临床肿瘤学杂志

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Snail和E-cad在化生性乳腺癌中的表达及其临床意义

高月1,鲁亚晶1,苗杨1,马常英1,孙明华1,吴旭1,李丁楠1,高静1,张清媛2   

  1. 1 161005 黑龙江齐齐哈尔 齐齐哈尔市第一医院放疗科 2 150081 哈尔滨医科大学附属肿瘤医院内三科
  • 收稿日期:2015-04-15 修回日期:2015-07-02 出版日期:2015-09-30 发布日期:2015-09-30
  • 通讯作者: 张清媛

Expression and clinical significance of Snail and E-cad in metaplastic breast cancer

GAO Yue, LU Yajing, MIAO Yang, MA Changying, SUN Minghua, WU Xu, LI Dingnan, Gao Jing, ZHANG Qingyuan   

  1. Department of Radiology,the First Hospital of Qigihar,Qigihar 161005, China
  • Received:2015-04-15 Revised:2015-07-02 Online:2015-09-30 Published:2015-09-30
  • Contact: ZHANG Qingyuan

摘要: 【摘 要】目的 探讨化生性乳腺癌组织中Snail和上皮性钙黏附素(E-cad)的表达水平及其与临床病理特征的关系。方法 采用免疫组化SP法检测58例化生性乳腺癌组织中Snail和E-cad的表达,并收集相应病例的临床病理资料,分析Snail、E-cad表达与化生性乳腺癌临床病理特征的关系及两蛋白的相关性,同时根据随访资料分析两者表达与复发转移的关系。 结果 在化生性乳腺癌中,Snail和E-cad的阳性表达率分别为77.6%(45/58)和483%(28/58)。Snail的表达与临床分期、淋巴结转移和ER表达有关(P<0.05),而E-cad表达与组织学分级、淋巴结转移有关(P<0.05),两者与年龄、HER-2表达、病理类型、肿瘤大小及月经状态均无关(P>0.05)。Snail与E-cad的表达呈负相关(r=-0.308,P=0.019),且均与化生性乳腺癌复发转移有关(P<0.05)。结论 Snail和E-cad联合检测可判断化生性乳腺癌的恶性程度和侵袭能力,且与复发转移有关,两者有望作为化生性乳腺癌治疗的分子靶点。

Abstract: Objective To investigate the expression of Snail and E-cadherin(E-cad)in metaplastic breast cancer(MBC)tissues as well as their relationship with clinicopathological parameters. Methods The expression of Snail and Ecad in 58 cases of MBC were detected by immunohistochemical SP method. The corresponding clinical data were collected and then the relationship of Snail,E-cad expression and the pathological parameters of MBC were analyzed. The relationship between the Snail,E-cad expression and recurrence/metastasis were analyzed according to the follow-up data. Results In these 58 MBC patients,Snail was expressed in 45 cases(77.6%)and E-cad was expressed in 28 cases(48.3%). The expression of Snail was associated with clinical stage,lymph node metastasis and ER expression(P<0.05). The expression of E-cad was associated with histological grade and lymph node metastasis(P<0.05). The two proteins had no relationchip with age, tumor size, menopausal status, HER-2 expression and pathological types(P>0.05). The expression of Snail and Ecadherin had a negative association (r=-0.308,P=0.019). In MBC,both of them had relationship with local recurrence and distant metastasis(P<0.05).
Conclusion Snail and E-cadherin may have the ability to recognize the tent of malignancy and invasion of MBC,which may be potential treatment target in MBC.

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