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2012, Volume 28, Number 1, Page(s) 038-043
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DOI: 10.5146/tjpath.2012.01095 |
Correlation of Hormone Receptors with Her-2 Neu Protein Expression and the Histological Grade in Invasive Breast Cancers in a Cohort of Saudi Arabia |
Maha ARAFAH |
Department of Pathology, King Saud University, RIYADH, SAUDI ARABIA |
Keywords:
Breast neoplasms, Her-2/neu, Hormone receptors |
Objective: Data on Hormone Receptor and Her-2/neu expression
in breast cancers from Saudi Arabia and Gulf Region is sparse. We
undertook this study to describe the patterns of hormone receptor
and Her-2/neu protein expression in breast carcinoma and compared
them with the histological grade at a University Hospital in Riyadh.
Material and Method: We conducted a retrospective study on 164
invasive ductal carcinoma of breast between the year 2002 and
2008. Immunohistochemical analysis for Estrogen and Progesterone
Receptor and Her-2/neu was done in all the cases. Fluorescent in situ
hybridization for Her-2/neu gene amplification was performed in all
2+ cases and few equivocal 1+ and 3+cases by immunohistochemistry.
Correlation between Estrogen and Progesterone Receptor and Her-2/
neu amplification and grade of tumor was calculated.
Results: The expression of Estrogen Receptor, Progesterone Receptor
were significantly correlated (p<0.001). Also, there was a significant
negative correlation between expression of hormone receptor and
Her-2/neu amplification. The histologic grade of the tumor was
significantly correlated to the expression of both Estrogen and
Progesterone Receptor. However, the relationship between Her-2/
neu amplification and grade was not significant and many of the
grade III tumor were Her-2/neu negative. In addition, Her-2/neu
gene amplification by fluorescent in situ hybridization was observed
in 84.6% of breast cancer that were 3+ and in 18.75 % cases that were
2+ by immunohistochemistry.
Conclusion: Prevalence of Estrogen and Progesterone Receptor
expression and Her-2/neu amplification in breast cancer in the Saudi
Arabian population is similar to that reported internationally. There
is a negative correlation between hormone receptors expression and
Her-2/neu amplification. However not all of the high-grade breast
cancers showed Her-2/neu positive status.
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