IMMUNOHISTOCHEMISTRY WITH MONOCLONAL ANTIBODIES HER2/NEU PREDICTS
SURVIVAL IN BREAST CANCER NATIVE PERUVIAN PATIENTS
Abstract
Breast cancer is a heterogeneous pathology. There are subgroups with
different molecular characteristics, and they must be identified to
direct the therapy and to have a clear prognosis. HER2/neu (human
epidermal growth receptor factor 2/neuro glioblastoma derived oncogene
homolog) receptor overexpression is a characteristic that must be
evaluated in each population. We apply the monoclonal antibody technique
in the indigenous population of Peru, we also correlate the presence of
the receptor with global survival. It’s an experimental, prospective and
analytical study. Twenty three samples were evaluated, obtained from
patients with adenocarcinoma of the breast. The HER2/neu expression was
determined by immunohistochemical technique (monoclonal antibodies). The
results were verified 10 cases were positive for overexpression
(43.47%). The negative cases were 13 (56.52%). The overall survival at
3 years was 69.90% for the Her2/neu positive and 85.00% for negative,
showed statistically significant differences (p=0.017). Finally, it was
feasible to apply the monoclonal antibody technique and to statistically
correlate HER2/neu overexpression with TNM clinical stage, predicting
less survival when present. Applying an immunohistochemical technique is
feasible in native Peruvian women. The main benefit is to apply
biological therapy with monoclonal antibodies, according to their
molecular profile.