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    顾婷, 郁芊芊, 刘浩楠, 韩正祥. 雄激素受体对浸润性乳腺癌改良根治术后患者的预后意义[J]. 徐州医科大学学报, 2023, 43(3): 219-224. DOI: 10.3969/j.issn.2096-3882.2023.03.013
    引用本文: 顾婷, 郁芊芊, 刘浩楠, 韩正祥. 雄激素受体对浸润性乳腺癌改良根治术后患者的预后意义[J]. 徐州医科大学学报, 2023, 43(3): 219-224. DOI: 10.3969/j.issn.2096-3882.2023.03.013
    GU Ting, YU Qianqian, LIU Haonan, HAN Zhengxiang. Prognostic significance of androgen receptor in patients with invasive breast cancer after modified radical mastectomy[J]. Journal of Xuzhou Medical University, 2023, 43(3): 219-224. DOI: 10.3969/j.issn.2096-3882.2023.03.013
    Citation: GU Ting, YU Qianqian, LIU Haonan, HAN Zhengxiang. Prognostic significance of androgen receptor in patients with invasive breast cancer after modified radical mastectomy[J]. Journal of Xuzhou Medical University, 2023, 43(3): 219-224. DOI: 10.3969/j.issn.2096-3882.2023.03.013

    雄激素受体对浸润性乳腺癌改良根治术后患者的预后意义

    Prognostic significance of androgen receptor in patients with invasive breast cancer after modified radical mastectomy

    • 摘要: 目的 分析雄激素受体(AR)对浸润性乳腺癌改良根治术后患者的预后意义。方法 选取2016年7月—2017年11月徐州医科大学附属医院收治的515例乳腺癌改良根治术后患者。采用免疫组织化学法检测AR、雌激素受体(ER)、孕激素受体(PR)、人类表皮生长因子受体-2(HER-2)、细胞增殖核抗原(Ki-67)、抑癌基因(P-53)、细胞角蛋白5/6 (CK5/6)、拓扑异构酶Ⅱ(TOPO-Ⅱ)、表皮生长因子受体(EGFR)的表达情况,分析AR表达与患者临床病理特征和预后的关系。结果 AR阳性组较AR阴性组患者更容易表现为低组织学分级(1—2级)、ER阳性、PR阳性、TOPO-Ⅱ阴性、CK5/6阴性、EGFR阴性,差异有统计学意义(P<0.05)。在ER(+)/HER-2(-)、ER(+)/HER-2(+)乳腺癌患者中,AR阳性组无病生存期更长(P<0.05);在ER(-)/HER-2(+)及ER(-)/HER-2(-)乳腺癌患者中,AR的表达与无病生存期无关(P>0.05)。结论 AR对不同乳腺癌亚型预后意义不一,AR阳性在ER阳性肿瘤中是良好的预后因子。

       

      Abstract: Objective To investigate the prognostic significance of androgen receptor(AR) in patients with invasive breast cancer after modified radical mastectomy.Methods A total of 515 patients who were admitted to the Affiliated Hospital of Xuzhou Medical University from July 2016 to November 2017 were selected. Their expression of AR, estrogen receptor(ER), progesterone receptor(PR), human epidermal growth factor receptor-2(HER-2), cytoproliferating nuclear antigen(Ki-67), tumor suppressor gene(P-53), cytokeratin 5/6(CK5/6), topoisomerase Ⅱ(TOPO-Ⅱ), and epidermal growth factor receptor(EGFR), and the relationship between AR expression and clinicopathological factors and prognosis was analyzed.Results Compared with patients in the AR-negative group, those in the AR-positive group were more likely to be low histological grade(grades 1-2), ER positive, PR positive, TOPO-Ⅱ negative, CK5/6 negative, and EGFR negative, with statistical difference(P<0.05). In patients with ER(+)/HER-2(-), ER(+)/HER-2(+) breast cancer, AR-positive patients showed longer disease-free survival(P<0.05). In contrast, in patients with ER(-)/HER-2(+) and ER(-)/HER-2(-) breast cancer, AR expression was not associated with disease-free survival(P>0.05).Conclusions AR has different prognostic significance for different breast cancer subtypes. AR positivity is a good prognostic factor in ER-positive tumors.

       

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