Immunocytochemical staining of pS2 protein in fine-needle aspirate from breast cancer is an accurate guide to response to tamoxifen in patients aged over 70 years

Autor: Nassif B.N. Ibrahim, C. J. H. Padfield, Y. G. Wilson, M. Rhodes, Simon Cawthorn
Rok vydání: 1994
Předmět:
Zdroj: The British journal of surgery. 81(8)
ISSN: 0007-1323
Popis: Fine-needle aspirates from 52 breast cancers in 50 patients over 70 years of age were immunocytochemically stained for pS2 protein. All patients were treated with tamoxifen 40 mg/day and followed up at intervals of 2 months. The size of the tumour was serially assessed with calipers and portable ultrasonography. Change in tumour size was confirmed mammographically. Clinical monitoring was performed blind of the pS2 status. Twenty-five tumours were pS2 positive, of which 23 showed a significant response; ten went into complete remission (mean time to complete remission 6·8 (range 2–14) months) and 13 demonstrated partial remission (mean follow-up 8·9 (range 6–19) months). Two tumours remained static. Twenty-seven tumours were pS2 negative and none of these responded to tamoxifen; six remained static (mean follow-up 11·5 (range 6–14) months) and 21 progressed (mean time to progression 7·0 (range 3·14) months) (P < 0·001). Immunocytochemical assessment of fine-needle aspirates from elderly women with breast cancer accurately predicts a worthwhile response to tamoxifen.
Databáze: OpenAIRE