cases of breast cancer tissue were detected by immunohistochemical staining before and after NACT, and the correlation between the expression of ER and PR and the efficacy of NACT on BC were analysed. Results:After NACT, the efficacy rate of ER (-) BC patients was 85.0%, which was significantly higher than that of ER (+) patients (56.3%) (P﹤0.05); the efficacy rate of PR (-) BC patients was 80.0%, which was significantly higher than that of ER (+) patients (51.6%) (P﹤0.05). Conclusions:NACT has more beneficial effects on ER (-) and PR (-) BC patients than those of ER (+) and PR (+) patients. The levels of ER and PR may predict the efficacy of NACT and may be as a guide to the individualized adjuvant chemotherapy for breast cancer patient.

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侯红, 谷元廷, 吕鹏威. ER及PR表达对乳腺癌新辅助化疗疗效的影响[J].中国普通外科杂志,2011,20(5):461-463.
DOI:10.7659/j. issn.1005-6947.2011.05.008

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  • 收稿日期:2010-09-28
  • 最后修改日期:2011-02-25
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  • 在线发布日期: 2011-05-15