ESTROGEN-RECEPTOR ASSAY OF BREAST-CANCER BY IMMUNOCYTOCHEMISTRY OF FINE NEEDLE ASPIRATES

被引:5
作者
KITCHEN, PRB
STILLWELL, RG
HENDERSON, MA
BENNETT, RC
RENNIE, GC
KOU, SJ
GEORGIOU, T
AYBERK, H
机构
[1] Departments of Surgery, St Vincent's Hospital, Fitzroy, Victoria
[2] Departments of Anatomical Pathology, St Vincent's Hospital, Fitzroy, Victoria
来源
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY | 1991年 / 61卷 / 03期
关键词
BREAST NEOPLASMS; IMMUNOCYTOCHEMISTRY; MONOCLONAL ANTIBODY; ESTROGEN RECEPTOR;
D O I
10.1111/j.1445-2197.1991.tb07596.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
Sixty-five patients with operable breast cancer were studied to assess the reliability of immunocytochemical analysis of oestrogen receptor (ER-ICA) in specimens obtained by percutaneous fine needle aspiration. Results obtained with the commercially available ER-ICA kit were compared with those obtained by the routine biochemical radioligand assay of oestrogen receptor (ER) on excised tumour specimens. Fifty-two of 65 percutaneous aspirates were evaluable. Of these, thirty-five (67%) were ER positive by the radioligand method. ER-ICA was found to be a reliable method for oestrogen recepter assay, with a high concordance (90.4%) between it and the radioligand essay. The ER-ICA assay had a sensitivity of 89%, specificity of 94%, positive predictive value of 97% and negative predictive value of 80%. ER-ICA assay performed on material obtained by fine-needle aspiration is a reliable method of ER assay. It can replace formal biopsy for patients with inoperable primary tumours or accessible metastases.
引用
收藏
页码:223 / 228
页数:6
相关论文
共 25 条
[1]  
Mercer R., Bryan R.M., Bennett R.C., Rennie G.C., Lie T.H., Morgan F.J., The prognostic value of oestrogen receptors in breast cancer, Aust. N.Z.J. Surg., 54, pp. 7-10, (1984)
[2]  
Bryan R.M., Mercer R.J., Bennett R.C., Rennie G.C., Prognostic factors in breast cancer: the development of a prognostic index, Brit. J. Surg., 73, pp. 267-271, (1986)
[3]  
Alexander A.I., Mercer R., Muir I.M., Bennett R.C., Rennle O.C., Validation of a prognostic index in breast cancer, Aust. N.Z. J. Surg., 57, pp. 399-403, (1987)
[4]  
Coombes R.C., Berger U., McLelland R.A., Et al., Prediction of endocrine response in breast cancer by immunocytochemical detection of oestrogen receptor in fine needle aspirates, Loncet, 2, pp. 701-703, (1987)
[5]  
Taylor R.E., Powles T.J., Humphreys J., Et al., Effects of endocrine therapy on steroid‐receptor content of breast cancer, Brit. J. Cancer, 45, pp. 80-85, (1982)
[6]  
Alexander A.I., Mercer R.J., Lie T.H., Letchford D., Bennett R.C., Evaluation of a new oestrogen receptor assay, Aust. N.Z. J. Surg., 56, pp. 651-655, (1986)
[7]  
Kitchen P., Cytology in the diagnosis of breast masses, Cancer Forum, 11, pp. 47-48, (1987)
[8]  
Earl M., Cell collection from fine needle aspirates for estrogen receptor immunocytochemical assay. (Letter to Editor), Acta Cytologica, 31, pp. 377-378, (1987)
[9]  
Mercer R.J., Lie T.H., Rennie G.C., Bennett R.C., Morgan F.J., Hormone receptor assays in breast cancer. A five year experience, Med. J. Aust., 1, pp. 365-369, (1983)
[10]  
Greenberg M.L., Earl M.J., Bilous M., Ekberg H., Millikeln J., Pacey N.F., Estrogen receptor immunocytochemical assay on cytologic material from primary and metastatic breast cancer, Pathology, 21, pp. 93-99, (1989)