KURODA Hajime
   Department   School of Medicine(Tokyo Women's Medical University Adachi Medical Center), School of Medicine
   Position   Professor
Article types Original article
Language English
Peer review Peer reviewed
Title Aberrant keratin 7 and 20 expression in triple-negative carcinoma of the breast.
Journal Formal name:Annals of diagnostic pathology
Abbreviation:Ann Diagn Pathol
ISSN code:15328198/10929134
Domestic / ForeginForegin
Volume, Issue, Page 20,pp.36-9
Author and coauthor Kuroda Hajime†*, Imai Yasuo, Yamagishi Hidetsugu, Ueda Yoshihiko, Kuroso Kazuko, Oishi Yoko, Ohashi Hitoshi, Yamashita Akinori, Yashiro Yoshiko, Fukushima Hisaki
Authorship Lead author,Corresponding author
Publication date 2016/02
Summary Early studies characterizing the keratin (K) profile of various epithelial tissues indicated that breast carcinoma is K7 positive and K20 negative, but not all breast carcinomas show this profile. Triple-negative carcinoma (TNC) has been characterized by negativity for estrogen receptor (ER), progesterone receptor (PgR), and Her2/neu protein. TNC is more likely to metastasize to the viscera and present as a metastatic poorly different carcinoma. In our study, on the basis of immunohistochemical staining of ER, PgR, and Her2/neu, 75 of the 290 patients with invasive breast carcinoma were judged to have TNC. K20 expression was detected in 6 of 75 patients with TNC, and non-TNC was negative in all 215 cases (P = .0003). K7 expression was also detected in 72 of 75 TNC cases. However, non-TNC was negative in 26 of 215 cases, which was significant (P = .0457). An aberrant profile of K was observed in the TNC group, indicating that caution is needed in determining the site of primary tumors using immunohistochemical algorithms. It should be kept in mind that patients with TNC show highly variable K profiles in practical diagnosis.
DOI 10.1016/j.anndiagpath.2015.10.007
PMID 26670478