首页|乳腺癌人表皮生长因子受体2超低表达情况分析

乳腺癌人表皮生长因子受体2超低表达情况分析

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目的 探讨HER2 免疫组化染色(IHC)检测结果为0 乳腺癌中HER2 超低表达情况.方法 回顾性分析2021 年1 月至2022 年12 月安阳市肿瘤医院确诊为HER2 IHC检测结果为0 乳腺癌样本107 例,通过IHC检测HER2 蛋白表达情况,根据HER2 超低表达判断标准对结果判读.结果 107 例既往HER2 IHC检测判读为0 的病例中,本次检测有7 例被判读为1+,其中根治术样本6 例、穿刺样本1 例,IHC检测结果为0 的样本100 例.100例HER2 IHC检测结果为0 样本中,HER2 超低表达56 例,阴性表达44 例.HER2 IHC检测结果为0 样本中,根治术样本超低表达率 55.17%(48/87),穿刺术样本超低表达率 61.54%(8/13),差异无统计学意义(χ2=0.186,P=0.667).HER2 IHC检测结果为0 样本中,存在淋巴结转移的样本超低表达率48.00%(12/25),无淋巴结转移样本超低表达率58.67%(44/75),差异无统计学意义(χ2=0.866,P=0.352).结论 乳腺癌中HER2 的超低表达在HER2 IHC检测判读为0 的样本中发生率较高,且与手术方式及淋巴结转移情况无关.
Analysis of ultralow expression of human epidermal growth factor receptor 2 in breast carcinoma
Objective To investigate the ultralow expression of human epidermal growth factor receptor 2(HER2)in patients with HER2 0 breast cancer.Methods The 107 breast cancer specimens collected in the from January 2021 to December 2022.The expression of HER2 was detected by using immunohistochemistry(IHC).The HER2 expression was assessed according to the HER2 ultralow expression standard.Results Among the 107 cases that were previously detected as HER2 IHC 0,7 were assessed as 1+,including 6 radical resection samples and 1 biopsy sample,and IHC 0 100 cases.Among the 100 HER2 IHC 0 samples,56 had HER2 ultralow expression and 44 had HER2 null.The HER2 ultralow ex-pression rate of radical resection samples was55.17%(48/87),the biopsy samples of 61.54%(8/13),and the differ-ence was not statistically significant(χ2=0.186,P=0.667).The HER2 ultralow expression rate of lymph node metastasis samples was48.00%(12/25)and the rate of no lymph node metastasis samples was58.67%(44/75),and the differ-ence was not statistically significant(χ2=0.866,P=0.352).Conclusion The HER2 ultralow expression is more com-mon in HER2 0 breast cancer,and there is no correlation with surgical methods and lymph node metastasis.

breast carcinomahuman epidermal growth factor receptor 2ultralow expression

董芳莉、代宁涛、申敬伟

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河南科技大学第四附属医院病理科,河南 安阳 455000

乳腺癌 人表皮生长因子受体2 超低表达

河南省医学科技攻关计划(联合共建)项目

LHGJ20200806

2024

肿瘤基础与临床
河南省抗癌协会,郑州大学,河南省肿瘤医院,河南省肿瘤研究所

肿瘤基础与临床

影响因子:0.861
ISSN:1673-5412
年,卷(期):2024.37(3)