Expression of Estrogen and Progesterone Receptor Status in Breast Carcinoma Using Quick Score

A Study at a Tertiary Care Centre in Kerala

Authors

  • Divya S Deth Al Azhar Medical College and Super Speciality Hospital, Thodupuzha
  • Shameem K Ummerali TD Medical College Alappuzha Kerala

DOI:

https://doi.org/10.21276/apalm.2001

Keywords:

Breast cancer, Immunohistochemistry, Estrogen receptor, Progesterone receptor, Bloom Richardson Grading, Quick score

Abstract

Background :  Breast  carcinoma  is  the  most  common  malignant tumour  and  the  leading  cause  of  carcinoma  death  in women.  The  hormone  receptor status  is  important  nowadays  due  to  its  prognostic  and  therapeutic  significance.  The objective  of  this  study  was  to  correlate  estrogen (ER)  and  progesterone  receptor (PR) status  with  clinicopathological  parameters  like  age,  lymphnode  status,  size  of  the  tumour and  tumour  grade  of  breast  carcinoma.

Methods :  This  study  was  conducted  in  the  Department  of  Pathology,  Government Medical  College,  Thrissur  from  January  2012-  June  2013.  100  mastectomy  specimens were  received  and  analysed  for  both  histological  grading  and  immunohistochemically   by  quick  score  for  ER  and  PR  markers.

Results :  Majority  of  the  cases  were  between  50-60  years  of  age  with  invasive  ductal carcinoma  grade  2.  ER, PR  positivity  in  this  study  was  67%  and  62%  respectively  with both  receptors  positive  for  61%  of  cases.  In  this  study  55%  showed  no  axillary lymphnode  involvement  and  45%  showed  lymphnode  involvement  with  majority  cases had  size  between  2  and  5  cm.

Author Biographies

Divya S Deth, Al Azhar Medical College and Super Speciality Hospital, Thodupuzha

Assistant Professor

Department of Pathology

Shameem K Ummerali, TD Medical College Alappuzha Kerala

Associate Professor

Department of Pathology

TD Medical College,Alappuzha

References

1) Parkin DM, Bray F, Ferlay J, Pisani P. Estimating the world cancer burden. Globocan 2000. Int J Cancer 2001; 94: 153-156
2) Rhodes A, Jasani B, Balaton AJ, Barnes DM, Miller KD. Frequency of oestrogen and progesterone receptor positivity by immunohistochemical analysis in 7016 breast carcinomas: Correlation with patient age, assay sensitivity, threshold value, and mammographic screening. J Clin Pathol 2000;53:688-96.
3) Leake R, Barnes D, Pinder S, Ellis I, Anderson L, et al. Immunohistochemical detection of steroid receptors in breast cancer: A working protocol. J Clin Pathol 2000;53:634-5.
4) "World Cancer Report". International Agency for Research on Cancer. 2008. http://www.iarc.fr/en/publications/pdfsonline/wcr/2008/wcr_2008.pdf. Retrieved 2011-02-26.
5) "Breast cancer: prevention and control" World Health Organization 2008
6) Li CI, Darling JR, Malone KE. Incidence of invasive breast cancer by hormone receptor status from 1992 to 1998. J Clin Oncol 2003;21:28-34.

7) Pleşan DM, Georgescu M, Georgescu CV, Pătrană N, et al Immunohistochemical evaluation of hormone receptors with predictive value in mammary carcinomas Rom J Morphol Embryol 2011, 52(4):1331–1336
8) Desai SB, Moonim MT, Gill AK, Punia RS, Naresh KN, et al. Hormone receptor status of breast cancer in India: A study of 798 tumours. Breast 2000;9:267-70
9) Sughayer MH, Al-Khawaja M, Massarweh S, Al-Masri M. Prevalence of hormone receptors and HER2/neu in breast cancer cases in Jordan. Pathol Oncol Res 2006;12:83-6.
10) Sofi GN, Sofi JN, Nadeem R, Shiekh RY, Khan FA, et al . Estrogen receptor and progesterone receptor status in breast cancer in relation to age, histological grade, size of lesion and lymph node involvement. Asian Pac J Cancer Prev. 2012;13(10):5047-52.
11) Fatima et al. Breast cancer: steroid receptors and other prognostic indicators. J Coll Physicians Surg Pak. 2005;15, 230-3.
12) Kuraparthy S, Reddy KM, Yadagiri LA, et al. Epidemiology and patterns of care for invasive breast carcinoma at a community hospital in Southern India. World J Surg Oncol, 2007:5, 56
13) Mudduwa K.B. Quick score of hormone receptor status of breast carcinoma: Correlation with the other clinicopathological prognostic parameters Indian J Pathol Microbiol 2009,52:159-63.
14) Shet et al. Hormone receptors over last 8 years in a cancer referral center in India: What was and what is? Indian J Pathol and Microbiology, 2009:52, 171-4
15) Dunnwald LK, Rossing MA, Li CI. Hormone receptor status, tumor characteristics, and prognosis: a prospective cohort of breast cancer patients. Breast Cancer Res, 2007:9,R6
16) Kakarala M, Rozek L, Cote M, Liyanage S, Brenner DE. Breast cancer histology and receptor status characterization in Asian Indian and Pakistani women in the U.S. - a SEER analysis. BMC Cancer, 2010:10, 191.
17) Christopher I. Li, Benjamin O, Anderson, Daling JR, Moe RE. Trends in Incidence Rates of Invasive Lobular and Ductal Breast Carcinoma. JAMA 2003;289(11):1421-142
18) Jalava1 P, Kuopio T, Huovinen R, Laine J. et al. Immunohistochemical Staining of Estrogen and Progesterone Receptors: Aspects for Evaluating Positivity and Defining the Cutpoints Anticancer Research 25: 2535-2542 (2005) 50 Breast Cancer Res. 2007; 9(1): R6
19) Rakha EA, El-Sayed ME, Andrew R. Prognostic markers in triple-negative breast cancer 2007:109,25–32
20) Ann S, Andries R, Ann B, Hans W, Patrick N et al Impact of tumor chronology and tumor biology on lymph node metastasis in breast cancer. SpringerPlus 2013, 2:480
21)Hussain GA, Mohammed AA and Abdullah KA. Correlations of Hormone Receptors (ER and PR), Her2/neu and p53 Expression in Breast Ductal Carcinoma Among Yemeni Women. The Open Cancer Immunology Journal, 2011, 4, 1-9
22) Leonel F.H, Mariana CM, Xiudong L et al. A. Nodal Status and Clinical Outcomes in a Large Cohort of Patients With Triple-Negative Breast Cancer Volume 29 Number 19 July 1 2011
23)Foulkes WD, Grainge MJ, Rakha EA, et al: Tumor size is an unreliable predictor of prognosis in basal-like breast cancers and does not correlate closely with lymph node status. Breast Cancer Res Treat 117:199-204, 2009

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Published

22-06-2018

How to Cite

1.
Deth DS, Ummerali SK. Expression of Estrogen and Progesterone Receptor Status in Breast Carcinoma Using Quick Score: A Study at a Tertiary Care Centre in Kerala. Ann of Pathol and Lab Med [Internet]. 2018 Jun. 22 [cited 2024 Oct. 30];5(6):A540-546. Available from: https://pacificejournals.com/journal/index.php/apalm/article/view/2001

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