COX-2 Expression in Carcinoma of the Breast and Surrounding Non-neoplastic Breast Tissue

Background: Breast carcinoma is the most common malignant tumor and leading cause of cancer related death in women worldwide. Apart from traditional markers, estrogen receptor, progesterone receptor and Her-2neu, which are important for prognostication and staging purposes, a novel marker cyclooxyge...

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Main Authors: Namita Bhutani, Shilpi Moga, Pooja Poswal, Bhanu Sharma, Sunil Arora, Sham Singla
Format: Article
Language:English
Published: Kaviani Breast Disease Institute 2021-01-01
Series:Archives of Breast Cancer
Subjects:
Online Access:https://www.archbreastcancer.com/index.php/abc/article/view/342
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author Namita Bhutani
Shilpi Moga
Pooja Poswal
Bhanu Sharma
Sunil Arora
Sham Singla
author_facet Namita Bhutani
Shilpi Moga
Pooja Poswal
Bhanu Sharma
Sunil Arora
Sham Singla
author_sort Namita Bhutani
collection DOAJ
description Background: Breast carcinoma is the most common malignant tumor and leading cause of cancer related death in women worldwide. Apart from traditional markers, estrogen receptor, progesterone receptor and Her-2neu, which are important for prognostication and staging purposes, a novel marker cyclooxygenase-2 (COX-2) is being studied extensively. We intend to study the spectrum of COX-2 expression in normal breast tissue, ductal carcinoma in situ (DCIS) adjacent to invasive cancer, and in invasive cancer and compare COX-2 expression with histological prognostic parameters and hormone receptor status. Methods: The present study is a prospective study that was conducted in the department of Pathology, SGT Medical College and Hospital, Gurugram (2019-2020). Fifty patients, aged between 21 and 70, suffering from primary breast cancer constituted the study group. Various histological prognostic parameters were assessed. Immunohistochemical profile of the tumor was assessed. COX-2 score was correlated with various clinicopathologic parameters. Results: Among the total of 50 patients suffering from invasive breast carcinoma, 94 percent (47/50) of cases showed the same COX-2 expression level in normal breast epithelium and corresponding tumor areas and this correlation was statistically significant. The correlation between the level of COX-2 expression in tumor and DCIS was highly significant. Conclusion: Inhibition of COX-2 may represent a potential target for preventing breast cancer oncogenesis and as an adjuvant treatment following surgery to reduce local recurrence.
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spelling doaj.art-6665ad9cf3514666aeb27a0fafab72a22022-12-22T04:16:30ZengKaviani Breast Disease InstituteArchives of Breast Cancer2383-04332021-01-0110.32768/abc.20218129-36COX-2 Expression in Carcinoma of the Breast and Surrounding Non-neoplastic Breast TissueNamita Bhutani0Shilpi Moga1Pooja Poswal2Bhanu Sharma3Sunil Arora4Sham Singla5North DMC Medical College and Hindu Rao Hospital, Delhi, IndiaDepartment of Pathology, SGT Medical College & University Gurugram, Haryana, IndiaDepartment of Pathology, SGT Medical College & University Gurugram, Haryana, IndiaDepartment of Pathology, SGT Medical College & University Gurugram, Haryana, IndiaDepartment of Pathology, SGT Medical College & University Gurugram, Haryana, IndiaDepartment of Surgery, SGT Medical College & University Gurugram, Haryana, IndiaBackground: Breast carcinoma is the most common malignant tumor and leading cause of cancer related death in women worldwide. Apart from traditional markers, estrogen receptor, progesterone receptor and Her-2neu, which are important for prognostication and staging purposes, a novel marker cyclooxygenase-2 (COX-2) is being studied extensively. We intend to study the spectrum of COX-2 expression in normal breast tissue, ductal carcinoma in situ (DCIS) adjacent to invasive cancer, and in invasive cancer and compare COX-2 expression with histological prognostic parameters and hormone receptor status. Methods: The present study is a prospective study that was conducted in the department of Pathology, SGT Medical College and Hospital, Gurugram (2019-2020). Fifty patients, aged between 21 and 70, suffering from primary breast cancer constituted the study group. Various histological prognostic parameters were assessed. Immunohistochemical profile of the tumor was assessed. COX-2 score was correlated with various clinicopathologic parameters. Results: Among the total of 50 patients suffering from invasive breast carcinoma, 94 percent (47/50) of cases showed the same COX-2 expression level in normal breast epithelium and corresponding tumor areas and this correlation was statistically significant. The correlation between the level of COX-2 expression in tumor and DCIS was highly significant. Conclusion: Inhibition of COX-2 may represent a potential target for preventing breast cancer oncogenesis and as an adjuvant treatment following surgery to reduce local recurrence.https://www.archbreastcancer.com/index.php/abc/article/view/342Autocrine effect; Breast Cancer; Carcinogenesis; COX-2 expression; Paracrine effect.
spellingShingle Namita Bhutani
Shilpi Moga
Pooja Poswal
Bhanu Sharma
Sunil Arora
Sham Singla
COX-2 Expression in Carcinoma of the Breast and Surrounding Non-neoplastic Breast Tissue
Archives of Breast Cancer
Autocrine effect; Breast Cancer; Carcinogenesis; COX-2 expression; Paracrine effect.
title COX-2 Expression in Carcinoma of the Breast and Surrounding Non-neoplastic Breast Tissue
title_full COX-2 Expression in Carcinoma of the Breast and Surrounding Non-neoplastic Breast Tissue
title_fullStr COX-2 Expression in Carcinoma of the Breast and Surrounding Non-neoplastic Breast Tissue
title_full_unstemmed COX-2 Expression in Carcinoma of the Breast and Surrounding Non-neoplastic Breast Tissue
title_short COX-2 Expression in Carcinoma of the Breast and Surrounding Non-neoplastic Breast Tissue
title_sort cox 2 expression in carcinoma of the breast and surrounding non neoplastic breast tissue
topic Autocrine effect; Breast Cancer; Carcinogenesis; COX-2 expression; Paracrine effect.
url https://www.archbreastcancer.com/index.php/abc/article/view/342
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