Prevalence and prognostic value of c-erbB2 expression in non-small cell lung cancer (NSCLC).

Prevalence and prognostic value of c-erbB2 expression in non-small cell lung cancer (NSCLC).
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DOI:
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发表时间:
2003
期刊:
影响因子:
3
通讯作者:
O. Turken;E. Kunter;H. Çermik;T. Ișitmangil;G. Kandemir;M. Yaylacı;A. Ozturk
O. Turken;E. Kunter;H. Çermik;T. Ișitmangil;G. Kandemir;M. Yaylacı;A. Ozturk
中科院分区:
医学4区
文献类型:
--
作者:
O. Turken;E. Kunter;H. Çermik;T. Ișitmangil;G. Kandemir;M. Yaylacı;A. Ozturk

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c-erbB2癌蛋白在大约三分之一的非小细胞肺癌(NSCLC)患者中高度表达。我们确定了c-erbB2在非小细胞肺癌患者中的表达状态,并研究了其与疾病分期、组织学类型和治疗反应的相关性。采用免疫组化多克隆抗体检测84例患者c-erbB2的表达。采用临床试验分析(CTA)评分标准评价染色(0 ~ +3)。35%的病例检测到c-erbB2过表达。更高阶段(iib - iv期)的肿瘤在腺癌(ADC)中更常呈c-erbB2阳性(p=0.04)。此外,ADC患者的c-erbB2评分与疾病分期有相关性(p=0.03)。我们的研究没有证明c-erbB2过表达与化疗反应有关。我们得出结论,c-erbB2过表达可能是评估非小细胞肺癌患者肿瘤进展的预后标志物,但必须在更大的患者群体中进行进一步的研究。
The c-erbB2 oncoprotein is highly expressed in approximately one third of non-small cell lung cancer (NSCLC) patients. We determined the status of c-erbB2 expression in our patients with NSCLC and investigated its correlation with disease stage, histological type and response to treatment. Eighty-four patients were examined for the expression of c-erbB2 by immunohistochemistry using a polyclonal antibody. The scoring criteria of Clinical Trial Assay (CTA) were used to evaluate staining (0 to +3). c-erbB2 overexpression was determined in 35% of the cases. Tumors from higher stage disease (stage IIIb-IV) were more often c-erbB2 positive in adenocarcinoma (ADC) (p=0.04). In addition, there was an association between c-erbB2 score and disease stage in ADC patients (p=0.03). Our study did not demonstrate an association of c-erbB2 overexpression with response to chemotherapy. We conclude that c-erbB2 overexpression may be a prognostic marker for evaluating tumor progression in NSCLC patients but further studies must be performed with larger patient populations.