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乳腺癌Her2基因荧光原位杂交及其临床病理关系
引用本文:杜江,刘小超,康文婷,周全,尹鸿雁,刘红刚. 乳腺癌Her2基因荧光原位杂交及其临床病理关系[J]. 临床与实验病理学杂志, 2010, 26(1)
作者姓名:杜江  刘小超  康文婷  周全  尹鸿雁  刘红刚
作者单位:首都医科大学附属北京同仁医院病理科,北京,100730
基金项目:卫生部科研基金(NoWKJ2007-3-001)
摘    要:
目的探讨Her2基因过表达的比例及其与临床病理之间的联系。方法收集乳腺浸润型导管癌标本50例,总结其临床及病理资料,应用石蜡包埋组织切片,以EnVision两步法进行免疫组织化学染色标记ER、PR及HER2,以金菩嘉DNA探针试剂盒行荧光原位杂交检测HER2基因。结果患者平均年龄55.5岁,病理组织分级Ⅰ级11例,Ⅱ级30例,Ⅲ级9例。术后分期Ⅰ期13例,ⅡA期15例,ⅡB期13例,ⅢA期6例,ⅢB期2例,ⅢC期1例。淋巴结中位转移率6.91%。ER阳性33例,PR阳性32例,IHC法HER2阳性40例,FISH阳性33例,阴性17例。FISH法检测HER2基因与HER2蛋白过表达之间相关(P0.05),其与病理分级、术后分期、淋巴结转移率及ER、PR的表达无相关(P0.05),3例脉管内瘤栓及3例原发瘤数大于1者,FISH均为阳性。结论FISH检测HER2基因扩增和免疫组化检测HER2蛋白一致性较好,HER2基因与脉管内瘤栓及多个原发瘤有一定关系,但其作为间接预测预后的指标有待于进一步研究。

关 键 词:乳腺浸润性导管癌  基因  HER2  原位杂交  荧光  免疫组织化学  

HER2 gene amplification in breast cancer by fluorescence in-situ hybridization and its clinicopathologic relationship
DU Jiang,LIU Xiao-chao,KANG Wen-ting,ZHOU Quan,YIN Hong-yan,LIU Hong-gang. HER2 gene amplification in breast cancer by fluorescence in-situ hybridization and its clinicopathologic relationship[J]. Chinese Journal of Clinical and Experimental Pathology, 2010, 26(1)
Authors:DU Jiang  LIU Xiao-chao  KANG Wen-ting  ZHOU Quan  YIN Hong-yan  LIU Hong-gang
Affiliation:Department of Pathology/a>;Beijing Toren Hospital/a>;Capital Medical University/a>;Beijing 100730/a>;China
Abstract:
Purpose To detect the HER2 gene amplification by fluorescence in-situ hybridization(FISH) and to explore its clinicopathologic relationship with the breast cancer.Methods A prospective study was conducted in 50 cases of breast invasive ductal carcinoma from Beijing Toren Hospital.Clinicopathologic data were summarized and FISH was performed in the paraffin-embedded sections for HER2 gene amplificayion using DNA probe,and immunohistochemical stain for ER,PR and HER2.Results The average age of the patients wa...
Keywords:breast invasive ductal carcinoma  genes  HER2  insitu hybridization  fluorescence  immunohistochemistry  
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