Immunostaining for epidermal growth factor receptor (EGFR), c-erbB-2, c-erb
B-3, c-erbB-4, ER, and PR was performed in 107 cases of primary breast carc
inomas from Anyang, China. The expression rates of EGFR, c-erbB-2, c-erbB-3
and c-erbB-4 in this series were 43.9%, 36%, 27%, and 45.8%, respectively,
and a stronger c-erbB-4 staining of "normal" glandular structures inside t
umors and in tile vicinity of tumor clusters was confirmed. Larger tumor si
ze, lymph node metastases, and higher histologic grade in invasive ductal c
arcinomas were shown to be statistically valuable negative prognostic facto
rs, and c-erbB-2 expression was also weakly associated with a poor prognosi
s no matter what the nodal status. The expressions of c-erbB-4 and ER in in
vasive ductal carcinomas were inversely associated with histologic grade of
the tumors. Associations between the expression of c-erbB-4 and ER (p = 0.
001) and the expression of ER and PR study (p = 0.004) were found in the pr
esent study. No significant associations between the expressions of EGFR, c
-erbB-3, c-erbB-4, ER, and PR and overall survival were detected. The expre
ssion of c-erbB-4 in the node negative group was, however, associated with
a better prognosis, indicating a different role of c-erbB-4 protein in brea
st tumor development than other EGFR family members have.