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Ludwig Institute for Cancer Research (London-St. George's Group) [U. B., R. A. M., P. W., R. C. C.] and Department of Chemical Pathology [K. C.], St. George's Hospital Medical School, Cranmer Terrace, London SW17 ORE, ; United Kingdom University of Chicago, The Ben May Institute, Chicago, Illinois 60637 [G. L. G.]; Department of Biochemistry, University of Arizona, Tucson, Arizona 85721 [M. R. H.]; Baylor College of Medicine, Houston, Texas 77030 [J. W. P.]; and Section of Epidemiology, Institute of Cancer Research, Sutton, Surrey SM2 5PX, [D. E.] United Kingdom
We have determined the estrogen receptor, progesterone receptor (PR), and 1,25-dihydroxyvitamin D3 receptor content of 136 breast carcinomas by an immunocytochemical method. The presence of the three receptors was not related to clinical features of presentation such as T-stage or to age or menopausal status. However, each of the three receptors has a different relationship to the course of the disease in these patients. The presence of PR was significantly associated with an improved overall survival (x2 = 4.61, P = 0.032). Patients whose tumors contained immunocytochemically detectable 1,25-dihydroxyvitamin D3 receptor had a longer disease-free interval than those patients with negative tumors (x2 = 4.01, P = 0.045). The presence of estrogen receptor and PR were found to correlate with an increased survival between relapse and death (P = 0.027 and P = 0.09, respectively). The relationships between estrogen receptor and PR and prognosis are more apparent when the degree of cell staining is considered. Combined receptor analysis improves our ability to predict the course of the disease and may therefore facilitate better management of the patients.
1 Supported in part by the Cancer Research Campaign.
2 To whom requests for reprints should be addressed.
Received 2/ 3/89. Accepted 10/22/90.
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