Carcinogenesis, Teratogenesis & Mutagenesis ›› 2022, Vol. 34 ›› Issue (2): 119-123,148.doi: 10.3969/j.issn.1004-616x.2022.02.008

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Expression and correlation analyses of EGFR and HER-2 in different types of breast cancers

GUO Xiaojuan1, WANG Jinxi2, NIU Guangxu1, TIAN Yunxiao1   

  1. 1. Department of Pathology, Handan Central Hospital, Handan 056001;
    2. Fourth Department of General Surgery, Handan First Hospital, Handan 056002, Hebei, China
  • Received:2021-12-28 Revised:2022-03-03 Published:2022-04-07

Abstract: OBJECTIVE: To investigate expression and correlation of EGFR and HER-2 in different types of breast cancer tissues. METHODS:A retrospective analysis of 650 cases of breast cancer (600 cases of invasive ductal carcinomas, 50 cases of invasive lobular carcinoma) and 30 cases of fibroadenoma was conducted at the Surgery Treats in Handan Central Hospital from Jan. 2015 to Mar. 2020. Expression of EGFR and HER-2 were detected in 650 cases of breast cancers and 30 cases of fibroadenomas via routine detection of EGFR and HER-2 proteins by immunohistochemical method. χ2 test and Spearman correlation analyses were used for statistical analysis of the data,and P<0.05 was considered statistically significant. RESULTS:The positive rate of EGFR expression in breast invasive ductal carcinoma was 48.7% which was significantly higher than that in invasive lobular carcinoma (24.0%) and fibroadenoma (16.7%) (P<0.01). The positive rate of HER- 2 expression in breast invasive ductal carcinoma was 27.8% which was significantly higher than that in invasive lobular carcinoma (8.0%) and fibroadenoma (6.7%) (P=0.002). In invasive ductal and lobular carcinomas of the breasts,the EGFR positive rate gradually increased with the increase of HER-2 score grade,and the EGFR positive rate was positively correlated with HER-2 score grade (r=1.000, P<0.05), and the positive rate of EGFR was positively correlated with the expression of HER-2 (r=1.000,P<0.05). The positive rate of EGFR in HER-2 overexpression and TNBC was significantly higher than that in Luminal A and Luminal B, and Luminal B (HER-2 +) than Luminal B (HER-2-). CONCLUSION:The positive rates of EGFR and HER-2 were significantly increased in invasive cholangiocarcinoma of the breasts,and the positive rate of EGFR was positively correlated with the grade and positive rate of HER-2. EGFR was significantly elevated in HER-2-overexpressing and TNBC which would provide clues and evidence for targeted drug therapy for HER-2 positive breast cancers and triple negative breast carcinomas.

Key words: breast cancer, invasive ductal carcinoma, epidermal growth factor receptor, human epidermal growth factor receptor 2, immunohistochemisty

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