Summary
Gross cystic disease of the breast may sometimes indicate an increased risk of breast cancer. Biochemical analysis of the cyst fluid could suggest which cysts are associated with breast cancer risk, as well as providing insights into the pathophysiology of this condition. The Na+/K+ ratio appears to be associated with the histological classification of the cyst. Sulfoconjugated estrogens and androgens, especially DHEA-S, are often found at high levels. A number of gross cystic disease fluid proteins (GCDFPs) have been described, and several polypeptide growth factors including EGF and IGF-I are frequently found. It is hoped that biochemical analysis of these components of breast cyst fluids will shed further light on the role of gross cysts in relation to breast cancer.
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References
Davis HH, Simons M, Davis JB: Cystic disease of the breast: relationship to carcinoma. Cancer 17: 957–958, 1964
Veronesi V, Pizzocaro G: Breast cancer in women subsequent to cystic disease of the breast. Surg Gynecol Obstet 126: 529–534, 1968
Black MT, Barclay B, Cutler B, Hankey B, Asire A: Association of atypcial characteristic of benign breast lesions in the subsequent risk of breast cancer. Cancer 29: 338–343, 1972
Page DL, Vander-Zwag R, Rogers LW, Williams LT, Walker WE, Hartman WH: Relation between component parts of fibrocystic disease complex and breast cancer. J Natl Cancer Inst 61: 1055–1063, 1978
Azzopardi JG: Problems in breast pathology. W.B. Saunders, Philadelphia, 1979, pp 55–91
Haagensen CD, Bodian C, Haagensen DE Jr: Gross cystic disease of the breast. In: Haagensen CD (ed) Breast Carcinoma-Risk and Detection. W.B. Saunders, Philadelphia, 1981, pp 55–80
Roberts MM, Jones B, Elton RA, Fortt RW, Williams S, Gravelle IH: Risk of breast cancer in women with a history of benign disease of the breast. Br Med J 288: 275–278, 1984
Dupont WD, Page DL: Risk factors for breast cancer in women with proliferative breast disease. N Engl J Med 312: 146–151, 1985
Page DL, Dupont WD: Are breast cysts a premalignant marker? Eur J Cancer Clin Oncol 22: 635–636, 1986
Dixon JM, Scott WN, Miller WR: Natural history of cystic disease: importance of cyst type. Br J Surg 72: 190–192, 1985
Dixon JM, Miller WR, Scott WN, Forrest APM: The morphological basis of human breast cyst populations. Br J Surg 70: 604–606, 1983
Wellings SR, Jensen HM, Marcum RG: An atlas of subgross pathology of the human breast with reference to possible precancerous lesions. J Natl Cancer Inst 55: 231–273, 1975
Haagensen CD, Bodian C, Haagensen DE Jr: In: Haagensen CD (ed) Breast Carcinoma-Risk and Detection. W.B. Saunders, Philadelphia, 1981, pp 83–105
Scheurch C, Rosen PP, Hirota AT, Itabashi M, Yamamoto H, Kinne DW, Beattie EJ Jr: A pathologic study of benign breast disease in Tokyo and New York. Cancer 50: 1899–1903, 1982
Vilanova JR, Simon R, Alvarez J, Rivera-Pomar JM: Early apocrine change in hyperplastic cystic disease. Histopathology 7: 693–698, 1983
Dixon JM, Lumsden AB, Miller WR: The relationship of cyst type to risk factors for breast cancer and the subsequent development of breast cancer in patients with breast cystic disease. Eur J Cancer Clin Oncol 21: 1047–1050, 1985
Haagensen CD: Gross cyst disease. In: Haagensen CD (ed) Disease of the Breast, 3rd Ed. W.B. Saunders, Philadelphia, 1986, pp 250–266
Haagensen DE Jr, Mazoujian G: Biochemistry and immunohistochemistry of fluid proteins of the breast in gross cystic disease. In: Haagensen CD (ed) Disease of the Breast. 3rd Ed. W.B. Saunders, Philadelphia, 1986, pp 474–500
Wellings SR, Alpers CE: Apocrine cystic metaplasia: subgross pathology and prevalence in cancer associated versus random autopsy breast. Hum Pathol 18: 381–386, 1987
Zajicek J: Aspiration cytology of the breast. In: Wield JL (ed) Aspiration Biopsy Cytology. S. Karger, Basel, 1974, pp 212–225
Fleisher M, Robbins GF, Breed CN, Fraccia AA, Urban JA, Schwartz MK: The biochemistry of breast cyst fluid. Mem Sloan-Kettering Cancer Cent Clin Bull 3: 94–97, 1973
Bradlow HL, Fukushima DK, Rosenfeld RS, Boyar RM, Kream J, Fleisher M, Schwartz MK: Hormone levels in breast cyst fluid. Clin Chem 22: 1213–1217, 1976
Vaitukaitis JL, Ross GT, Braunstein GD, Rayford PL: Gonadotropins and their subunits: basic and clinical studies. Recent Prog Horm Res 32: 289–331, 1976
Srivastava LS, Pescovitz J, Singh RO, Periscitti G, Knowles HC Jr: Radioimmunoassay of some hormones simultaneously measured in serum and breast cyst fluid. Experientia 33: 1659–1662, 1977
Bradlow HL, Schwartz MK, Fleisher M, Nisselbaum JS, Boyar R, O'Connor J, Fukushima DK: Accumulation of hormones in breast cyst fluid. J Clin Endocrinol Metab 49: 778–782, 1979
Abney TO, Teran AZ, Mahesh VB, Mullins WB, Greenblatt RB: Fibrocystic breast disease: the significance of β-human chorionic gonadotropin and other polypeptides in breast cyst fluid. Fertil Steril 49: 638–643, 1988
Bradlow HL, Schwartz MK, Fleisher M, Rosenfeld RS, Kream J, Schwartz D, Breed CN, Fracchia AA: Hormone levels in human breast cyst fluid. In: Angeli A, Bradlow HL, Dogliotti L (eds) Endocrinology of Cystic Breast Disease. Raven Press, New York, 1983, pp 59–75
Haagensen DE Jr, Mazoujian G, Holder WD Jr, Kister SJ, Wells SA Jr: Evaluation of a breast cyst fluid protein detectable in the plasma of breast carcinoma patients. Ann Surg 185: 279–285, 1977
Haagensen DE Jr, Mazoujian G, Dilley WG, Pedersen CE, Kister SJ, Wells SA Jr: Breast gross cystic disease fluid analysis. I. Isolation and radio-immunoassay for a major component protein. J Natl Cancer Inst 62: 239–247, 1979
Mazoujian G, Pincus GS, Davis S, Haagensen DE Jr: Immunohistochemistry of a gross cystic disease fluid protein (GCDFP-15) of the breast. Am J Pathol 110: 105–112, 1983
Haagensen DE Jr, Dilley WG, Mazoujian G, Wells SA Jr: Review of GCDFP-15, an apocrine marker protein. Ann NY Acad Sci 586: 161–178, 1990
Pearlman WH, Peng LH, Mazoujian G, Haagensen DE Jr, Wells SA Jr, Kisler SJ: A specific progesterone binding component of human cyst fluid, its isolation and characterization. J Endocrinol 75: 19–20, 1977
Frairia R, Agrimonti F, Fazzari AM, Barbadoro E, Bocuzzi G, Angeli A: Evidence of a transcortin-like component in human breast cyst fluid. Clin Chim Acta 131: 15–27, 1983
Rosner W, Khan MS, Breed CN, Fleisher M, Bradlow HL: Plasma steroid-binding proteins in the cysts of gross cystic disease of the breast. J Clin Endocrinol Metab 61: 200–203, 1985
Fleisher M, Oettgen HF, Breed CN, Robbins GF, Pinshy CM, Schwartz MK: CEA-like material in fluid from benign cyst of the breast. Clin Chem 20: 41–44, 1974
Bradlow HL, Fleisher M, Schwartz MK, Nisselbaum J, Breed CN: Classification of patients with gross cystic breast disease according to the biochemical composition of breast cyst fluid. In: Dogliotti L, Mansel RE (eds) Fibrocystic Breast Disease. Editio Cantor, Aulendorf, F.R.G., 1985, pp 9–20
Olivati S, Cappellari A, Bagarella M, Corradi G, Zago L, Martinelli D: Carcinoembryonic antigen (CEA) in human breast cyst fluid: a study of 101 cases. Ann NY Acad Sci 464: 599–603, 1986
Dogliotti L, Orlandi F, Torta M: Osservasioni perliminari sul comportamento dei markers CA 125 e CA-15.3 nella mastopatía cistica. In: I Markers Tumorali in Ginecologia. CIC Edizioni Internationali, Rome, Italy, 1986, pp 255–269
Inaudi P, De Leo V, Baldini S, D'Antona N: Adrenal steroids and tumor antigens in plasma and cyst fluid of women with gross cystic breast disease. Ann NY Acad Sci 586: 117–120, 1990
Gatzy JT, Zaytoun MP, Gaskin K, Pearlman WH: Electrolytes of breast cyst fluid. Clin Chem 25: 745–748, 1979
Fleisher M, Bradlow HL, Schwartz MK, Schwartz D, Breed CN: The anion gap in human breast cyst fluid (HBCF): a possible high risk indicator for breast cancer. Clin Chem 30: 940–945, 1984
Bradlow HL, Skidmore FD, Schwartz MK, Fleisher M: Cation levels in human breast cyst fluid. Clin Oncol 7: 388–390, 1981
Dixon JM, Miller WR, Scott WN, Steele RJC, Forrest APM: Subpopulations of human breast cysts as defined by sodium potassium, and dehydroepiandrosterone sulphate content. Langenbecks Arch Chir 357: 195, 1982
Bradlow HL, Skidmore FD, Schwartz MK, Fleisher M, Schwartz D: Cations in breast cyst fluid. In: Angeli A, Bradlow HL, Dogliotti L (eds) Endocrinology of Cystic Breast Disease. Raven Press, New York, 1983, pp 197–201
Miller WR, Dixon JM, Scott WN, Forrest APM: Classification of human breast cysts according to electrolyte and androgen conjugate composition. Clin Oncol 9: 227–232, 1983
Dogliotti L, Orlandi F, Torta M, Buzzi G, Naldoni C, Mazzotti A, Angeli A: Cations and dehydroepiandrosterone sulphate in cyst fluid of pre and menopausal patients with gross cystic disease of the breast. Evidence for the existence of subpopulations of cysts. Eur J Cancer Clin Oncol 22: 1301–1307, 1986
Molina R, Filella X, Herranz M, Pratz M, Velazco A, Zanon G, Martínez-Osaba MJ, Ballesta AM: Biochemistry of cyst fluid in fibrocystic disease of the breast. Approach to classification and understanding of the mechanism of formation. Ann NY Acad Sci 586: 29–42, 1990
Angeli A, Boccuzzi G, Agrimonti F, Brignardello E, Barbadoro E, Dogliotti L: Correlation between levels of dehydroepian-drosterone-sulphate and prolactin in human breast cyst fluid. Tumori 68: 393–396, 1982
Miller WR, Roberts MM, Creel RJ, Yap PL, Kelly RW, Forrest APM: Androgen conjugates in human breast cyst fluids. J Natl Cancer Inst 69: 1055–1058, 1982
Miller WR, Dixon JM, Forrest APM: Hormonal correlates of apocrine secretion in the breast. Ann NY Acad Sci 464: 275–287, 1986
Orlandi F, Boccuzzi G, Corradin MP, Genta F, Buzzi G, Naldoni C, Mazzotti A, Angeli A: Cations and dehydroepiandrosterone-sulfate in human breast cyst fluid. Ann NY Acad Sci 464: 596–598, 1986
Boccuzzi G, Brignardello E, Massobrio M, Bonino L: Breast duct fluid dehydroepiandrosterone sulphate in fibrocystic disease. Eur J Cancer Clin Oncol 23: 1099–1102, 1987
Boccardo F, Valenti G, Zanardi S, Cerruti G, Fassio T, Bruzzi P, De Franchis V, Barreca A, Del Monte P, Minuto F: Epidermal growth factor in breast cyst fluid: relation with intracystic cation and androgen conjugate content. Cancer Res 48: 5860–5863, 1988
Chasalow FI, Blethen SL, Bradlow HL: Dehydroepiandrosterone sulfate (DHEA-S) and DHEA-S like compounds in fibrocystic disease of the breast. Steroids 52: 205–215, 1988
Lai LC, Ghilchik MW, Shaikh NA, Reed MJ, James VHT: Relationship between epidermal growth factor and dehydroepiandrosterone and its sulphate in breast cyst fluid. Br J Cancer 60: 320–323, 1989
Smith K, Miller WR, Fennelly JA, Matthews JNS, Scott WN, Harris AL: Quantification of epidermal growth factor in human breast cyst fluids: correlation with dehydroepiandrosterone-sulphate and electrolyte concentrations. Int J Cancer 44: 229–232, 1989
Labows JM, Preti G, Hoelzle E, Leyden J, Klugman A: Steroid analysis of human apocrine secretions. Steroids 34: 249–258, 1979
Raju U, Ganguly M, Levitz M: Estriol conjugates in human breast cyst fluid and in serum of postmenopausal women. J Clin Endocrinol Metab 45: 429–434, 1977
Raju U, Banerjee S, Levitz M, Breed CN, Bradlow HL, Fleisher M, Skidmore D: Correlation of concentrations of estriol-3-sulfate with those of potassium and sodium in human breast cyst fluid. Steroids 45: 341–346, 1985
Orlandi F, Caraci P, Puligheddu B, Torta M, Dogliotti L, Del Monte I, Angeli A: Estrone-3-sulfate in human breast cyst fluid. Ann NY Acad Sci 586: 79–82, 1990
Young BK, Jirku H, Kadner S, Levitz M: Renal clearances of estriol conjugates in normal human pregnancy at term. Am J Obstet Gynecol 126: 38–42, 1976
Kesner L, Yu WS, Bradlow HL, Breed CW, Fleisher M: Proteases in cyst fluid from human gross cyst breast disease. Cancer Res 48: 6379–6383, 1988
Kesner L, Yu WS, Bradlow HL: Cyst fluid proteases. Ann NY Acad Sci 586: 198–203, 1990
Luciani S, Carenza L, Pala A, Amelio G, Cascialli G, Pirozzi F, Pozzi M, Pozzi V: Evaluation of tumor and trophoblastic marker concentration in breast cyst fluid. Ann NY Acad Sci 586: 218–229, 1990
Baker PR, Reid AD, Siow Y, Preece PE: Bile acids in human breast cyst fluid. Biochem Soc Trans 14: 962–964, 1986
Raju U, Levitz M, Javitt NB: Bile acids and human breast cyst fluid: the identification of lithocholic acid. J Clin Endocrinol Metab 70: 1030–1034, 1990
Balbin M, Freije JM, Fueyo A, Sanchez LM, López-Otín C: Apolipoprotein D is the major protein component in cyst fluid from women with human breast gross cystic disease. Biochem J 271: 803–807, 1990
Yanagisawa M, Kurihara H, Kimura S, Tomobe Y, Kobayashi M, Mitsui Y, Yazaki Y, Goto K: A potent vasoconstrictor peptide produced by vascular endothelial cells. Nature 332: 411–415, 1988
Ando A, Hirata Y, Schichiri M, Emori T, Marumo F: Presence of immunoreactive endothelin in human plasma. FEBS Lett 245: 164–166, 1989
Lam HC, Takahashi K, Ghatei MA, Bloom SR: Presence of immunoreactive endothelin in human milk. FEBS Lett 261: 184–186, 1990
Takahaski K, Lai LC, Ghatei MA, James VHT, Bloom SR: Endothelin-like immunoreactivity in human breast cyst fluid. J Clin Endocrinol Metab 71: 1681–1683, 1990
Lai LC, Ghatei MA, Takahashi K, Patel KV, Schrey MP, Ghilchik MW, Bloom SR, James VHT: Mitogenic peptides in breast cyst fluid: relationship with intracystic electrolyte ratios. Int J Cancer 46: 1014–1016, 1990
Baley PA, Resink TJ, Eppemberger U, Hahn AWA: Endothelin messenger RNA and receptors are differentially expressed in cultured human breast epithelial and stromal cells. J Clin Invest 85: 1320–1323, 1990
Komuro I, Kurihara H, Sugiyama T, Takaku F, Yazaki Y: Endothelin stimulates c-fos and c-myc expression and proliferation of vascular smooth muscle cells. FEBS Lett 238: 249–252, 1988
Takuwa N, Takuwa Y, Yanagisawa M, Yamashita K, Masaki T: A novel vasoactive peptide endothelin stimulates mitogenesis through inositol lipid turnover in Swiss 3T3 fibroblast. J Biol Chem 264: 7856–7861, 1989
Ekman R, Ivarsson S, Jansson L: Bombesin, neurotensin and pro-opiomelanotropin immuno-reactants in human milk. Regul Peptides 10: 99–104, 1985
Weber CJ, O'Dorisio TM, McDonald TJ, Howe B, Koschitzky T, Merriam L: Gastrin-releasing peptide-, calcitonin gene-related peptide-, and calcitonin-like immuno-reactivity in human breast cyst fluid and gastrin-releasing peptide-like immuno-reactivity in human breast carcinoma cell lines. Surgery 106: 1134–1140, 1989
Baker PR, Reid AD, Siow Y, Baty JD, Willis RG: Identification of bile acids in breast cyst fluid. Biochem Soc Trans 16: 741–742
Turjman N, Nair PP: Nature of tissue bound lithocholic acid and its implications in the role of bile acids in carcinogenesis. Cancer Res 41: 3761–3763, 1981
Goustin AS, Leof EB, Shipley GD, Moses HL: Growth factors and cancer. Cancer Res 46: 1015–1029, 1986
Lippman ME, Dickson RB, Bates C, Huff K, Swain S, McManaway M, Bronzert D, Kasid A, Gelmann EP: Autocrine and paracrine growth regulation of human breast cancer. Breast Cancer Res Treat 7: 59–70, 1986
Cohen S: Isolation of a mouse submaxillary gland protein accelerating incisor eruption and eyelid opening in the newborn animal. J Biol Chem 237: 1555–1562, 1962
Carpenter G: Epidermal growth factor is a major growth promoting agent in human milk. Science 210: 198–199, 1980
Bearmore JM, Lewis-Jones DI, Richards RC: Urogastrone and lactose concentrations in pre-colostrum, colostrum, and milk. Pediat Res 17: 825–828, 1983
Shing YW, Klagsbran M: Human and bovine milk contain different sets of growth factors. Endocrinology 115: 273–282, 1984
Rose DP: Hormones in breast fluid. Breast Cancer Res Treat 8: 25–28, 1986
Hirata Y, Moore GW, Bertagna C, Orth DN: Plasma concentration of immunoreactive human epidermal growth factor (urogastrone) in man. J Clin Endocrinol Metab 50: 440–444, 1980
Oka Y, Orth DN: Human plasma epidermal growth factor/β-urogastrone is associated with blood platelets. J Clin Invest 72: 249–259, 1983
Ances IG: Serum concentration in epidermal growth factor in human pregnancy. Am J Obstet Gynecol 115: 357–362, 1973
Stoker MGP, Pigott D, Taylor-Papadimitriou J: Response to epidermal growth factor in cultured human mammary epithelial cells from benign tumors. Nature 264: 764–767, 1976
Turkington RW: Stimulation of mammary carcinoma cell proliferation by epithelial growth factorin vitro. Cancer Res 29: 1457–1458, 1969
Osborne CK, Hamilton B, Titus G, Livingston RB: Epidermal growth factor stimulation of human breast cancer cells in culture. Cancer Res 40: 2361–2366, 1980
Imai Y, Leung CKH, Friesen HG, Shiu RPC: Epidermal growth factor receptors and effect of epidermal growth factor on growth of human breast cancer cells in long-term tissue culture. Cancer Res 42: 4394–4398, 1982
Osborne CK, Hamilton B, Nover M: Receptor binding and processing of epidermal growth factor by human breast cancer cells. J Clin Endocrinol Metab 55: 86–93, 1982
Stoscheck CM, King LE Jr: Role of epidermal growth factor in carcinogenesis. Cancer Res 46: 1030–1037, 1986
Dickson RB, Lippman ME: Estrogenic regulation of growth factor and polypeptide growth factor secretion in human breast carcinoma. Endocr Rev 8: 29–43, 1987
Soto AM, Sonnenschein C: Cell proliferation of estrogen-sensitive cells: the case for negative control. Endocr Rev 8: 44–52, 1987
Fitzpatrick SL, Brightwell J, Wittliff JL, Barrows GH, Schultz GB: Epidermal growth factor binding by tumor biopsies and relationship to estrogen receptor and progestin receptor levels. Cancer Res 44: 3448–3453, 1984
Perez R, Pascual M, Macías A, Lage A: Epidermal growth factor receptors in human breast cancer. Breast Cancer Res Treat 4: 189–193, 1984
Sainsbury JRC, Farndon JR, Sherbet VG, Harris AL: Epidermal-growth-factor receptors and estrogen receptors in human breast cancer. Lancet i: 364–366, 1985
Sainsbury JRC, Farndon JR, Needham GK, Malcom AJ, Harris AL: Epidermal growth factor receptor status as predictor of early recurrence and death from breast cancer. Lancet i: 1398–1402, 1987
Pekonen F, Partanen S, Makinen T, Rutanen EM: Receptors for epidermal growth factor and insulin-like growth factor 1 and their relation to steroid receptors in human breast cancer. Cancer Res 48: 1343–1347, 1988
Battaglia F, Scambia G, Rossi S, Panici PB, Bellantone P, Pollizi G, Querzoli P, Negrini R, Iacobelli S, Crucitti F, Mancuso S: Epidermal growth factor in human breast cancer: correlation of steroid hormone receptors and axillary lymph node involvement. Eur J Cancer Clin Oncol 24: 1685–1690, 1988
Rios MA, Macias A, Perez R, Lage A, Skoog L: Receptors for epidermal growth factor and estrogen as predictors of relapse in patients with mammary carcinoma. Anticancer Res 8: 173–176, 1988
Enriori CL, Elizalde PV, Charreau EH: Growth factors in human breast cancer. Clinical utility of epidermal growth factor receptor determination. Tumor (Buenos Aires) 2: 26–29, 1989
Foekens JA, Portengen H, van Putten WLJ, Trapman AMAC, Reubi JC, Alexieva-Figusch J, Klijn JGM: Prognostic value of receptors for insulin-like growth factor 1, somatostatin, and epidermal growth factor in human breast cancer. Cancer Res 49: 7002–7009, 1989
Nicholson S, Sainsbury JRC, Halcrow P, Kelly P, Angus B, Wright C, Henry J, Farndon JR, Harris AL: Epidermal growth factor receptor (EGFr): results of a 6 year follow-up study in operable breast cancer with emphasis on the node negative subgroup. Br J Cancer 63: 146–150, 1991
Jaspar JM, Franchimont P: Radioimmunoassay of human epidermal growth factor in human breast cyst fluid. Eur J Cancer Clin Oncol 22: 1343–1348, 1985
Collette J, Hendrick JC, Jaspar JM, Franchimont P: Presence of α-lactalbumin, epidermal growth factor, epithelial membrane antigen and gross cystic disease fluid protein (15,000 daltons) in breast cyst fluid. Cancer Res 46: 3728–3733, 1986
Lai LC, Dunkley SA, Reed MJ, Ghilchik MW, Shaikh NA, James VHT: Epidermal growth factor and oestradiol in human breast cyst fluid. Eur J Cancer 26: 481–484, 1990
Boccardo F, Zanardi S, Valenti G, Cannata D, Maisto L, Nicolo G, Barreca A, Del Monte P, Minuto F: Epidermal growth factor in breast cyst fluid. Ann NY Acad Sci 586: 137–142, 1990
Collette J, Van Cauwenberge JR, Dejardin L, Carlisi A, Jaspar JM, Franchimont P: Epidermal growth factor and prolactin in human breast cyst fluid. Ann NY Acad Sci 586: 146–157, 1990
Barthe PL, Bullock LP, Mowszowicz I: Submaxillary gland epidermal growth factor: a sensitive index of biologic androgen activity. Endocrinology 95: 1019–1025, 1974
Perheentupa J, Lakshmanan J, Hoath SB, Fisher DA: Hormonal modulation of mouse plasma concentration of epidermal growth factor. Acta Endocrinol 107: 571–576, 1984
Salmon WD Jr, Daughaday WH: A hormonally controlled serum factor which stimulated sulfate incorporation by cartilagein vitro. J Lab Clin Med 49: 825–829, 1957
Svoboda ME, Van Wik JJ, Klapper DG, Fellows RE, Grisson FE, Schlueter RJ: Purification of somatomedin-C from human plasma: chemical and biological properties, partial sequence analysis, and relationship to other somatomedins. Biochemistry 19: 790–797, 1980
Furlanetto RW, Dicarlo JN: Somatomedin-C receptors and growth effects in human breast cells maintained in long-term tissue culture. Cancer Res 44: 2122–2128, 1984
Zapf J, Froesch ER: Pathophysiological and clinical aspects of the insulin-like growth factors. Hormone Res 24: 160–165, 1986
Wang DY, Hamed H, Mockridge CI, Fentiman IS: Radioimmunoassayable insulin-like growth factor-I in human breast cyst fluid. Eur J Cancer Clin Oncol 25: 867–872, 1989
Wang DY, Hamed H, Fentiman IS: Epidermal growth factor and insulin-like growth factor-I in human breast cyst fluid. Ann NY Acad Sci 586: 158–160, 1990
Baxter RC, Zaltsman Z, Turtle JR: Immunoreactive somatomedin-C/insulin-like growth factor I and its binding protein in human milk. J Clin Endocrinol Metab 58: 955–959, 1984
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Enriori, C.L., Novelli, J.E., Cremona, M.d.C. et al. Biochemical study of cyst fluid in human breast cystic disease: a review. Breast Cancer Res Tr 24, 1–9 (1992). https://doi.org/10.1007/BF01832352
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DOI: https://doi.org/10.1007/BF01832352