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HER2低表达乳腺癌组织中p53基因突变与临床病理特征的关系

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目的 分析人表皮生长因子受体 2(human epidermal growth factor receptor 2,HER2)低表达乳腺癌组织中p53 基因突变与临床病理特征的关系。方法 选择 2018 年 8 月—2023 年 8 月厦门市第三医院收治的 112 例HER2 低表达乳腺癌患者为研究对象,所有患者均在厦门市第三医院进行手术切除癌组织,并留取乳腺癌组织。通过银染聚合酶链反应-单链构象多肽性分析法(polymerase chain reaction single strand conformation polymorphism,PCR-SSCP)检测HER2 低表达乳腺癌组织p53 基因突变情况,分析p53 基因突变与HER2低表达乳腺癌临床病理特征的相关性。结果 HER2 低表达乳腺癌组织中p53 基因未突变 82 例,占比为 73。21%;p53 基因突变 30 例,占比为 26。79%。p53 基因突变与肿瘤直径、淋巴结转移、脉管侵犯、临床分期呈正相关(P<0。05)。将年龄、身体质量指数(body mass index,BMI)、细胞增殖相关抗原(cell proliferation-associated antigens,Ki-67)指数、雌激素受体(estrogen receptor,ER)指数等因素控制后p53 基因突变与肿瘤直径、淋巴结转移、脉管侵犯、临床分期相关(P<0。05)。结论 HER2 低表达乳腺癌组织中p53 基因突变率较低,p53 基因突变与乳腺癌肿瘤直径、淋巴结转移、脉管侵犯、临床分期相关,为中国抗癌协会乳腺癌诊治指南与规范后期标准制定提供了借鉴内容。
Relationship Between p53 Gene Mutation and Clinicopathological Features in Breast Cancer Tissues With Low HER2 Expression
Objective To analyze the relationship between p53 gene mutation and clinicopathological features in breast cancer tissues with low expression of human epidermal growth factor receptor 2(HER2).Methods A total of 112 patients with breast cancer with low HER2 expression admitted to the Third Hospital of Xiamen from August 2018 to August 2023 were selected as the study objects.All patients underwent surgical resection of cancer tissues and retained breast cancer tissues in the Third Hospital of Xiamen.Polymerase chain reaction single strand conformation polymorphism(PCR-SSCP)was used to detect p53 gene mutation in breast cancer tissues with low HER2 expression,and the correlation between p53 gene mutation and clinicopathological characteristics of breast cancer with low HER2 expression was analyzed.Results In breast cancer tissues with low expression of HER2,82 cases(73.21%)had no mutation of p53 gene,and 30 cases(26.79%)had mutation of p53 gene.p53 gene mutation was positively correlated with tumor diameter,lymph node metastasis,vascular invasion and clinical stage(P<0.05).Age,body mass index(BMI),cell proliferation-associated antigens(Ki-67)index,estrogen receptor(ER)were evaluated p53 gene mutation was associated with tumor diameter,lymph node metastasis,vascular invasion and clinical stage after receptor,ER index and other factors were controlled(P<0.05).Conclusion The p53 gene mutation rate in breast cancer tissues with low HER2 expression is low,and p53 gene mutation is correlated with tumor diameter,lymph node metastasis,vascular invasion,and clinical stage of breast cancer,which provides references for the formulation of breast cancer diagnosis and treatment guidelines and later standards for the Chinese Anti-Cancer Association.

breast cancerp53 genehuman epidermal growth factor receptorclinicopathological featurescorrelationlymph node metastasis

葛玲、陈艳、沈南秀

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厦门市第三医院病理科,福建 厦门 361100

乳腺癌 p53基因 人类表皮生长因子受体 临床病理特征 相关性 淋巴结转移

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(8)
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