<trans-title xml:lang="en"/>_West China Medical Journal

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, , , , 

德阳市人民医院病理科（四川德阳 618000）;

Corresponding author：

, Email: holly.tony@163.com

Keywords：

雌激素受体; 孕激素受体; Ki-67; 淋巴结转移; 乳腺癌; 相关性

DOI：

10.7507/1002-0179.201505173

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目的探讨雌激素受体（estrogen receptor，ER）、孕激素受体（progesterone receptor，PR）及细胞核增殖抗原 Ki-67 表达与乳腺癌淋巴结转移的相关性。方法选取 2010 年 1 月—2014 年 12 月收治的 593 例乳腺癌手术切除患者，术后肿瘤石蜡组织常规行 ER、PR、Ki-67 检测，将这些分子的表达与淋巴结转移情况进行比较与分析。结果 593 例患者中 ER、PR 的阳性表达率分别为 66.78%、56.32%，Ki-67 指数>14% 的患者占 70.82%；淋巴结转移阳性率为 47.22%；ER 的表达与淋巴结转移存在相关性（P<0.05），PR 和 Ki-67 的表达与淋巴结转移不存在相关性（P>0.05）。结论 ER 的表达与淋巴结转移相关，PR、Ki-67 的表达与淋巴结转移不相关。

Citation： 何小艳, 成永莲, 李慧, 徐培, 吴宁. . West China Medical Journal, 2017, 32(2): 226-228. doi: 10.7507/1002-0179.201505173 Copy

1.	Hammond ME, Hayes DF, Dowser M, et al. American Society of Clinical Oncology/College of American Pathologists guaidline recommendations for immunohistochemical testing of estrogen and progesterone receptors in breast cancer. J Clin Oncol, 2010, 28(16): 2784-2795.
2.	刘红艳, 宋丰举, 雷蕾, 等. 1267 例乳腺癌临床与免疫组化指标的相关性分析.中国肿瘤临床, 2011, 38(11): 656-659.
3.	Oldhirseh A, Wood WC, Coates AS, et al. Strategies for subtypes: dealing with the diversity of breast cancer: highlights of the St. Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2011. Ann Oncol, 2011, 22(8): 1736-1747.
4.	朱学强, 任刚, 胡洪林. 乳腺癌组织中 VEGF、C-erbB-2、P53 及 Ki67 的表达与临床意义. 西部医学, 2009, 21(3): 427-429.
5.	Shi XB, Wang L. Treatment for triple-negative breast cancer. Chinese-German J Clin Oncol, 2012, 11(9): 539-543.
6.	张庆莉, 张庆慧, 丛华, 等. BRCAl 和 WWOX 在年轻女性乳腺浸润性导管癌中的表达及临床病理意义. 中华病理学杂志, 2013, 42(2): 90-94.
7.	Zhu X, Ying J, Wang F, et al. Estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2 status in invasive breast cancer: a 3,198 cases study at National Cancer Center, China. Breast Cancer Res Treat, 2014, 147(3): 551-555.
8.	臧凤琳, 魏熙胤, 孙蕾娜, 等. c-FLIP(L) 在乳腺癌中表达的意义及对凋亡的调节. 中国肿瘤临床, 2010, 37(15): 841-845.
9.	Ogawa Y, Moriya T, Kato Y, et al. Immunohistochemical assessment for estrogen receptor and progesterone receptor status in breast cancer: analysis for a cut-off point as the predictor for endocrine therapy. Breast Cancer, 2004, 11(3): 267-275.
10.	Dowsett M, Smith IE, Ebbs SR, et al. Prognostic value of Ki67 ex-pression after short-term presurgical endocrine therapy for primary breast cancer. J Natl Cancer Inst, 2007, 99(2): 167-170.
11.	Bhatavdekar JM, Patel DD, Shah NG, et al. Prognostic significance of immunohistochemically localized biomarkers in stage Ⅱ and stage Ⅲ breast cancer: a multivariate analysis. Ann Surg Oncol, 2000, 7(4): 305-311.
12.	李宝江, 朱志华, 王军业, 等. Ki67、P53、VEGF 和 C-erbB-2 在乳腺癌组织中表达的相关性研究及其临床意义. 癌症, 2004, 23(10): 1176-1179.
13.	Nishimura R, Osako T, Okumura Y, et al. Ki-67 as a prognostic marker according to breast cancer subtype and a predictor of recurrence time in primary breast cancer. Exp Ther Med, 2010, 1(5): 747-754.
14.	Molino A, Micciolo R, Turazza M, et al. Ki-67 immunostaining in 322 primary breast cancers: associations with clinical and pathological variables and prognosis. Int J Cancer, 1997, 74(4): 433-437.
15.	朴正日, 金全金, 申龙河. Ki67 在乳腺癌组织中表达及其与 C-erbB-2、ER、PR、P53 基因的关系. 中国民康医学, 2010, 22(3): 258-260, 265.

1. Hammond ME, Hayes DF, Dowser M, et al. American Society of Clinical Oncology/College of American Pathologists guaidline recommendations for immunohistochemical testing of estrogen and progesterone receptors in breast cancer. J Clin Oncol, 2010, 28(16): 2784-2795.
2. 刘红艳, 宋丰举, 雷蕾, 等. 1267 例乳腺癌临床与免疫组化指标的相关性分析.中国肿瘤临床, 2011, 38(11): 656-659.
3. Oldhirseh A, Wood WC, Coates AS, et al. Strategies for subtypes: dealing with the diversity of breast cancer: highlights of the St. Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2011. Ann Oncol, 2011, 22(8): 1736-1747.
4. 朱学强, 任刚, 胡洪林. 乳腺癌组织中 VEGF、C-erbB-2、P53 及 Ki67 的表达与临床意义. 西部医学, 2009, 21(3): 427-429.
5. Shi XB, Wang L. Treatment for triple-negative breast cancer. Chinese-German J Clin Oncol, 2012, 11(9): 539-543.
6. 张庆莉, 张庆慧, 丛华, 等. BRCAl 和 WWOX 在年轻女性乳腺浸润性导管癌中的表达及临床病理意义. 中华病理学杂志, 2013, 42(2): 90-94.
7. Zhu X, Ying J, Wang F, et al. Estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2 status in invasive breast cancer: a 3,198 cases study at National Cancer Center, China. Breast Cancer Res Treat, 2014, 147(3): 551-555.
8. 臧凤琳, 魏熙胤, 孙蕾娜, 等. c-FLIP(L) 在乳腺癌中表达的意义及对凋亡的调节. 中国肿瘤临床, 2010, 37(15): 841-845.
9. Ogawa Y, Moriya T, Kato Y, et al. Immunohistochemical assessment for estrogen receptor and progesterone receptor status in breast cancer: analysis for a cut-off point as the predictor for endocrine therapy. Breast Cancer, 2004, 11(3): 267-275.
10. Dowsett M, Smith IE, Ebbs SR, et al. Prognostic value of Ki67 ex-pression after short-term presurgical endocrine therapy for primary breast cancer. J Natl Cancer Inst, 2007, 99(2): 167-170.
11. Bhatavdekar JM, Patel DD, Shah NG, et al. Prognostic significance of immunohistochemically localized biomarkers in stage Ⅱ and stage Ⅲ breast cancer: a multivariate analysis. Ann Surg Oncol, 2000, 7(4): 305-311.
12. 李宝江, 朱志华, 王军业, 等. Ki67、P53、VEGF 和 C-erbB-2 在乳腺癌组织中表达的相关性研究及其临床意义. 癌症, 2004, 23(10): 1176-1179.
13. Nishimura R, Osako T, Okumura Y, et al. Ki-67 as a prognostic marker according to breast cancer subtype and a predictor of recurrence time in primary breast cancer. Exp Ther Med, 2010, 1(5): 747-754.
14. Molino A, Micciolo R, Turazza M, et al. Ki-67 immunostaining in 322 primary breast cancers: associations with clinical and pathological variables and prognosis. Int J Cancer, 1997, 74(4): 433-437.
15. 朴正日, 金全金, 申龙河. Ki67 在乳腺癌组织中表达及其与 C-erbB-2、ER、PR、P53 基因的关系. 中国民康医学, 2010, 22(3): 258-260, 265.

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