Expression of Androgen, Estrogen and Progesterone Receptors in Mucinous Carcinoma of the Breast
Article Outline
Hormone receptors play important roles in breast cancer. We investigated the expression of hormone receptors in breast cancer to evaluate the importance of hormone receptors in the clinicopathology of breast cancer. Androgen receptor (AR), estrogen receptor (ER) and progesterone receptor (PR) expression characteristics were evaluated using immunohistochemistry stain, comparing patient age, tumor size and axillary lymph node status for 23 pure mucinous and 105 non-mucinous infiltrating ductal carcinomas in the human female breast. Mucinous carcinoma with axillary lymph node metastasis occurred less frequently than non-mucinous carcinoma (11.8% vs. 55.2%; p = 0.01). Compared with the non-mucinous type, mucinous carcinoma specimens showed less AR expression (21.7% vs. 51.4%; p = 0.01) but more ER expression (78.3% vs. 52.4%; p = 0.02). In addition, AR expression was also associated with ER and/or PR coexpression (37/74, 50%) in infiltrating ductal carcinoma. But only three of 20 (15%) mucinous carcinoma specimens with AR expression had associated ER and/or PR coexpression. Our findings revealed that mucinous carcinoma samples from the breast show distinct clinicopathologic and hormone receptor expression features compared to non-mucinous carcinoma.
Key Words: androgen receptors , breast carcinoma , infiltrating ductal carcinoma , mucinous carcinoma
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References
- Androgen receptors frequently are expressed in breast carcinoma: potential relevance to new therapeutic strategies . Cancer . 2003;98:703–711
- Prognostic value of steroid receptors after long term follow-up of 2257 operable breast cancer . Br J Cancer . 1996;73:1545–1551
- DNA-ploidy, S-phase, and steroid receptors in more than 127,000 breast cancer patients . Breast Cancer Res Treat . 1993;28:9–26
- . Prognostic value of estrogen and progesterone receptors measured by enzyme immunoassay in human breast tumor cytosols . Cancer Res . 1989;49:5823–5828
- . The role of androgens and polymorphisms in the androgen receptor in the epidemiology of breast cancer . Breast Cancer Res Treat . 2003;5:164–173
- . Correlation of estrogen, progesterone and androgen receptors in breast cancer . Am J Surg . 1989;157:577–581
- Androgen receptors in operable breast cancer: relation to other steroid hormone receptors, correlations to prognostic factors and predictive value for effect of adjuvant tamoxifen treatment . Eur J Surg Oncol . 1992;18:112–118
- Immunohistochemical determination of androgen receptors in relation to oestrogen and progesterone receptors in female breast cancer . Int J Cancer . 1992;52:581–584
- Mucinous carcinoma of the breast . Am J Surg Pathol . 1994;18:702–711
- Pure mucinous carcinoma of the breast: a clinicopathologic correlation study . Ann Surg Oncol . 1998;5:447–451
- . Utility of microwave-citrate antigen retrieval in diagnostic immunohistochemistry . Mod Pathol . 1995;8:515–520
- . Oestrogen and progesterone receptors in breast cancer: past, present and future . Histopathology . 2001;38:271–274
- . The effects of andro-gens and antiandrogens on hormone-responsive human breast cancer in long-term tissue culture . Cancer Res . 1976;36:4610–4618
- Mechanism of androgen receptor activation and function . J Steroid Biochem Mol Biol . 1999;69:307–313
- . Immunohistochemical analysis of apocrine breast lesions. Consistent over-expression of andro-gen receptor accompanied by the loss of estrogen and progesterone receptors in apocrine metaplasia and apocrine carcinoma in situ . Pathol Res Pract . 1997;193:753–758
- Immunohistochemical study of androgen receptors in breast carcinoma. Evidence of their frequent expression in lobular carcinoma . Virchows Arch . 2005;447:695–700
- Breast carcinoma in women over the age of 85: distinct histological pattern and androgen, oestrogen, and progesterone receptor status . Histopathology . 2003;42:120–127
- Estrogen receptors in mucinous carcinoma of the breast: an immuno-histochemical study using paraffin wax sections . J Clin Pathol . 1989;42:902–905
- . Mucin expression in mucinous carcinoma and other invasive carcinomas of the breast . Cancer Lett . 1999;142:121–127
- Expression of androgen receptor through androgen-converting enzymes is associated with biological aggressiveness in prostate cancer . J Clin Pathol . 2007; Aug 24; [Epub ahead of print]
- . Suppression of androgen receptor expression by dibenzoylmethane as a therapeutic objective in advanced prostate cancer . Anticancer Res . 2007;27:1483–1488
PII: S1607-551X(08)70146-3
doi:10.1016/S1607-551X(08)70146-3
© 2008 Elsevier. Published by Elsevier Inc. All rights reserved.
