title: Correlation of SASH1 expression and ultrasonographic features in breast cancer.
abstract: OBJECTIVE
  SASH1 is a member of the SH3/SAM adapter molecules family and has been identified as a new tumor suppressor and critical protein in signal transduction. An ectopic expression of SASH1 is associated with decreased cell viability of breast cancer. The aim of this study was to explore the association between SASH1 expression and the ultrasonographic features in breast cancer.
  
  
  METHODS
  A total of 186 patients diagnosed with breast cancer were included in this study. The patients received preoperative ultrasound examination, and the expression of SASH1 was determined using immunohistochemistry methods. Spearman's rank correlation analysis was used to analyze the correlation between SASH1-positive expression and the ultrasonographic features.
  
  
  RESULTS
  The positive expression of SASH1 was observed in 63 (33.9%) patients. The positive expression rate of SASH1 was significantly decreased in patients with breast cancer (63/186, 33.9%) compared with controls (P<0.001). The positive expression rate of SASH1 was significantly decreased in patients with edge burr sign (P=0.025), lymph node metastasis (P=0.007), and a blood flow grade of III (P=0.013) compared with patients without those adverse ultrasonographic features. The expression of SASH1 was negatively correlated with edge burr sign (P=0.025), lymph node metastasis (P=0.007), and blood flow grade (P=0.003) of the patients with breast cancer.
  
  
  CONCLUSIONS
  The expression of SASH1 was inversely correlated with some critical ultrasonographic features, including edge burr sign, lymph node metastasis, and blood flow grade in breast cancer, and decreased SASH1 expression appears to be associated with adverse clinical and imaging features in breast cancer.
authors.affiliation: Department of Surgery.
authors.forename: Xuchu
authors.initials: X
authors.lastname: Gong
authors.affiliation: Department of Surgery.
authors.forename: Jinna
authors.initials: J
authors.lastname: Wu
authors.affiliation: Department of Endocrinology.
authors.forename: Jian
authors.initials: J
authors.lastname: Wu
authors.affiliation: Department of Endocrinology.
authors.forename: Jun
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Surgery.
authors.forename: Hailin
authors.initials: H
authors.lastname: Gu
authors.affiliation: Department of Doppler Ultrasonic, Traditional Chinese Medicine Hospital of Nantong City, Nantong, Jiangsu, People's Republic of China.
authors.forename: Hao
authors.initials: H
authors.lastname: Shen
keywords: SASH1; breast cancer; ultrasound