Correlations of estrogen or progesterone receptors with grade of invasive ductal carcinomas of the breast in women referred to pathology center in Chaharmahal va Bakhtiari province, Iran

Many factors are effective to prognostic breast cancer. One the most important of these factors is estrogen and progesterone receptors. The aim of this study was to detect frequency of invasive ductal carcinomas and to determine its correlation with grade of tumors. This descriptive analytical -study was performed on all women referred to the pathology center in Chaharmahal va Bakhtiari province [Iran] from 2001 to 2005. From the total patients, 56 people were diagnosed for invasive ductal carcinomas. Type and degree of tumor was diagnosed by Richardson Bloom system. Samples were stained for estrogen and progesterone receptors with immunohistochemistry method using Labeled Streptavidin Biotin [LSAB] technique. Data were analyzed using Chi square, t-test and ANOVA. From the total patients, 56 cases were found with invasive ductal breast carcinoma. The mean age of patients was 49.45 +/- 13.4 years. The results from tumor gradation confirmed 22 patients with tumor type III, 20 patients with tumor type II and finally 14 patients with tumor type I. Estrogen and progesterone receptors were detected in 48.2% and 41.1% of the invasive ductal breast carcinoma, respectively. No significant relation was found between age and frequency of estrogen or progesterone receptors. The expression of estrogen and progesterone receptors was significantly associated with grading the carcinomas [P<0.001]. Although enough frequency of estrogen and progesterone receptors was found in low grade invasive ductal breast carcinoma, but tissue differentiation in 75% of the patients was slight to moderate

[ case report: an atypical Kawasaki syndrome following aseptic meningitis in a 9-month old infant]

Kawasaki syndrome is an acute, sometimes fatal vasculitis of young children. The ethiology of the illness is unknown, but its clinical and epidemiologic features are most consistent with an infectious cause. We treated a 9-month-old infant with diagnosis of bacterial meningitis. He received wide spectrum antibiotics. He was clinically improved but in 8th day of admission he again developed pharyngitis, diarrhea and high grade fever. He has had raising of erythrocyte sedimentations rate [ESR] and thrombocytosis. According to these clinical manifestation with impression of atypical Kawasaki disease, treatment was started for him and after 24 hours his fever subsided and other clinical signs relieved. On the basis of this case report in the course of bacterial meningitis if the patient developed elevated ESR and fever, Kawasaki syndrome with the other complications of meningitis should be considered