人类表皮生长因子受体2/neu表达在尿路细胞癌中
Arsha Balakrishnan Soudamini1, Aasma Nalwa1, Gautam Ram Choudhary2
1Department of Pathology and Lab Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
概括
人类表皮生长因子受体2 (HER2/neu) 在相当一部分尿路细胞癌中过度表达. 制定HER2/neu测试指南可能有助于识别可能受益于向治疗的患者.
科学领域:
- 在瘤学瘤学.
- 分子病理学分子病理学
背景情况:
- 尿癌是一种常见的癌症,特别是在男性中.
- 目前的指导方针不要求在尿路癌活检样本中进行常规的人类表皮生长因子受体2 (HER2/neu) 测试.
- 在尿路癌中,HER2/neu的表达模式和临床实用性需要进一步研究.
研究的目的:
- 为了确定HER2/neu在尿路癌中的表达模式.
- 评估HER2/neu表达在肌肉侵入性 (MIBC) 和非肌肉侵入性泌尿腺癌 (NMIBC) 的潜在有用性.
主要方法:
- 免疫组织化学 (IHC) 用于评估89个泌尿器癌样本中的HER2/neu表达.
- 光在位杂交 (FISH) 在有模两可的IHC结果的病例中进行.
主要成果:
- 在17.9%的MIBC和22%的NMIBC中观察到HER2/neu过度表达 (3+分数).
- 在HER2/neu状态和肌肉侵袭之间没有发现显著的相关性 (P = 0.74).
- 在模两可的IHC病例中,FISH分析证实没有基因放大.
结论:
- 一个显著的百分比的尿路癌呈现HER2/neu的过度表达.
- 需要标准化的HER2/neu评分指南,类似于乳腺癌和胃癌.
- 制定这些准则可能有助于识别有资格接受向治疗的患者.
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