In the present study, dot-blot hybridization, serial dilution analysis
and densitometric scanning were used to detect amplification of proto
- oncogenes including c-erbB2, c-myc, int-2 and c-Ha-ras in 101 paraff
in-embedded breast cancers. Expression of c-erbB2 was also examined by
immunohistochemistry. Amplification of c-erbB2, c-myc and int-2 genes
was found in 34.7%, 17.8% and 11.9% of breast cancers respectively. H
owever amplification of c-Ha-ras was not detected in all cases. In 11.
9% of cases co-amplification of two or more oncogenes was observed. Po
sitive immunostaining of c-erbB2 was seen in 23.8% of the cases and it
was significantly associated, but not always corresponding to the amp
lification of the gene. There was no difference between primary and me
tastatic breast cancer in the alterations of proto-oncogenes examined
in this study, which suggested that the amplification and overexpressi
on of these proto-oncogenes occured prior to and maintained in the pro
cess of metastasis of breast cancer. Statistical analysis showed that
high-scale of immunopositive staining of c-erbB2 and high-fold eo-ampl
ification of proto-oncogenes were significantly correlated with large
size of the tumour and the number of involved lymph nodes. Our results
indicate that the alterations of multiple oncogenes are involved in t
he development of breats cancer and some of them may have prognostic i
mportance for breast cancer patients.