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month download article/chapter cyclophosphamide ct/ul/mr human c-erbb-2 gene erbb-homologous gene distinct her2-low versus her2 rikke fredslund andersen serum c-erb-2 levels her2-positive breast cancer full article pdf related subjects patricia diana sørensen human breast cancer privacy choices/manage cookies 2/neu predicts response jonna skov madsen erik hugger jakobsen c-erbb-2 oncoprotein metastatic breast cancer da silva mm independent prognostic factor trastuzumab-based therapy breast cancer patients primary breast cancer diagnostic strategies serum her2 testing carney wp erbb-2 protein overexpression article sørensen regional health research european economic area eva brix petersen unavailable medical records tyrosine kinase activity 2/neu diagnostics receiver operated characteristics death knell tolls tumour biol 18 biol markers 19 yang-feng tl conditions privacy policy trastuzumab-based treatment article journal advia centaur assay negative predictive values sørensen pd olsen da routine oncology setting 2/ecd analysis clinical oncology aims clinical oncology/college

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• Fang L, Barekati Z, Zhang B, Liu Z, Zhong X (2011) Targeted therapy in breast cancer: what’s new?

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         headline:Serum HER-2: sensitivity, specificity, and predictive values for detecting metastatic recurrence in breast cancer patients
         description:The aim of this study was to determine the sensitivity, specificity, and predictive values of serum HER-2 for detecting metastatic recurrence in breast cancer patients. In the period 2004–2009, serum HER-2 was measured in 1,348 patients with breast cancer: 837 during routine controls at the Oncology Department and 511 newly diagnosed. The patients with positive serum HER-2, all the newly diagnosed and 1/5 of the patients with negative serum HER-2 were followed with serum HER-2 measurements every 3–12 months using the ADVIA Centaur assay. Tissue HER-2 status was determined by IHC and FISH. Patients with a single serum HER-2 value above 15 μg/L were considered serum positive. Metastases were diagnosed according to the routine clinical methods using imaging/biopsy. Of the 862 patients included, 21 had unavailable medical records and were excluded. Patients with unknown tissue status (218), missing blood sample before recurrence (74), or presenting with primary metastatic disease (9) were also excluded. Blood samples before the detection of metastatic recurrence were available in 154 tissue HER-2-positive and in 386 tissue HER-2-negative patients. The sensitivity, specificity, positive and negative predictive values in tissue HER-2-positive patients with values above 15 μg/L were 69 % (95 % CI 53–80 %), 71 % (62–78), 47 % (35–59), and 86 % (77–91), respectively. Combining the cutoff value of 15 μg/L with a delta value of >100 % increase from individual baseline after primary therapy, or increasing the cutoff to 32 μg/L raises the specificity to 96 %, but lowers the sensitivity to 50 and 47 %, respectively. Preoperative serum HER-2 values were accessible in 69 tissue-positive patients, but no significant association was found with later development of metastases. The sensitivity, specificity, positive and negative predictive values in tissue HER-2-negative patients with values above 15 μg/L were 33 % (21–47), 77 % (73–82), 18 % (12–27), and 88 % (84–91), respectively. Monitoring tissue HER-2-positive breast cancer patients with serum HER-2 has a sufficient sensitivity to detect metastatic recurrence, while its use in monitoring of tissue HER-2-negative patients is unsatisfactory.
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      description:The aim of this study was to determine the sensitivity, specificity, and predictive values of serum HER-2 for detecting metastatic recurrence in breast cancer patients. In the period 2004–2009, serum HER-2 was measured in 1,348 patients with breast cancer: 837 during routine controls at the Oncology Department and 511 newly diagnosed. The patients with positive serum HER-2, all the newly diagnosed and 1/5 of the patients with negative serum HER-2 were followed with serum HER-2 measurements every 3–12 months using the ADVIA Centaur assay. Tissue HER-2 status was determined by IHC and FISH. Patients with a single serum HER-2 value above 15 μg/L were considered serum positive. Metastases were diagnosed according to the routine clinical methods using imaging/biopsy. Of the 862 patients included, 21 had unavailable medical records and were excluded. Patients with unknown tissue status (218), missing blood sample before recurrence (74), or presenting with primary metastatic disease (9) were also excluded. Blood samples before the detection of metastatic recurrence were available in 154 tissue HER-2-positive and in 386 tissue HER-2-negative patients. The sensitivity, specificity, positive and negative predictive values in tissue HER-2-positive patients with values above 15 μg/L were 69 % (95 % CI 53–80 %), 71 % (62–78), 47 % (35–59), and 86 % (77–91), respectively. Combining the cutoff value of 15 μg/L with a delta value of >100 % increase from individual baseline after primary therapy, or increasing the cutoff to 32 μg/L raises the specificity to 96 %, but lowers the sensitivity to 50 and 47 %, respectively. Preoperative serum HER-2 values were accessible in 69 tissue-positive patients, but no significant association was found with later development of metastases. The sensitivity, specificity, positive and negative predictive values in tissue HER-2-negative patients with values above 15 μg/L were 33 % (21–47), 77 % (73–82), 18 % (12–27), and 88 % (84–91), respectively. Monitoring tissue HER-2-positive breast cancer patients with serum HER-2 has a sufficient sensitivity to detect metastatic recurrence, while its use in monitoring of tissue HER-2-negative patients is unsatisfactory.
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         Cancer Research
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         Hematology
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