Artículos de revistas
Her2 Expression In Brazilian Patients With Estrogen And Progesterone Receptor-negative Breast Carcinoma
Registro en:
Acta Histochemica. , v. 115, n. 2, p. 120 - 127, 2013.
651281
10.1016/j.acthis.2012.05.002
2-s2.0-84872408700
Autor
Ramalho S.
Serra K.P.
Vassallo J.
Soares F.A.
Pinto G.A.
Teixeira L.C.
Cunha I.W.D.
Derchain S.F.M.
de Souza G.
Institución
Resumen
The aim of the study was to evaluate the relationship between clinical and pathological factors and survival in patients with double negative HER2-overexpressing carcinoma and triple negative carcinoma. One hundred and sixty-one (161) patients diagnosed with breast cancer negative for estrogen receptor (ER) and progesterone receptor (PR) were included. Of the total, 58 patients had double negative HER2-overexpressing (ER/PR-negative and HER2-positive) and 103 had triple negative (ER-negative, PR-negative and HER2-negative). ER and PR expression was assessed through immunohistochemistry (IHC) and HER2 expression was measured by immunohistochemistry and Fluorescent in situ Hybridization (FISH) analysis in tissue microarray. More than 80% had stages II and III disease and histologic grade III and nuclear grade 3. Patients with triple negative breast carcinoma had undifferentiated histologic types in 11% of cases and vascular invasion in 14.5%. Both groups had more than 50% visceral metastases. HER2 expression (p= 0.42) and vascular invasion (p= 0.05) did not interfere with survival. Survival of patients with Stages I-II disease was significantly longer than in those with Stage III disease both for double negative HER2-overexpressing carcinomas (p< 0.0001) and triple negative carcinomas (p= 0.03). The study shows that hormone receptor-negative breast carcinomas were undifferentiated and diagnosed at advanced stages and that HER2 expression was not associated with overall survival. © 2012 Elsevier GmbH. 115 2 120 127 (2011) Coordenação nacional de prevenção e vigilância. 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