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目的:研究乳腺癌中Bcl-2的表达与激素受体和预后的关系。方法:应用免疫组化法检测75例乳腺癌中Bcl-2、ER、PR的表达。结果:53例(71%)Bcl-2阳性,其中50例(94%)ER阳性,44例(83%)PR阳性,Bcl-2的表达与ER、PR显著相关(P均<0.005)。Bcl-2阳性者五年存活率为81.1%,阴性者仅为27.3%,两者有显著性差异(P<0.005)。结论:Bcl-2表达与ER、PR等诸多临床病理特征相关,可作为激素治疗(内分泌治疗)、化疗或放疗的疗效预测指标。
Objective: To study the relationship between Bcl-2 expression and hormone receptor and prognosis in breast cancer. Methods: Immunohistochemistry was used to detect the expression of Bcl-2, ER and PR in 75 cases of breast cancer. RESULTS: 53 cases (71%) were positive for Bcl-2, of which 50 cases (94%) were positive for ER and 44 cases (83%) were positive for PR. The expression of Bcl-2 was significantly associated with ER and PR (P < 0.005. ). The five-year survival rate of Bcl-2 positive was 81.1%, and the negative was only 27.3%. There was a significant difference between the two (P<0.005). Conclusion: The expression of Bcl-2 is associated with many clinicopathological features such as ER and PR. It can be used as a predictor of the efficacy of hormone therapy (endocrine therapy), chemotherapy or radiotherapy.