1. 安徽医科大学附属省立医院//中国科学技术大学附属第一医院,安徽,合肥,230031
2. 中国科学技术大学附属第一医院临床病理中心,安徽,合肥,230031
网络首发:2020-09-11,
纸质出版:2020
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王婧婧, 吴景, 尹恬恬, 等. HER2 与膀胱尿路上皮癌临床病理分子分型的相关性[J]. 中山大学学报(医学科学版), 2020,41(5).
WANG Jing-jing, WU Jing, YIN Tian-tian, et al. Correlation of HER2 with Clinicopathologic Features and Molecular Subtypes of Urothelial Bladder Carcinoma[J]. Journal of Sun Yat-sen University (Medical Sciences), 2020, 41(5).
王婧婧, 吴景, 尹恬恬, 等. HER2 与膀胱尿路上皮癌临床病理分子分型的相关性[J]. 中山大学学报(医学科学版), 2020,41(5). DOI:
WANG Jing-jing, WU Jing, YIN Tian-tian, et al. Correlation of HER2 with Clinicopathologic Features and Molecular Subtypes of Urothelial Bladder Carcinoma[J]. Journal of Sun Yat-sen University (Medical Sciences), 2020, 41(5). DOI:
【目的】探讨人类表皮生长因子受体 2(HER2)与膀胱尿路上皮癌(UBC)临床病理分子分型的相关性。【方法】收集 50 例浸润性 UBC 和 20 例非浸润性 UBC 石蜡包埋标本。所有 UBC 肿瘤组织采用免疫组织化学(IHC)检测HER2 蛋白表达,HER2 表达2+的肿瘤组织采用荧光原位杂交(FISH)检测 HER2 基因扩增状态。50例浸润性UBC 肿瘤组织采用IHC 检测管腔型标记(CK20、GATA3)、基底/鳞状型标记(CK14、CK5/6)和Ki67 的蛋白表达。卡方检验和Fisher 确切概率法分析HER2 与临床病理资料(性别、年龄、病理组织学诊断、病理组织学分级、Ki67 增殖指数、病理分子分型、肿瘤最大径、肌层浸润、脉管侵犯、局部淋巴结转移和临床分期)的关系。P<0.05 为差异有统计学意义。【结果】浸润性 UBC 中 HER2 阳性率为 44%(22/50),非浸润性 UBC 未见 HER2 阳性。HER2 阳性在浸润性 UBC 的两种分子分型中分布的差异有统计学意义,管腔型高于基底/ 鳞状型(P=0.003)。HER2 阳性与浸润性 UBC 病理分级高级别、Ki67≥30%和脉管侵犯均有关,差异有统计学意义(P= 0.006;P=0.001;P=0.004);与肌层浸润、局部淋巴结转移、临床分期、肿瘤最大径、性别、年龄均无关(P 均>0.05)。【结论】HER2 与浸润性高级别UBC 的侵袭性密切相关,却与肌层浸润和临床分期无关。HER2 状态结合分子分型或许有助于筛选潜在的HER2 靶向治疗有效的UBC 患者。
【Objective】To investigate the correlation of human epidermal growth factor receptor 2(HER2)with the clinicopathologic features and molecular subtypes of urothelial bladder cancer(UBC).【Methods】A total of 70 paraffin- embedded UBC samples,50 invasive and 20 non-invasive,were examined for the HER2 protein overexpression by immu⁃ nohistochemistry(IHC)and for the gene amplification by fluorescent in situ hybridization(FISH). IHC was used to detect the luminal markers(CK20,GATA3),basal markers(CK14,CK5/6)and Ki67 protein expression for 50 cases of invasive UBC. Pearson′s chi-square test and Fisher′s exact test were performed to analyze the association between HER2 and clinicopathological characteristics such as gender,age,pathohistological diagnosis,histologic grade,Ki67,molecu⁃ lar subtypes,tumor maximum diameter,muscular invasion,lymphovascular invasion,lymph node metastasis and clini⁃ cal stage. Statistical significance was set at P < 0.05.【Results】The positive rate of HER2 in invasive UBC was 44%(22/ 50)and no HER2 positive was found in non-invasive UBC. In 50 invasive UBC cases,the HER2 positive rate was significantly higher in the luminal subtype than that in the basal(P = 0.003). HER2 positive was significantly correlated with high grade(P = 0.006),Ki67≥30%(P = 0.001)and lymphovascular invasion(P = 0.004);but unrelated to muscle invasion,lymph node metastasis,clinical stage,tumor maximum diameter,gender and age(all P > 0.05). 【 Conclusions 】HER2 is closely related to the aggressiveness of invasive high- grade UBC. HER2 status combined with molecular subtypes may help to screen potential UBC patients for whom HER2 targeted therapy is effective.
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