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Evaluation of ER-alpha, ER-beta 1 and ER-beta 2 expression and correlation with clinicopathologic factors in invasive luminal subtype breast cancers

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单位: [1]Chinese Acad Med Sci, Dept Abdominal Surg, Canc Inst & Hosp, Beijing 100021, Peoples R China [2]Capital Med Univ, Beijing Friendship Hosp, Dept Gen Surg, Beijing 100050, Peoples R China [3]Chinese Acad Med Sci, Dept Pathol, Canc Inst & Hosp, Beijing 100021, Peoples R China [4]Chinese Acad Med Sci, State Key Lab Mol Oncol, Canc Inst & Hosp, Beijing 100021, Peoples R China
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关键词: Luminal subtype Breast cancer ER-beta 1 ER-beta 2 ( ER-beta cx) Immunohistochemistry Prognosis

摘要:
Purpose Luminal subtype breast cancer is defined as oestrogen receptor (ER)-and/or progesterone receptor (PR)positive breast cancer. We detected the expression of ER-alpha, ER-beta 1 and ER-beta 2 in the tissue samples of invasive luminal subtype breast cancer patients, evaluated the correlations between these ER statuses and prognosis, and tried to clarify whether the status of ER-alpha isoforms provides clinically useful information further to what is already provided by the traditional ER-alpha/PR assay. Methods The expression of ER-alpha, ER-beta 1 and ER-beta 2 in the paraffin-embedded sections of 162 invasive luminal subtype breast cancer patients was detected with an immunohistochemical staining method. With mid-long-term follow-up, the features of ER-alpha, ER-beta 1 and ER-beta 2 status and the correlations between clinical characteristics and the prognosis were analysed. Results ER-beta 1-positive status was correlated with PR (rs=0.217, p<0.01). The median follow-up time was 92 months (range, 4-98 months). Univariate analysis suggested that ER-beta 1 status was significantly correlated to disease-free survival (DFS) time (log rank=3.98, p=0.046), especially in patients with positive lymph nodes (log rank=6.20, p=0.013). In patients with smaller tumour size (<= 20 mm), negative ER-beta 2 status was significantly correlated to overall survival time (log rank=3.87, p=0.049). Conclusions In invasive luminal subtype breast cancers, ER-beta 1 is correlated with good prognosis and could be regarded as one of the factors for evaluating DFS time, especially in lymph node-positive patients. There may be some interactions between ER-beta 1 and PR. In clinical practice, besides routine detection of ER-alpha and PR in invasive luminal subtype breast cancers, immunohistochemical staining of ER-beta 1 and ER-beta 2 should be considered in order to achieve more useful information. Further studies are needed to confirm our findings.

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出版当年[2011]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
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出版当年[2010]版:
Q4 ONCOLOGY
最新[2023]版:
Q2 ONCOLOGY

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第一作者单位: [2]Capital Med Univ, Beijing Friendship Hosp, Dept Gen Surg, Beijing 100050, Peoples R China
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通讯机构: [1]Chinese Acad Med Sci, Dept Abdominal Surg, Canc Inst & Hosp, Beijing 100021, Peoples R China [*1]Chinese Acad Med Sci, Dept Abdominal Surg, Canc Inst & Hosp, 17 Panjiayuan, Beijing 100021, Peoples R China
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