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192858

Clinicopathological Characteristics and Androgen Receptor Expression of Triple Negative Breast Cancer: A Retrospective Study in Upper Egypt

Article

Last updated: 27 Dec 2024

Subjects

-

Tags

Disease pathology.
Oncology and Nuclear Medicine.

Abstract

Background: Breast cancer is a big challenging problem for public health. Triple negative breast cancer (TNBC) is a subtype of breast cancer which is more aggressive; with no specific treatment guidelines are available. It was noted that androgen receptor (AR) is expressed in TNBC, suggesting that anti-androgens are a promising strategy for treatment. Recently, it was found racial differences in the biologic behavior of TNBC. Objectives: This study aims to assess the clinicopathological features of TNBC in Upper Egypt, and to evaluate the immunohistochemical (IHC) expression of AR in TNBC, in comparison to hormone receptor positive (HR+) invasive duct carcinomas (IDC) as a control group. Patients and Methods: IHC expression of AR was examined in 45 TNBC specimens and 15 HR+ IDC (ER+ and PR+/-). Results: Most of the TNBC cases were ≤50 years and their tumors had high histological grade, presence of lymphovascular emboli, lymph node metastasis and tumor necrosis while few cases revealed duct carcinoma in situ (DCIS) and most patients were stage I & II.TNBC group had significantly younger age, DCIS, higher nodal metastasis and necrosis compared to control group. AR expression was significantly higher in the control group.  Conclusion: TNBC occurs at young age and is associated with poor clinicopathological criteria, suggesting the presence of underlying BRCA mutations in our population. AR was expressed in a subset of TNBC, this makes AR an interesting drug target for those patients. Further molecular studies are recommended to uncover pathways of TNBC pathogenesis and improve its therapeutic options.

DOI

10.21608/svuijm.2021.89232.1203

Keywords

triple negative breast cancer, Clinicopathological features, Aggressive

Authors

First Name

Eman Mostafa

Last Name

Masoud

MiddleName

-

Affiliation

Department of Pathology, Faculty of Medicine , Assiut University, Assiut, Egypt

Email

emanmostafa882@yahoo.com

City

assiut

Orcid

-

First Name

Nermeen Abdel-Moneim H.

Last Name

Kamel

MiddleName

-

Affiliation

Department of Pathology, Faculty of Medicine , Assiut University, Assiut, Egypt

Email

dr.nermeen.kamel@gmail.com

City

assiut

Orcid

-

First Name

Ahmed Mohamed Ali

Last Name

Ali

MiddleName

-

Affiliation

Department of General Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt

Email

ahmedkima@g.mail.com

City

Assiut

Orcid

-

First Name

Dalia Ahmed Hamed

Last Name

Elsers

MiddleName

-

Affiliation

Department of Pathology, Faculty of Medicine , Assiut University, Assiut, Egypt

Email

daliaelsers@yahoo.com

City

assiut

Orcid

-

Volume

4

Article Issue

2

Related Issue

26313

Issue Date

2021-08-01

Receive Date

2021-08-08

Publish Date

2021-08-01

Page Start

257

Page End

268

Print ISSN

2735-427X

Online ISSN

2636-3402

Link

https://svuijm.journals.ekb.eg/article_192858.html

Detail API

https://svuijm.journals.ekb.eg/service?article_code=192858

Order

29

Type

Original research articles

Type Code

1,520

Publication Type

Journal

Publication Title

SVU-International Journal of Medical Sciences

Publication Link

https://svuijm.journals.ekb.eg/

MainTitle

Clinicopathological Characteristics and Androgen Receptor Expression of Triple Negative Breast Cancer: A Retrospective Study in Upper Egypt

Details

Type

Article

Created At

23 Jan 2023