Nuclear Morphological Characteristics in Breast Cancer: Correlation with Hormone Receptor and Human Epidermal Growth Factor Receptor 2

Background. Hormone receptor (HR) and human epidermal growth factor receptor 2 (HER2) are the common diagnostic/prognostic markers in breast cancer. Few articles have recently reported the correlation between cytology and molecular subtypes. We combined nuclear morphological characteristics with HR...

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Main Authors: Jiayu Li, Yehan Zhou, Yunzhu Li, Yang Liu
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Analytical Cellular Pathology
Online Access:http://dx.doi.org/10.1155/2021/3037993
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author Jiayu Li
Yehan Zhou
Yunzhu Li
Yang Liu
author_facet Jiayu Li
Yehan Zhou
Yunzhu Li
Yang Liu
author_sort Jiayu Li
collection DOAJ
description Background. Hormone receptor (HR) and human epidermal growth factor receptor 2 (HER2) are the common diagnostic/prognostic markers in breast cancer. Few articles have recently reported the correlation between cytology and molecular subtypes. We combined nuclear morphological characteristics with HR and HER2 status to observe the relationship and provide ideas for machine learning. Methods. We reanalyzed fine-needle aspiration cytology samples and core-needle puncture histological specimens from 142 patients with invasive breast cancer between March 2019 and December 2019, and the findings were compared with the two groups (HR+/HER2- and HR-/HER2+) following nuclear cytomorphological features: nuclear/cytoplasmic ratio, difference of nuclear size, nuclear pleomorphism, chromatin feature, nuclear membrane and nucleoli, and Nottingham grading. Results. Two groups were significantly associated with the difference of nuclear size, nuclear pleomorphism, and nucleoli (P<0.001) and consistent with histological grading (P<0.001). Moreover, nucleolar characteristics of size and number had obviously statistical significance (P<0.001). Multiple micro-nucleoli were frequently seen in the HR+/HER2- group compared with the HR-/HER2+ group which mostly were observed centered medium-large nucleoli. We described four interesting nuclear morphologies in the experiment. Conclusions. There were significant differences in nuclear characteristics between two groups. HR and HER2 status not only might be predicted in cytological samples, but some specific nuclear morphological features might have potential value to help us understand molecular function and predict more information.
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spelling doaj-art-4ae2724fcd4c45f7806fe48d535640092025-08-20T02:38:33ZengWileyAnalytical Cellular Pathology2210-71852021-01-01202110.1155/2021/3037993Nuclear Morphological Characteristics in Breast Cancer: Correlation with Hormone Receptor and Human Epidermal Growth Factor Receptor 2Jiayu Li0Yehan Zhou1Yunzhu Li2Yang Liu3Department of PathologyDepartment of PathologyDepartment of PathologyDepartment of PathologyBackground. Hormone receptor (HR) and human epidermal growth factor receptor 2 (HER2) are the common diagnostic/prognostic markers in breast cancer. Few articles have recently reported the correlation between cytology and molecular subtypes. We combined nuclear morphological characteristics with HR and HER2 status to observe the relationship and provide ideas for machine learning. Methods. We reanalyzed fine-needle aspiration cytology samples and core-needle puncture histological specimens from 142 patients with invasive breast cancer between March 2019 and December 2019, and the findings were compared with the two groups (HR+/HER2- and HR-/HER2+) following nuclear cytomorphological features: nuclear/cytoplasmic ratio, difference of nuclear size, nuclear pleomorphism, chromatin feature, nuclear membrane and nucleoli, and Nottingham grading. Results. Two groups were significantly associated with the difference of nuclear size, nuclear pleomorphism, and nucleoli (P<0.001) and consistent with histological grading (P<0.001). Moreover, nucleolar characteristics of size and number had obviously statistical significance (P<0.001). Multiple micro-nucleoli were frequently seen in the HR+/HER2- group compared with the HR-/HER2+ group which mostly were observed centered medium-large nucleoli. We described four interesting nuclear morphologies in the experiment. Conclusions. There were significant differences in nuclear characteristics between two groups. HR and HER2 status not only might be predicted in cytological samples, but some specific nuclear morphological features might have potential value to help us understand molecular function and predict more information.http://dx.doi.org/10.1155/2021/3037993
spellingShingle Jiayu Li
Yehan Zhou
Yunzhu Li
Yang Liu
Nuclear Morphological Characteristics in Breast Cancer: Correlation with Hormone Receptor and Human Epidermal Growth Factor Receptor 2
Analytical Cellular Pathology
title Nuclear Morphological Characteristics in Breast Cancer: Correlation with Hormone Receptor and Human Epidermal Growth Factor Receptor 2
title_full Nuclear Morphological Characteristics in Breast Cancer: Correlation with Hormone Receptor and Human Epidermal Growth Factor Receptor 2
title_fullStr Nuclear Morphological Characteristics in Breast Cancer: Correlation with Hormone Receptor and Human Epidermal Growth Factor Receptor 2
title_full_unstemmed Nuclear Morphological Characteristics in Breast Cancer: Correlation with Hormone Receptor and Human Epidermal Growth Factor Receptor 2
title_short Nuclear Morphological Characteristics in Breast Cancer: Correlation with Hormone Receptor and Human Epidermal Growth Factor Receptor 2
title_sort nuclear morphological characteristics in breast cancer correlation with hormone receptor and human epidermal growth factor receptor 2
url http://dx.doi.org/10.1155/2021/3037993
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AT yehanzhou nuclearmorphologicalcharacteristicsinbreastcancercorrelationwithhormonereceptorandhumanepidermalgrowthfactorreceptor2
AT yunzhuli nuclearmorphologicalcharacteristicsinbreastcancercorrelationwithhormonereceptorandhumanepidermalgrowthfactorreceptor2
AT yangliu nuclearmorphologicalcharacteristicsinbreastcancercorrelationwithhormonereceptorandhumanepidermalgrowthfactorreceptor2