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HER-2、p53的表达对乳腺癌蒽环类新辅助化疗疗效的影响
引用本文:王晓兰,陈波,姚凡,李继光,刘楠,邱雪杉,刘彩刚,金锋.HER-2、p53的表达对乳腺癌蒽环类新辅助化疗疗效的影响[J].山东医药,2008,48(32):1-3.
作者姓名:王晓兰  陈波  姚凡  李继光  刘楠  邱雪杉  刘彩刚  金锋
作者单位:中国医科大学附属第一医院,辽宁,沈阳110001
摘    要:目的 研究乳腺癌雌激素受体(ER)、孕激素受体(PR)、人类表皮生长因子受体-2(c-erbB2)及p53的表达与以蒽环类为基础的新辅助化疗(NAC)疗效之间的相关性.方法 40例乳腺癌患者接受以蒽环类为基础的NAC.用免疫组化法检测NAC前ER、PR、c-erbB2及p53的表达情况,c-erbB2表达为阳性及强阳性者进一步行荧光原位杂交(FISH)检测,以确定HER-2基因的扩增水平.NAC结束后进行疗效评估.结果 40例患者中,缓解30例(75%),无缓解10例(25%);HER-2基因无扩增及p53表达阴性均与高反应性相关(P均<0.05);化疗≥4个周期的患者疗效达完全缓解的比例显著高于<4个周期者(P<0.05).结论 HER-2基因无扩增及p53表达阴性的患者可能对以蒽环类为基础的化疗方案敏感;适当增加化疗周期数可能增加完全缓解率.

关 键 词:乳腺肿瘤  新辅助化疗  受体  表皮生长因子  蛋白质p53  蒽环类

The efficacy of anthracycline-based neoadjuvant chemotherapy in patients with breast cancer
WANG Xiao-lan,CHEN Bo,YAO Fan,LI Ji-guang,LIU Nan,QIU Xue-shan,LIU Cai-gang,JIN Feng.The efficacy of anthracycline-based neoadjuvant chemotherapy in patients with breast cancer[J].Shandong Medical Journal,2008,48(32):1-3.
Authors:WANG Xiao-lan  CHEN Bo  YAO Fan  LI Ji-guang  LIU Nan  QIU Xue-shan  LIU Cai-gang  JIN Feng
Institution:WANG Xiao-lan,CHEN Bo,YAO Fan,LI Ji-guang,LIU Nan,QIU Xue-shan,LIU Cai-gang,JIN Feng(The First Affiliated Hospital of China Medical University,Shenyang 110001,P.R.China)
Abstract:Objective To evaluate the predictive value of estrogen receptor(ER),progesterone receptor(PR),human epidermal growth factor receptor(c-erbB2)-2 and p53 in anthracycline-based neoadjuvant chemotherapy(NAC).Methods 40 patients with breast carcinoma were treated with anthracycline-based NAC.ER,PR,c-erbB2 and p53 were detected by immunohistochemistry staining before NAC.Fluorescence in situ hybridization(FISH) was used to detect the HER-2 gene amplification in the cases expression of c-erbB2 protein were(+ +) o...
Keywords:breast neoplasms  neoadjuvant chemotherapy  receptor  epidermal growth factor  protein p53  anthracyclines  
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