KMID : 0371320020630050372
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Journal of the Korean Surgical Society 2002 Volume.63 No. 5 p.372 ~ p.377
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The Correlations between the Expression of Cyclin E and Clinical Features of the Primary Breast Cancer
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Park Jae-Woo
Yang Keun-Ho Bae Byung-Noe Kim Ki-Whan Kim Hong-Joo Kim Young-Duck Kim Hong-Yong Park Kyeong-Mee Han Se-Hwan
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Abstract
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Purpose: Cyclin E is a key regulatory protein in the G1-S transition during the cell cycle. The correlations between cyclin E protein and the clinical features of breast cancer were investigated in order to evaluate its clinical utility
in
invasive breast cancer.
Methods: An immunohistochemical assay for cyclin E was performed in 101 consecutive invasive breast cancers. The correlation between cyclin E expression and the clinicobiological parameters including patient survival was analyzed.
Results: Cyclin E expression was observed in 50 patients (49.5%). The scoring of the cyclin E expression level was divided into low (£¼25%) and high (¡Ã25%). In high nuclear grade tumors, cyclin E overexpression was much higher than that in
low
nuclear grade tumors (P=0.049). In the younger age group (£¼50 yrs), cyclin E expression was significantly higher than the older age group (P=0.016). No significant correlation was observed between cyclin E and the tumor size, lymph node status,
hormonal receptor status, histological grade, mitotic index and Ki67. In multivariate analysis, only the lymph node status was significantly associated with the patients¡¯ outcome (P=0.002).
Conclusion: Cyclin E overexpression did not have prognostic impact on the patients¡¯ survival rate in invasive breast cancer. In high nuclear grade tumors, the cyclin E expression level was much higher. The definite value of cyclin E as a
clinicobiologic marker should be further investigated by prospective studies with other cell regulatory proteins.
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KEYWORD
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