RESEARCH ON MOLECULAR SUBTYPE OF BREAST CARCINOMA BY IMMUNOHISTOCHEMICAL TECHNIQUE ON INVASIVE MAMMARY GLAND CARCINOMA PATIENTS AT CAN THO ONCOLOGY HOSPITAL IN 2021-2022

Phong Le 1,, Hong Phong Nguyen 2
1 Mekomed – Cuu Long General Clinic
2 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Female breast cancer is currently the leading cause of global cancer incidence in 2020. The classification of breast cancer is based on the biological and immunohistochemical properties of tumor cells in order to provide clinical oncology with accurate information, which is the basis for the selection of treatment regimens and disease prognosis. Objectives: To survey on histopathology and rate of molecular subtypes in patients with invasive breast carcinoma at Can Tho City Oncology Hospital in 2021-2022. Materials and methods: Cross-sectional description. Female breast cancer patients with a pathological diagnosis of invasive carcinoma were treated at Can Tho City Oncology Hospital. Results: Through the study of 211 cases of breast carcinoma at Can Tho City Oncology Hospital from August 2021, we have some comments as follows: tubular subgroup A accounts for 39.3%, The Tam Yin subgroup accounted for 24.6%, the HER2 subgroup accounted for 18.5% and the Tubular B subgroup accounted for 17.5%. Molecular subgroup characteristics were statistically significant with histological grade (p=0.041), mitotic index Ki-67 (p<0.001). No association between molecular subtypes with age, cancer stage has been recorded. Conclusion: Luminal A accounts for 39.3%, followed by Triple Negative with 24.6%, followed by HER2 accounting for 18.5% and the lowest Luminal B accounting for 17.5%.

Article Details

References

1. Sung H., Ferlay J., Siegel R. L., Laversanne M., Soerjomataram I., et al. Global cancer statistics 2020: Globocal estimates of Incidence and Mortality Worldwide for 36 cancerin 185 countries. CA Cancer J Clin. 2021. 71(3), 209-24. https://doi.org/10.3322/caac.21660
2. Sitt J. C., Lui C. Y., Sinn L. H., Fong J. C. Understanding breast cancer screening-past, present and future. Hong Kong Med J. 2018. 24(2), 166-174. http://dx.doi.org/10.12809/hkmj177123
3. da Costa Vieira R. A., Biller G., Uemura G., Ruiz C. A., Curado M. P. Breast cancer screening in developing countries. Clinics (Sao Paulo). 2017. 72(4), 244-253. https://doi.org/10.6061/clinics/2017(04)09
4. Hasdemir O. A., Tokgöz S., Köybaşıoğlu F., Karabacak H., Yücesoy C., et al. Clinicopathological features of metaplastic breast carcinoma. Adv Clin Exp Med. 2018. 27(4), 509-513.
5. Goldhirsch A., Wood W. C., Coates A. S., Gelber R. D., Thürlimann B., Senn H. J. Strategies for subtypes dealing with the diversity of breast cancer: highlights of the St Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer. Annals of Oncology. 2011. 22, 1736-1747. https://doi.org/10.1093/annonc/mdr304
6. Nguyễn Văn Chủ. Nghiên cứu áp dụng phân loại phân tử ung thư biểu mô tuyến vú bằng phương pháp hóa mô miễn dịch. Luận án tiến sĩ y học. Trường Đại học Y Dược Hà Nội. 2016.
7. Đoàn Thị Phương Thảo. Nghiên cứu gen HER2 và phân nhóm phân tử ung thư vú. Đề tài tiến sĩ y học. Trường Đại học Y Dược Thành phố Hồ Chí Minh. 2012.
8. Sayed S., Fan S., Moloo Z., Wasike R., Bird P., et al. Breast cancer risk factors in relation to molecular subtypes in breast cancer patients from Kenya. Breast Cancer Res. 2021. 23(1), 68.
9. Rashmi S., Kamala S., Murthy S. S., Kotha S., Rao Y. S., Chaudhary K. V. Predicting the molecular subtype of breast cancer based on mammography and ultrasound findings. India J Radiol Imaging. 2018. 28(3), 354-361. DOI: 10.4103/ijri.IJRI_78_18
10. Johansson A. L., Trewin C. B., Fredriksson I., Reinertsen K. V., Russnes H., Ursin, G. In modern times, how important are breast cancer stage, grade and receptor subtype for survival: a population-based cohort study. Breast Cancer Res. 2021. 23(1), 17.
11. Kondov B., Milenkovikj Z., Kondov G., Petrushevska G., Basheska N., et al. Presentation of the Molecular Subtypes of Breast Cancer Detected By Immunohistochemistry in Surgically Treasted Patients. Open Access Maced J Med Sci. 2018. 6(6), 961-967. doi: 10.3889/oamjms.2018.231