Document Detail


Hormone Receptor Expression in Invasive Breast Cancer Among Korean Women and Comparison of 3 Antiestrogen Receptor Antibodies: A Multi-institutional Retrospective Study Using Tissue Microarrays.
MedLine Citation:
PMID:  23154769     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Estrogen receptor (ER) and progesterone receptor (PR) are prognostic markers of breast cancer and predictive markers of response to endocrine therapy. To determine rates of ER and PR expression in invasive breast carcinoma among Korean women, the Breast Pathology Study Group of the Korean Society of Pathologists collected 1198 specimens of invasive breast carcinoma from 6 university hospitals. Immunohistochemical analysis was carried out using 1 antibody against PR and 3 antibodies against ER (1D5, 6F11, and SP1). Specimens were evaluated using the semiquantitative Allred score (scores >2 were considered positive). A total of 1077 cases were interpretable for all 3 anti-ER antibodies. ER expression was positive in 68.5% of cases using SP1, in 59.6% using 1D5, and in 58.9% using 6F11. Of 1073 interpretable cases, PR expression was positive in 51.7% of cases. The frequency distribution of Allred scores revealed a bimodal pattern (complete absence of staining or staining in most cells) for both ER and PR. Patients with discordant results for 2 different ER antibodies showed a median overall survival (between that of double-positive cancer and that of double-negative cancer). Our results showed that the rate of hormone receptor expression in breast carcinomas among Korean patients did not differ from that of western patients. In addition, SP1 was the most sensitive antibody for identifying ER expression in tumors. However, further evaluation is needed to determine which antibody is the best for selecting patients with discordant results who are likely to respond to endocrine therapy.
Authors:
Young Kyung Bae; Gyungyub Gong; Jun Kang; Ahwon Lee; Eun Yoon Cho; Ji Shin Lee; Kwang-Sun Suh; Dong Wha Lee
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  The American journal of surgical pathology     Volume:  36     ISSN:  1532-0979     ISO Abbreviation:  Am. J. Surg. Pathol.     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7707904     Medline TA:  Am J Surg Pathol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1817-1825     Citation Subset:  -    
Affiliation:
*Department of Pathology, Yeungnam University College of Medicine, Daegu †Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center §Department of Pathology, The Catholic University of Korea College of Medicine ∥Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine **Department of Pathology, Soonchunhyang University Hospital, Seoul ‡Department of Pathology, Haeundae Paik Hospital, Inje University College of Medicine, Busan ¶Department of Pathology, Chonnam National University School of Medicine, Gwangju #Department of Pathology, Chungnam National University College of Medicine, Daejeon, Korea.
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