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乳腺癌患者新辅助化疗前后HER-2表达的变化[J]. 肿瘤防治研究, 2011, 38(08): 930-932. DOI: 10.3971/j.issn.1000-8578.2011.08.019
引用本文: 乳腺癌患者新辅助化疗前后HER-2表达的变化[J]. 肿瘤防治研究, 2011, 38(08): 930-932. DOI: 10.3971/j.issn.1000-8578.2011.08.019
Alteration of Biomarker HER-2 between Pre-and Post-neoadjuvant Chemotherapy in Breast Cancer Patients[J]. Cancer Research on Prevention and Treatment, 2011, 38(08): 930-932. DOI: 10.3971/j.issn.1000-8578.2011.08.019
Citation: Alteration of Biomarker HER-2 between Pre-and Post-neoadjuvant Chemotherapy in Breast Cancer Patients[J]. Cancer Research on Prevention and Treatment, 2011, 38(08): 930-932. DOI: 10.3971/j.issn.1000-8578.2011.08.019

乳腺癌患者新辅助化疗前后HER-2表达的变化

Alteration of Biomarker HER-2 between Pre-and Post-neoadjuvant Chemotherapy in Breast Cancer Patients

  • 摘要: 目的研究新辅助化疗后乳腺癌患者HER-2表达的变化,为乳腺癌的个体化治疗提供依据。方法137例乳腺癌在粗针穿刺或麦默通活检,行荧光原位杂交法(FISH)检测HER-2状态。所有病例术前均进行2~6周期的FEC、TE或AC方案新辅助化疗,术后再次检测HER-2状态。结果137例术前病人中,FISH检测HER-2阳性22例,化疗后有8例化疗达病理学完成缓解(HER-2阳性3例,阴性5例),部分缓解91例,稳定24例,无效14例。术后FISH检测22例阳性(8例病理学完全缓解患者未做检测),新辅助化疗前阳性患者化疗后仍表达阳性。阴性者有3例转化为阳性,化疗前后变化无统计学差异(P>0.05)。结论新辅助化疗对HER-2阳性表达者没有影响,而阴性表达者可转换为阳性,但差异无统计学意义。

     

    Abstract: ObjectiveTo study the HER-2 expression after the breast cancer neoadjuvant chemotherapy. Methods HER-2 was detected by fluorescence in situ hybridization(FISH) methods after core needle or Mammotome biopsy in 137 cases.Two~Six cycles neoadjuvant chemotherapy (including FEC,TE and AC regimens) later, HER-2 was detected again. Results HER-2 of 22 cases was positive,and 115 cases were negative. 8 cases(including 3 HER-2 positive and 5 HER-2 negative cases) were complete response(CR),91 cases were partial response(PR),24 cases were stable disease(SD),and 14 cases were progression disease(PD).There were 22 cases HER-2 positive(except 8 CR cases) at post-chemotherapy.HER-2 positive cases were still positive after neoadjuvant chemotherapy,while 3 HER-2 negative cases turned to be positive but the change was no significant difference(P>0.05). Conclusion Neoadjuvant chemotherapy might induce HER-2 but down-regulate HER-2 expression.

     

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