Survival of breast cancer patients according to changes in expression of selected markers between primary tumor and lymph node metastases

被引:12
作者
Adamczyk, Agnieszka [1 ]
Niemiec, Joanna [1 ]
Ambicka, Aleksandra [2 ]
Mucha-Malecka, Anna [3 ]
Rys, Janusz [2 ]
Mitus, Jerzy [4 ]
Wysocki, Wojciech M. [4 ]
Cichocka, Anna [1 ]
Jakubowicz, Jerzy [3 ]
机构
[1] Maria Sklodowska Curie Mem Canc Ctr & Inst Oncol, Dept Appl Radiobiol, Cracow Branch, Garncarska 11, PL-31115 Krakow, Poland
[2] Maria Sklodowska Curie Mem Canc Ctr & Inst Oncol, Dept Tumor Pathol, Cracow Branch, Garncarska 11, PL-31115 Krakow, Poland
[3] Maria Sklodowska Curie Mem Canc Ctr & Inst Oncol, Clin Oncol, Cracow Branch, Garncarska 11, PL-31115 Krakow, Poland
[4] Maria Sklodowska Curie Mem Canc Ctr & Inst Oncol, Dept Surg Oncol, Cracow Branch, Garncarska 11, PL-31115 Krakow, Poland
关键词
breast carcinoma; changes in proteins expression; lymph node metastases; primary tumor; ALDEHYDE DEHYDROGENASE 1; RECEPTOR STATUS; CELLS; HER2; RECOMMENDATIONS; DISCORDANCE; BIOMARKERS; LESIONS; SITES; KI-67;
D O I
10.2217/bmm.15.123
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
The differences between primary and metastatic tumor cells might be important for treatment selection and prognostication. Materials & methods: Expression of ER, PR, HER2, CK5/6, EGFR, Ki-67, Ep-CAM, P-cadherin, CD24, CD44, ALDH was assessed immunohistochemically in primary tumor (T) and corresponding synchronous nodal metastases (LNM) in 156 invasive ductal breast cancer patients (T >= 1, N >= 1, M0). Results: Independent negative prognostic factors for disease-free survival were pN3, ALDH immunopositivity in LNM, nonluminal A subtype in LNM, reduction of Ep-CAM expression in LNM, lack of changes or enhancement of CK5/6 and ALDH expression in LNM. Discussion: Our results suggest that in some cases expression of markers in lymph node metastases might bring additional prognostic information to that obtained from primary tumor.
引用
收藏
页码:219 / 228
页数:10
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