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cancer, breast, google, scholar, article, pubmed, cas, expression, survival, women, receptor, study, subtypes, usa, atlanta, clin, carcinoma, protein, human, differences, res, pathol, gene, research, treatment, negative, lund, prognostic, clinical, natl, oncol, immunohistochemical, race, populationbased, cyclin, patients, molecular, analysis, triple, mary, estrogen, africanamerican, prevention, privacy, cookies, content, data, epidemiology, porter, otis,

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high/p27 low/p53+/glomeruloid-microvascular-proliferation+ month download article/chapter brca1-related breast cancer triple-negative breast cancer avidin-biotin-peroxidase complex drug administration-approved scoring called triple-negative phenotype el-rehim da triple negative tumor cell-cycle regulators p27kip1 newly diagnosed african–american er/pr/her2 subtypes single-institution compilation compared adjuvant anthracycline-treated patients breast tumor subtypes relapse-free survival mary jo lund full article pdf triple negative threats formalin- paraffin sections distinct disease entities luminal breast cancers breast cancer heterogeneity related subjects national cancer institute national cancer institute privacy choices/manage cookies gene expression analyses breast cancer subtypes multivariate survival analyses invasive breast carcinoma tumour growth fraction routinely processed tissues breast cancer survival gene expression profiling oak ridge institute young african american paraffin-embedded tissue tcf4-independent manner biochemically receptor negative breast cancer classification cdkn2/mts1 gene gene expression profiles breast carcinoma characteristics article lund population-based study er−pr−her2+ er+/pr+her2+ er+/pr+her2− oestrogen receptor negative

Questions {❓}

• Anderson WF, Matsuno R (2006) Breast cancer heterogeneity: a mixture of at least two main types?
• Birnbaum D, Bertucci F, Ginestier C et al (2004) Basal and luminal breast cancers: basic or luminous?
• Fregene A, Newman LA (2005) Breast cancer in sub-Saharan Africa: how does it relate to breast cancer in African–American women?

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         headline:Race and triple negative threats to breast cancer survival: a population-based study in Atlanta, GA
         description:Background Breast cancers with a triple negative tumor (TNT) subtype (as defined by lacking protein expression of estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2)) preclude the use of available targeted therapies and may contribute to poor outcome and to the historically poorest survival observed among African–American (AA) women. This study examines association of the ER/PR/HER2 subtypes with race and breast cancer survival. Methods Breast tumors from a population-based cohort of 116 AA and 360 white Atlanta women aged 20–54, diagnosed from 1990 to 1992 were centrally reviewed and tested by immunohistochemistry. Multivariate survival analyses within subtypes (TNT, ER−PR−HER2+, ER+/PR+HER2+, ER+/PR+HER2−) were conducted using weighted Cox regression and included socio-demographic, prognostic, and treatment factors. Results TNTs were more prevalent among young women and particularly among AA women (Odds Ratio [OR] = 1.9, 95% Confidence Interval [CI] 1.2–2.9), adjusting for age, stage, grade, and poverty index. Overall mortality was higher for AA women (Hazard Ratio [HR] = 1.9, 95% CI, 1.5–2.5) and differed by subtypes (P < 0.001). Within the TNT subtype, racial differences in survival persisted, after additional adjustment for treatment and comorbidities (HR = 2.0, 95% CI 1.0–3.7). TNTs were uniquely associated with high expression of p16, p53, and Cyclin E; and low Bcl-2 and Cyclin D1 expression. Conclusions The high prevalence of TNTs among younger women and particularly younger AA women, along with unique protein expression patterns and poorer survival, suggests varying gene–environment etiologies with respect to age and race/ethnicity and a need for effective therapies.
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            Breast cancer
            Race
            Survival
            Triple negative
            Tumor subtypes
            Oncology
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      headline:Race and triple negative threats to breast cancer survival: a population-based study in Atlanta, GA
      description:Background Breast cancers with a triple negative tumor (TNT) subtype (as defined by lacking protein expression of estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2)) preclude the use of available targeted therapies and may contribute to poor outcome and to the historically poorest survival observed among African–American (AA) women. This study examines association of the ER/PR/HER2 subtypes with race and breast cancer survival. Methods Breast tumors from a population-based cohort of 116 AA and 360 white Atlanta women aged 20–54, diagnosed from 1990 to 1992 were centrally reviewed and tested by immunohistochemistry. Multivariate survival analyses within subtypes (TNT, ER−PR−HER2+, ER+/PR+HER2+, ER+/PR+HER2−) were conducted using weighted Cox regression and included socio-demographic, prognostic, and treatment factors. Results TNTs were more prevalent among young women and particularly among AA women (Odds Ratio [OR] = 1.9, 95% Confidence Interval [CI] 1.2–2.9), adjusting for age, stage, grade, and poverty index. Overall mortality was higher for AA women (Hazard Ratio [HR] = 1.9, 95% CI, 1.5–2.5) and differed by subtypes (P < 0.001). Within the TNT subtype, racial differences in survival persisted, after additional adjustment for treatment and comorbidities (HR = 2.0, 95% CI 1.0–3.7). TNTs were uniquely associated with high expression of p16, p53, and Cyclin E; and low Bcl-2 and Cyclin D1 expression. Conclusions The high prevalence of TNTs among younger women and particularly younger AA women, along with unique protein expression patterns and poorer survival, suggests varying gene–environment etiologies with respect to age and race/ethnicity and a need for effective therapies.
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            name:Emory University
            address:
               name:Georgia Cancer Center for Excellence at Grady, Emory University, Atlanta, USA
               type:PostalAddress
            type:Organization
      name:Elaine W. Flagg
      affiliation:
            name:Centers for Disease Control and Prevention
            address:
               name:Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, USA
               type:PostalAddress
            type:Organization
      name:Ruth M. O’Regan
      affiliation:
            name:Emory University School of Medicine
            address:
               name:Hematology and Oncology, Emory University School of Medicine, Atlanta, USA
               type:PostalAddress
            type:Organization
            name:Emory University School of Medicine
            address:
               name:Winship Cancer Institute, Emory University School of Medicine, Atlanta, USA
               type:PostalAddress
            type:Organization
      name:Sheryl G. A. Gabram
      affiliation:
            name:Emory University School of Medicine
            address:
               name:Winship Cancer Institute, Emory University School of Medicine, Atlanta, USA
               type:PostalAddress
            type:Organization
            name:Emory University
            address:
               name:Georgia Cancer Center for Excellence at Grady, Emory University, Atlanta, USA
               type:PostalAddress
            type:Organization
      name:J. William Eley
      affiliation:
            name:Emory University School of Medicine
            address:
               name:Hematology and Oncology, Emory University School of Medicine, Atlanta, USA
               type:PostalAddress
            type:Organization
            name:Emory University School of Medicine
            address:
               name:Winship Cancer Institute, Emory University School of Medicine, Atlanta, USA
               type:PostalAddress
            type:Organization
PostalAddress:
      name:Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, USA
      name:Hematology and Oncology, Emory University School of Medicine, Atlanta, USA
      name:Winship Cancer Institute, Emory University School of Medicine, Atlanta, USA
      name:Georgia Cancer Center for Excellence at Grady, Emory University, Atlanta, USA
      name:Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, USA
      name:Division of Human Biology, Fred Hutchinson Cancer Research Center, Seattle, USA
      name:Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, USA
      name:Hematology and Oncology, Emory University School of Medicine, Atlanta, USA
      name:Winship Cancer Institute, Emory University School of Medicine, Atlanta, USA
      name:Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, USA
      name:Hematology and Oncology, Emory University School of Medicine, Atlanta, USA
      name:Winship Cancer Institute, Emory University School of Medicine, Atlanta, USA
      name:Georgia Cancer Center for Excellence at Grady, Emory University, Atlanta, USA
      name:Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, USA
      name:Hematology and Oncology, Emory University School of Medicine, Atlanta, USA
      name:Winship Cancer Institute, Emory University School of Medicine, Atlanta, USA
      name:Winship Cancer Institute, Emory University School of Medicine, Atlanta, USA
      name:Georgia Cancer Center for Excellence at Grady, Emory University, Atlanta, USA
      name:Hematology and Oncology, Emory University School of Medicine, Atlanta, USA
      name:Winship Cancer Institute, Emory University School of Medicine, Atlanta, USA
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