Prognostic and predictive factors of invasive ductal breast carcinomas

J BUON. 2010 Jan-Mar;15(1):79-88.

Abstract

Purpose: To investigate the significance of certain immunohistochemical markers, namely estrogen (ER) and progesterone receptors (PgR), c-erbB-2 oncogene, p53 tumor suppressor gene and E-cadherin adhesion molecule, in invasive ductal breast carcinomas.

Methods: A series of 102 primary breast carcinomas of the ductal type and a standard immunohistochemical technique was used to detect the aforementioned biological markers. The findings were related to various clinical and pathological tumor characteristics, including lymph node metastases.

Results: ER and E-cadherin were expressed more commonly in tumors of low histological grade and small number (< or =3) of metastatic lymph nodes, whereas c-erbB-2 and the p53 gene were usually expressed in breast tumors of high histological grade and increased number (>3) of metastatic lymph nodes. PgR, on the other hand, was detected frequently in patients with early menarche and metastases in <3 lymph nodes, but this tendency was not statistically significant.

Conclusion: The use of these biomarkers, preferably in combination, may provide additional prognostic and therapeutic information which may be proved useful in planning breast cancer treatment.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Antigens, CD
  • Biomarkers, Tumor / analysis*
  • Body Weight
  • Breast Neoplasms / chemistry
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / pathology
  • Cadherins / analysis
  • Carcinoma, Ductal, Breast / chemistry
  • Carcinoma, Ductal, Breast / diagnosis*
  • Carcinoma, Ductal, Breast / secondary
  • Chi-Square Distribution
  • Female
  • Greece
  • Humans
  • Immunohistochemistry*
  • Lymphatic Metastasis
  • Middle Aged
  • Neoplasm Staging
  • Odds Ratio
  • Predictive Value of Tests
  • Prognosis
  • Receptor, ErbB-2 / analysis
  • Receptors, Estrogen / analysis
  • Receptors, Progesterone / analysis
  • Risk Assessment
  • Risk Factors
  • Tumor Suppressor Protein p53 / analysis

Substances

  • Antigens, CD
  • Biomarkers, Tumor
  • CDH1 protein, human
  • Cadherins
  • Receptors, Estrogen
  • Receptors, Progesterone
  • TP53 protein, human
  • Tumor Suppressor Protein p53
  • ERBB2 protein, human
  • Receptor, ErbB-2