Immunohistochemical comparison of biomarker expression in biopsy and surgical specimens of non-small cell lung cancer

非小细胞肺癌活检和手术标本中生物标志物表达的免疫组织化学比较

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作者:Tamio Okimoto, Yukari Tsubata, Akihisa Sutani, Hiroshi Fuchita, Naoya Koba, Takamasa Hotta, Megumi Hamaguchi, Kiyotaka Miura, Shunichi Hamaguchi, Miki Ohe, Takashige Kuraki, Yuji Harada, Riruke Maruyama, Nobuhiro Miyamoto, Koji Kishimoto, Takeshi Isobe

Background

Single tumors may show heterogeneity, and it is unclear whether biomarker expression in surgical and diagnostic biopsy samples correlates. Materials and

Conclusion

Assessment of biopsy samples with immunohistochemical staining is a feasible and reliable method for use in clinical decision making.

Methods

We retrospectively identified lung cancer patients who were diagnosed by biopsy and underwent surgery between January 2007 and October 2010 at the Shimane University Hospital, Shimane, Japan. Thirty-two patients were identified. The expression of four predictive biomarkers was assessed, namely excision repair cross-complementing gene 1 (ERCC1), ribonucleotide diphosphate reductase M1 (RRM1), thymidylate synthase (TS), and class III beta-tubulin (BT). We also compared immunohistochemical staining in diagnostic biopsy and corresponding resected surgical samples.

Results

Moderate correlation was seen between the expression of ERCC1, RRM1, TS, and BT in the biopsy and surgical specimens, with r values of 0.512 (p=0.003), 0.411 (p=0.020), 0.475 (p=0.006), and 0.404 (p=0.027), respectively.

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