P-cadherin and vimentin are useful basal markers in breast cancers

التفاصيل البيبلوغرافية
العنوان: P-cadherin and vimentin are useful basal markers in breast cancers
المؤلفون: Wing-Man Siu, Siu-Ki Chan, Kui-Fat Chan, Sze-Kit Au, Ying-Kin Kwok, Suen-Wah Hui, Julia Y S Tsang, Mu-Min Shao, Gary Tse, Kit-Wing Chan, Yun-Bi Ni
المصدر: Human Pathology. 44:2782-2791
بيانات النشر: Elsevier BV, 2013.
سنة النشر: 2013
مصطلحات موضوعية: Adult, P-Cadherin, Pathology, medicine.medical_specialty, Necrosis, Breast Neoplasms, Triple Negative Breast Neoplasms, Vimentin, Sensitivity and Specificity, Disease-Free Survival, Pathology and Forensic Medicine, Diagnosis, Differential, Breast cancer, Biomarkers, Tumor, medicine, Humans, Epidermal growth factor receptor, Aged, Aged, 80 and over, biology, Carcinoma, Ductal, Breast, Hazard ratio, Middle Aged, Cadherins, Prognosis, medicine.disease, ErbB Receptors, biology.protein, Immunohistochemistry, Female, medicine.symptom, Breast carcinoma
الوصف: Basal-like breast cancer (BLBC) is the breast cancer subtype defined by gene profiling and generates keen clinical interest. Immunohistochemical panels using basal cytokeratins and epidermal growth factor receptor are widely adopted for its identification. Nonetheless, there are concerns about the risk for missing some true BLBCs. Both P-cadherin and vimentin have been proposed as BLBC markers, but their usefulness for BLBC classification has not been well documented. In this study, we evaluated by immunohistochemistry their expression in a large cohort of breast carcinoma. Cancers expressing vimentin or P-cadherin showed BLBC-related morphological features (high grade, presence of necrosis, and lymphocytic infiltration; P < .001 for all except P = .006 for vimentin with lymphocytic infiltration) and immunohistochemical profile (P < .001 for all markers tested except P = .007 for vimentin with human epidermal growth factor receptor 2). Concordantly, they were significantly associated with BLBC (P < .001 for both). Nonetheless, they did not appear to be good stand-alone BLBC markers. Compared with the commonly used reference panel, the specificity (95.9%) and sensitivity (43.1%) of coexpression of vimentin and P-cadherin were better than most single markers or their combinations tested. Moreover, their coexpression was significantly associated with basal features in non-BLBCs and worse disease-free survival in triple-negative breast cancers (hazard ratio, 2.232; P = .027). This raised the possibility that the vimentin and P-cadherin combination can be used to identify BLBC especially those that were missed by the commonly used basal cytokeratins and epidermal growth factor receptor panel. Together, P-cadherin and vimentin could be adjunctive to the commonly used immunohistochemical surrogates for BLBC identification.
تدمد: 0046-8177
DOI: 10.1016/j.humpath.2013.07.029
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a394271882785244f2678811162f7ab1
https://doi.org/10.1016/j.humpath.2013.07.029
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....a394271882785244f2678811162f7ab1
قاعدة البيانات: OpenAIRE
الوصف
تدمد:00468177
DOI:10.1016/j.humpath.2013.07.029