Comparison of estrogen receptor, progesterone receptor and Her-2 status in breast cancer pre- and post-neoadjuvant chemotherapy

被引:142
作者
Kasami, Masako [1 ]
Uematsu, Takayoshi [2 ]
Honda, Masatake [1 ]
Yabuzaki, Tsugumi [1 ]
Sanuki, Junichi [3 ]
Uchida, Yoshihiro [3 ]
Sugimura, Haruhiko [4 ]
机构
[1] Shizuoka Canc Ctr Hosp & Res Inst, Dept Pathol, Nagaizumi, Shizuoka 4118777, Japan
[2] Shizuoka Canc Ctr Hosp & Res Inst, Breast Imaging Sect, Shizuoka 4118777, Japan
[3] Shizuoka Canc Ctr Hosp & Res Inst, Dept Breast Surg, Shizuoka 4118777, Japan
[4] Hamamatsu Med Univ, Sch Med, Dept Pathol, Hamamatsu, Shizuoka 4313192, Japan
关键词
Estrogen receptor; Progesterone receptor; Her-2; Immunohistochemistry; Fluorescence in situ hybridization; Neoadjuvant chemotherapy;
D O I
10.1016/j.breast.2008.04.002
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Neoadjuvant chemotherapy (NAC) is now a relatively standard treatment for breast carcinoma. However, some tumors are known to develop resistance to chemotherapies. We investigated whether the status of estrogen receptor (ER), progesterone receptor (PR) and Her-2 expressions in breast cancer cases prior to NAC could be changed after NAC. We used immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) methods. No differences were found in ER or Her-2 Status, but a significant difference was found in PR status. Changes in Her-2 status were suspected in four specimens after NAC (3+ to 1+ for 3 patients, and 1+ to 3+ for one patient) according to the IHC results. However, in all four of these cases, FISH of the resections showed no change. When IHC indicates a change in Her-2 expression after NAC, FISH is recommended. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:523 / 527
页数:5
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