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Title:
Triple negative breast cancer: molecular profiling and prognostic impact in adjuvant anthracycline-treated patients | Breast Cancer Research and Treatment
Description:
We analysed the clinical features, distribution of basal markers, prevalence of oncogene amplification, and outcome of triple negative (TN) compared to those of non-TN cancers in a series of adjuvant-anthracycline treated breast cancer patients. We examined the prognostic impact of the TN and BL phenotype in 245 breast cancer patients uniformly treated with adjuvant anthracycline-based chemotherapy following primary surgery, with regards to local relapse-free (LRFS), metastasis free (MFS), and breast cancer specific survival (BCSS). A comparative analysis of the clinicopathological characteristics, expression of basal markers (cytokeratins (Cks) 5/6, 14, 17, EGFR, and caveolin 1 and 2), MIB-1, p53 and topoisomerase II alpha, and prevalence of CCND1, MYC and TOP2A amplification in TN and non-TN breast tumours was performed. TN cancers were significantly associated with the expression of basal markers (all P < 0.0001). However 19.4% of TN tumours were negative for basal markers, whilst 7.3% of non-TN tumours expressed basal markers. TN phenotype was significantly associated with p53, MIB-1 and topoisomerase II alpha (all, P < 0.01) expression. No TN cancer harboured amplification of CCND1 or TOP2A. In univariate analysis, TN and BL phenotype were significantly associated with shorter MFS (both, P < 0.01) and BCSS (both, P < 0.005) but not LRFS. Despite treatment with standard dose anthracycline-based chemotherapy, the clinical outcome of TN and BL cancers remains poor. Alternative chemotherapeutic regimens and/or novel therapeutic approaches are warranted. Although a significant phenotypic overlap exists between TN and basal-like tumours, the TN phenotype is not an ideal surrogate marker for basal-like breast cancers.
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Keywords {š}
breast, cancer, article, pubmed, google, scholar, cas, res, expression, clin, molecular, amplification, analysis, reisfilho, markers, basallike, gene, pathol, negative, basal, cancers, phenotype, oncol, research, adjuvant, patients, study, clinical, triple, chemotherapy, triplenegative, immunohistochemical, prognostic, jones, tumours, access, invasive, tumor, carcinoma, carcinomas, treat, situ, privacy, cookies, content, data, treatment, savage, dowsett, topoisomerase,
Topics {āļø}
adjuvant anthracycline-treated patients month download article/chapter adjuvant anthracycline-based chemotherapy rodriguez-pinilla sm mammary myoepithelial cellācinderella triple-negative breast cancers triple-negative breast cancer newly diagnosed african-american called triple-negative phenotype brca1-related breast carcinoma gene-expression-based predictors breast cancer staging reis-filho js single-institution compilation compared full article pdf early breast cancer 2/neu-amplified breast cancer triple negative paradox tissue microarrays access topoisomerase ii alpha related subjects breakthrough breast cancer privacy choices/manage cookies invasive breast cancer invasive breast carcinoma breast cancer subtypes operable breast cancer metaplastic breast carcinomas human breast cancer breast tumor subtypes predict high levels hereditary breast cancer familial breast cancer tissue-based detection population-based cohort cancer research london pathological prognostic factors long-term survival selectively inhibits growth breast tumor size cyclin d1 expression population-based study estrogen receptor negative breast cancer classification california cancer registry tumour breast carcinoma characteristics human breast tumours malignant breast tissue gene expression profiles
Questions {ā}
- Bidard FC, Conforti R, Boulet T etĀ al (2007) Does triple-negative phenotype accurately identify basal-like tumour?
- Lakhani SR, OāHare MJ (2001) The mammary myoepithelial cellāCinderella or ugly sister?
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headline:Triple negative breast cancer: molecular profiling and prognostic impact in adjuvant anthracycline-treated patients
description:We analysed the clinical features, distribution of basal markers, prevalence of oncogene amplification, and outcome of triple negative (TN) compared to those of non-TN cancers in a series of adjuvant-anthracycline treated breast cancer patients. We examined the prognostic impact of the TN and BL phenotype in 245 breast cancer patients uniformly treated with adjuvant anthracycline-based chemotherapy following primary surgery, with regards to local relapse-free (LRFS), metastasis free (MFS), and breast cancer specific survival (BCSS). A comparative analysis of the clinicopathological characteristics, expression of basal markers (cytokeratins (Cks) 5/6, 14, 17, EGFR, and caveolin 1 and 2), MIB-1, p53 and topoisomerase II alpha, and prevalence of CCND1, MYC and TOP2A amplification in TN and non-TN breast tumours was performed. TN cancers were significantly associated with the expression of basal markers (all PĀ <Ā 0.0001). However 19.4% of TN tumours were negative for basal markers, whilst 7.3% of non-TN tumours expressed basal markers. TN phenotype was significantly associated with p53, MIB-1 and topoisomerase II alpha (all, PĀ <Ā 0.01) expression. No TN cancer harboured amplification of CCND1 or TOP2A. In univariate analysis, TN and BL phenotype were significantly associated with shorter MFS (both, PĀ <Ā 0.01) and BCSS (both, PĀ <Ā 0.005) but not LRFS. Despite treatment with standard dose anthracycline-based chemotherapy, the clinical outcome of TN and BL cancers remains poor. Alternative chemotherapeutic regimens and/or novel therapeutic approaches are warranted. Although a significant phenotypic overlap exists between TN and basal-like tumours, the TN phenotype is not an ideal surrogate marker for basal-like breast cancers.
datePublished:2007-10-06T00:00:00Z
dateModified:2007-10-06T00:00:00Z
pageStart:27
pageEnd:44
sameAs:https://doi.org/10.1007/s10549-007-9756-8
keywords:
Basal-like breast cancer
Immunohistochemistry
Chromogenic inĀ situ hybridisation
Prognosis, Tissue microarrays
Oncology
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headline:Triple negative breast cancer: molecular profiling and prognostic impact in adjuvant anthracycline-treated patients
description:We analysed the clinical features, distribution of basal markers, prevalence of oncogene amplification, and outcome of triple negative (TN) compared to those of non-TN cancers in a series of adjuvant-anthracycline treated breast cancer patients. We examined the prognostic impact of the TN and BL phenotype in 245 breast cancer patients uniformly treated with adjuvant anthracycline-based chemotherapy following primary surgery, with regards to local relapse-free (LRFS), metastasis free (MFS), and breast cancer specific survival (BCSS). A comparative analysis of the clinicopathological characteristics, expression of basal markers (cytokeratins (Cks) 5/6, 14, 17, EGFR, and caveolin 1 and 2), MIB-1, p53 and topoisomerase II alpha, and prevalence of CCND1, MYC and TOP2A amplification in TN and non-TN breast tumours was performed. TN cancers were significantly associated with the expression of basal markers (all PĀ <Ā 0.0001). However 19.4% of TN tumours were negative for basal markers, whilst 7.3% of non-TN tumours expressed basal markers. TN phenotype was significantly associated with p53, MIB-1 and topoisomerase II alpha (all, PĀ <Ā 0.01) expression. No TN cancer harboured amplification of CCND1 or TOP2A. In univariate analysis, TN and BL phenotype were significantly associated with shorter MFS (both, PĀ <Ā 0.01) and BCSS (both, PĀ <Ā 0.005) but not LRFS. Despite treatment with standard dose anthracycline-based chemotherapy, the clinical outcome of TN and BL cancers remains poor. Alternative chemotherapeutic regimens and/or novel therapeutic approaches are warranted. Although a significant phenotypic overlap exists between TN and basal-like tumours, the TN phenotype is not an ideal surrogate marker for basal-like breast cancers.
datePublished:2007-10-06T00:00:00Z
dateModified:2007-10-06T00:00:00Z
pageStart:27
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Basal-like breast cancer
Immunohistochemistry
Chromogenic inĀ situ hybridisation
Prognosis, Tissue microarrays
Oncology
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