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ABSTRACT: Clinical relevance of biologic factors in male breast
cancer
[10/22/2001; Breast Cancer Research and Treatment]
There is ample information on the clinical role of biologic
factors in female breast cancer: urokinase-type plasminogen activator
(uPA), its receptor uPAR, its inhibitors PAI-1 and PAI-2, cathepsin
D and pS2-protein.
However such reports are missing or very rare
for male breast cancer. We determined the cytosolic levels of
oestrogen receptor (ER), progesterone receptor (PgR), cathepsin
D, pS2-protein, uPA, uPAR, PAI-1 and PAI-2 of the primary tumour
tissues from 40 male breast cancer patients.
The tumour levels
were compared with those of 180 matched females and 4114 historic
females with breast cancer. In male breast tumours the level
of PgR was higher, those of uPA, PAI-1, PAI-2 and cathepsin D
lower.
The tumour level of ER in men was similar to those in
the matched and postmenopausal women, but much higher than those
in the historic women.
Male breast cancer seems to be biologically
different from female breast cancer.
Correlation of the eight
cell biologic factors with disease outcome showed that PAI-1
(p=0.03) was the only independent predictive factor for poor
prognosis in male breast cancer.
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