Title: A Study of Hormone Receptor Status in Breast Carcinoma and Their Histopathological Correlation

Authors: Dr Hemraj Bhardwaj, Dr Manish Khandelwal, Dr Siddharth Mittal, Dr Rakesh Kumar Sharma

 DOI: https://dx.doi.org/10.18535/jmscr/v9i5.05

Abstract

Introduction: Hormone receptors ER, PR, and Her2/neu status are now widely accepted as a prognostic marker and decide therapeutic modalities in breast carcinoma. The study aimed to analyze receptor status in breast carcinoma with histopathological characteristics of the tumor.

Purpose: To correlate the expression of prognostic factors such as patients' age, menopause, tumor size, number of lymph nodes, and histological grading with oestrogen, progesterone, and He2/ neu receptor status.

Material and Methods: In this study, 71 specimens of breast carcinoma after modified radical mastectomy, simple mastectomy, and lumpectomy were sent to the pathology department for immunohistochemical and histopathological examination to know the hormonal status well as histopathological characteristics.

Result: Seventy-one breast carcinoma specimen reports were received from the pathology department after immunohistochemical testing of ER, PR, and Her2/neu. The study showed only 39.43% cases were ER+ PR+, 15.49% cases were ER+, PR+ and Her2/neu+. 9.85% of cases were Her2/neu +, 5.63% cases ER+, and29.57% cases were ER-/ PR-/ Her2/neu negative (triple-negative).

According to this study's data, a statistically significant correlation of ER, PR, and Her2/neu was found with menopausal status, tumor size, number of lymph nodes, and tumor grade.

Conclusion: ER, PR, and Her2/ neu receptor status are critical predictor factors in cases of carcinoma of the breast, which necessitates the routine evaluation of hormonal receptor status for better management of the disease.

Keywords: Breast carcinoma, Oestrogen receptor, Progesterone receptor, Her2/neu, Menopause status, Lymph node involvement.

References

  1. Charles FB, Dana KA, Timothy RB, David LD, John GH, Jeffrey BM, et al. Schwartz' Principles of Surgery.9th New York: McGraw-Hill;2009. p.436-54
  2. Jemal A, Siegel R, Ward E, Hao Y, Xu J, Murray T, et al. Cancer statistics, 2008.CA Cancer J Clin 2008;58:71-96.
  3. Almasri NM, Al Hamad M. Immunohistochemical evaluation of human epidermal growth factor receptor two and oestrogen and progesterone Receptors in breast carcinoma in Jordan. Breast Cancer Res 2005;7:R 598-604.
  4. Khokhar A. Breast cancer in India: Where do we stand and where do we go? Asian Pac J Cancer Prev 2012;13:4861-6.
  5. Ferlay J, Bray F, Pisani P, Parkin DM. GLOBOCAN 2002. Cancer Incidence, Mortality, And Prevalence Worldwide. IARC Cancer Base No.5, Version 2.0.Lyon: IARC Press;2004.
  6. Agarwal G, Pradeep PV, Yip CH, Cheung PS. the Spectrum of breast cancer in Asian women. World J Surg 2007;31:1031-40.
  7. Roy I, Othieno E. Breast carcinoma in Uganda: Microscopic study and receptor profile of 45 cases. Arch Pathol Lab Med 2011; 135:194-199.
  8. Allred DC, Harvey JM, Berardo M, Clark GM. Prognostic and predictive factors in breast cancer by immunohistochemical analysis. Mod Pathol 1998;11:155-168.
  9. Amit M, C Prasad, Sreeramulu P, Srinivasan D, Naveedahmed K, Ruta U J. Histopathological Grade versus Oestrogen and Progesterone Receptors Status in Carcinoma Breast-A Single Center Study. Open Access J Surg.2017;4:555639.
  10. Gupta D, Guphta V, Marwah N, Gill M, Gupta S, Gupta G et al. Correlation of Hormone Receptor Expression with Histologic Parameters in Benign and Malignant Breast Tumors. Iranian Journal of Pathology 2015;10:23-34.
  11. Onitilo AA, Engel JM, Greenlee RT, Mukesh BN. Breast cancer subtype based on ER/PR and Her2/neu expression: Comparision of clinicopathologic features and survival. Clin Med Res 2009;7:4-13.
  12. Mohammed RH, Lakatua DJ, Haus E, Yasmineh WJ. Estrogen and progesterone receptor in human breast cancer. Correlation with histologic subtype and degree of differentiation. Cancer 1986;58:1076-81.
  13. Amarlal EA, Sergio K. Hormone receptors: Association with prognostic factors for breast cancer. Rev Bras Cancerol 2001; 47:49-58.
  14. Alvarez Goyanes RI, Escobar Perej X, Camacho Rodriguez R, Orozco Lopez M, Franco Odio S, Llanes Fernandez L, et al. Hormone receptors and other prognostic factors in breast cancer in Cuba. MEDICC Rev 2010; 12:36-40.
  15. Mohla S, Sampson CC, Khan T, Enterline JP, Leffall L Jr, White JE. Estrogen and progesterone receptors in breast cancer in black Americans: Correlation of receptors data with tumor differentiation. Cancer 1982. 1; 50:552-9
  16. Ruder AM, Lubin F, Wax y, Geier A, Alfundary E, Chetrit A. Estrogen and progesterone receptors in breast cancer patients. Epidemiologic characteristic and survival difference. Cancer 1989; 64:196-202.
  17. Pourzand A, Bassir M, Fakhree A, Hashemzadeh S, Halimi M, Daryani A. Hormone receptor status in breast cancer and its relation to age and other prognostic factors. Breast Cancer (Auckl) 2011; 5:87-92.
  18. Stierer M, Rosen H, Weber R, Hanak H, Spona J, Tucheler H. immunohistochemical and biochemical measurement of estrogen and progesterone receptors in primary breast cancer: Correlation of histopathology and prognostic factors. Ann Surg 1993;218: 13-21.
  19. Macgrogan G, Soubeyran I, De Mascarel I. Immunohistochemical detection of progesterone receptor in breast invasive ductal carcinoma: A correlative study of 942 cases. Appl Immunohistochem 1996; 4:219-27.
  20. Ahmed HG, Al-Adhraei MA, Al-Thobhani AK. Correlation of hormone receptors (ER and PR), her2/neu, and p53 expression in breast ductal carcinoma among Yemini women. Open Cancer Immunol J 2011; 4:1-9.

Corresponding Author

Dr Rakesh Kumar Sharma

Senior Professor, Department of Surgery, Government Medical College - Kota, Rajasthan, India