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Prognostic Implications of ER, PR and HER2/Neu Protein Expression in a Cohort of Breast Carcinoma

Received: 12 October 2019    Accepted: 30 October 2019    Published: 6 November 2019
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Abstract

ER, PR and HER 2/neu receptor studies are known to be prognostic and predictive biomarkers of breast carcinoma. Hence the status of ER, PR and HER 2/neu receptors are routinely assessed in breast carcinoma by immunohistochemistry using paraffin embedded tissue blocks. The reason for assessing the receptor status is to decide on the best treatment regime for breast cancer patients. Ki 67 which is a biomarker of cellular proliferation is also assessed to guide the oncologist by determining the proliferative capacity of the tumour. A descriptive cross-sectional study conducted during January 2016 to December 2018 in three specialized surgical centres. Study sample included 92 patients with histologically confirmed breast carcinoma. ER, PR, HER2/neu receptor status and Ki 67 proliferative index were assessed to determine the prognostic implications of breast carcinoma. Mean age at presentation was 53.99 years and the most common histological type was invasive ductal carcinoma (84.78%). In the cohort of 92 patients with breast carcinoma 73.91% were ER positive, 58.69% were PR positive, and 11.95% were HER2/neu positive. Lymph nodal involvement was seen in 31.52% of the patients. There was no statistically significant association with HER2/neu status and nodal involvement (p = 0.629). Distant metastasis was seen in 4.35% cases. The association with HER2/neu status and distant metastasis was not statistically significant (p = 0.085). ER status showed a significant negative correlation with HER2 status (rho = -0.634, p < 0.0001). PR status showed a significant negative correlation with HER2 status (rho = -0.834, p < 0.0001). Ki67 index showed a significant positive correlation with HER2 status (rho = 0.248, p = 0.017).

Published in American Journal of Laboratory Medicine (Volume 4, Issue 6)
DOI 10.11648/j.ajlm.20190406.11
Page(s) 91-96
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Breast Carcinoma, HER 2/Neu Protein, Hormone Receptors

References
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    Seneviratne Bimalka, Seneviratne Senali, Adikaram Lakna. (2019). Prognostic Implications of ER, PR and HER2/Neu Protein Expression in a Cohort of Breast Carcinoma. American Journal of Laboratory Medicine, 4(6), 91-96. https://doi.org/10.11648/j.ajlm.20190406.11

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    ACS Style

    Seneviratne Bimalka; Seneviratne Senali; Adikaram Lakna. Prognostic Implications of ER, PR and HER2/Neu Protein Expression in a Cohort of Breast Carcinoma. Am. J. Lab. Med. 2019, 4(6), 91-96. doi: 10.11648/j.ajlm.20190406.11

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    AMA Style

    Seneviratne Bimalka, Seneviratne Senali, Adikaram Lakna. Prognostic Implications of ER, PR and HER2/Neu Protein Expression in a Cohort of Breast Carcinoma. Am J Lab Med. 2019;4(6):91-96. doi: 10.11648/j.ajlm.20190406.11

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  • @article{10.11648/j.ajlm.20190406.11,
      author = {Seneviratne Bimalka and Seneviratne Senali and Adikaram Lakna},
      title = {Prognostic Implications of ER, PR and HER2/Neu Protein Expression in a Cohort of Breast Carcinoma},
      journal = {American Journal of Laboratory Medicine},
      volume = {4},
      number = {6},
      pages = {91-96},
      doi = {10.11648/j.ajlm.20190406.11},
      url = {https://doi.org/10.11648/j.ajlm.20190406.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajlm.20190406.11},
      abstract = {ER, PR and HER 2/neu receptor studies are known to be prognostic and predictive biomarkers of breast carcinoma. Hence the status of ER, PR and HER 2/neu receptors are routinely assessed in breast carcinoma by immunohistochemistry using paraffin embedded tissue blocks. The reason for assessing the receptor status is to decide on the best treatment regime for breast cancer patients. Ki 67 which is a biomarker of cellular proliferation is also assessed to guide the oncologist by determining the proliferative capacity of the tumour. A descriptive cross-sectional study conducted during January 2016 to December 2018 in three specialized surgical centres. Study sample included 92 patients with histologically confirmed breast carcinoma. ER, PR, HER2/neu receptor status and Ki 67 proliferative index were assessed to determine the prognostic implications of breast carcinoma. Mean age at presentation was 53.99 years and the most common histological type was invasive ductal carcinoma (84.78%). In the cohort of 92 patients with breast carcinoma 73.91% were ER positive, 58.69% were PR positive, and 11.95% were HER2/neu positive. Lymph nodal involvement was seen in 31.52% of the patients. There was no statistically significant association with HER2/neu status and nodal involvement (p = 0.629). Distant metastasis was seen in 4.35% cases. The association with HER2/neu status and distant metastasis was not statistically significant (p = 0.085). ER status showed a significant negative correlation with HER2 status (rho = -0.634, p < 0.0001). PR status showed a significant negative correlation with HER2 status (rho = -0.834, p < 0.0001). Ki67 index showed a significant positive correlation with HER2 status (rho = 0.248, p = 0.017).},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Prognostic Implications of ER, PR and HER2/Neu Protein Expression in a Cohort of Breast Carcinoma
    AU  - Seneviratne Bimalka
    AU  - Seneviratne Senali
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    N1  - https://doi.org/10.11648/j.ajlm.20190406.11
    DO  - 10.11648/j.ajlm.20190406.11
    T2  - American Journal of Laboratory Medicine
    JF  - American Journal of Laboratory Medicine
    JO  - American Journal of Laboratory Medicine
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    PB  - Science Publishing Group
    SN  - 2575-386X
    UR  - https://doi.org/10.11648/j.ajlm.20190406.11
    AB  - ER, PR and HER 2/neu receptor studies are known to be prognostic and predictive biomarkers of breast carcinoma. Hence the status of ER, PR and HER 2/neu receptors are routinely assessed in breast carcinoma by immunohistochemistry using paraffin embedded tissue blocks. The reason for assessing the receptor status is to decide on the best treatment regime for breast cancer patients. Ki 67 which is a biomarker of cellular proliferation is also assessed to guide the oncologist by determining the proliferative capacity of the tumour. A descriptive cross-sectional study conducted during January 2016 to December 2018 in three specialized surgical centres. Study sample included 92 patients with histologically confirmed breast carcinoma. ER, PR, HER2/neu receptor status and Ki 67 proliferative index were assessed to determine the prognostic implications of breast carcinoma. Mean age at presentation was 53.99 years and the most common histological type was invasive ductal carcinoma (84.78%). In the cohort of 92 patients with breast carcinoma 73.91% were ER positive, 58.69% were PR positive, and 11.95% were HER2/neu positive. Lymph nodal involvement was seen in 31.52% of the patients. There was no statistically significant association with HER2/neu status and nodal involvement (p = 0.629). Distant metastasis was seen in 4.35% cases. The association with HER2/neu status and distant metastasis was not statistically significant (p = 0.085). ER status showed a significant negative correlation with HER2 status (rho = -0.634, p < 0.0001). PR status showed a significant negative correlation with HER2 status (rho = -0.834, p < 0.0001). Ki67 index showed a significant positive correlation with HER2 status (rho = 0.248, p = 0.017).
    VL  - 4
    IS  - 6
    ER  - 

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Author Information
  • Department of Pathology/Cancer Research Centre, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Jayewardenepura Kotte, Sri Lanka

  • College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom

  • Department of Pathology, Lanka Hospital, Colombo, Sri Lanka

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