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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1992-11-12
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pubmed:abstractText |
We have studied the patterns of P-glycoprotein expression before and after 3 cycles of induction chemotherapy (5-fluorouracil, adriamycin and cyclophosphamide) using immunohistochemically stained paraffin-embedded specimen of 28 patients with locally advanced breast cancer. The frequency of P-glycoprotein expression in untreated breast cancer turned out to be very low: only one out of 28 untreated, biopsy specimen at the time of diagnosis was positive. The frequency of P-glycoprotein expression was markedly increased from 9.1% before chemotherapy to 63.6% after induction chemotherapy (p = 0.006). After 3 cycles of induction chemotherapy, 25 patients had obtained clinical response to chemotherapy (4, CR; 21, PR). Eleven out of 25 tumors (44%) showing clinical response and all three tumors (100%) with minimal response have expressed P-glycoprotein. One out of 6 patients (16.7%) with microscopic residual tumor seen in mastectomy specimen expressed P-glycoprotein, whereas 13 of 22 patients (59.1%) with gross residual tumor showed the presence of P-glycoprotein (p = 0.08). The frequency of intrinsic P-glycoprotein expression in untreated breast cancer was quite low, but approximately half of the patients do acquire P-glycoprotein expression during the cycles of induction chemotherapy. Therefore, the results suggest that the immunohistochemical detection of P-glycoprotein on residual tumor cells after induction chemotherapy can predict acquired drug resistance in breast cancer.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0513-5796
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
33
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
137-42
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1357834-Adult,
pubmed-meshheading:1357834-Aged,
pubmed-meshheading:1357834-Breast Neoplasms,
pubmed-meshheading:1357834-Drug Resistance,
pubmed-meshheading:1357834-Female,
pubmed-meshheading:1357834-Humans,
pubmed-meshheading:1357834-Immunohistochemistry,
pubmed-meshheading:1357834-Membrane Glycoproteins,
pubmed-meshheading:1357834-Middle Aged,
pubmed-meshheading:1357834-P-Glycoprotein
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pubmed:year |
1992
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pubmed:articleTitle |
The value of immunohistochemical detection of P-glycoprotein in breast cancer before and after induction chemotherapy.
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pubmed:affiliation |
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
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pubmed:publicationType |
Journal Article
|