Prognostic implications of receptor discordance between primary and recurrent breast cancer

Verfasser / Beitragende:
[Akiko Matsumoto, Hiromitsu Jinno, Takeshi Murata, Tomoko Seki, Maiko Takahashi, Tetsu Hayashida, Kaori Kameyama, Yuko Kitagawa]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/4(2015-08-01), 701-708
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10147-014-0759-2  |2 doi 
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245 0 0 |a Prognostic implications of receptor discordance between primary and recurrent breast cancer  |h [Elektronische Daten]  |c [Akiko Matsumoto, Hiromitsu Jinno, Takeshi Murata, Tomoko Seki, Maiko Takahashi, Tetsu Hayashida, Kaori Kameyama, Yuko Kitagawa] 
520 3 |a Background: Discordance rates of hormone receptor (HR) and human epidermal growth factor-2 (HER2) status between primary and recurrent breast cancer were reported to be in the wide range of 10-40%, although its prognostic relevance remains to be elucidated. Methods: Fifty-five breast cancer patients had biopsies or resections of recurrent lesions. Pathological assessments of the HR and HER2 status of primary and recurrent lesions were performed in a single laboratory at Keio University Hospital. Tumors were classified as luminal (HR+ and HER2−), luminal/HER2 (HR+ and HER2+), HER2 (HR− and HER2+), or triple negative (HR− and HER2−). Results: Discordance rates in estrogen receptor (ER), progesterone receptor (PgR) and HER2 status between primary tumors and recurrent lesions were 16.4, 30.9 and 10.2%, respectively. Overall, 14 patients (25.5%) changed subtypes at recurrent lesions. Patients with a gain in ER and PgR status had a significantly longer disease-free interval compared with the corresponding concordant-negative patients (ER: 99.0 vs. 18.5months, p=0.037, PgR: 141.0 vs. 24.4months, p=0.011). Patients with a loss of HER2 status experienced a trend toward shorter time to progression, compared with patients who maintained HER2 positivity (4.0 vs. 18.4months, p=0.051). Conclusions: Discordance in receptor status between primary and recurrent breast cancers were seen in 10-30%. A gain in HR status was significantly associated with better prognosis. 
540 |a Japan Society of Clinical Oncology, 2014 
690 7 |a Breast cancer  |2 nationallicence 
690 7 |a Receptor  |2 nationallicence 
690 7 |a Discordance  |2 nationallicence 
690 7 |a Recurrence  |2 nationallicence 
690 7 |a Prognosis  |2 nationallicence 
690 7 |a Biopsy  |2 nationallicence 
700 1 |a Matsumoto  |D Akiko  |u Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
700 1 |a Jinno  |D Hiromitsu  |u Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
700 1 |a Murata  |D Takeshi  |u Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
700 1 |a Seki  |D Tomoko  |u Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
700 1 |a Takahashi  |D Maiko  |u Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
700 1 |a Hayashida  |D Tetsu  |u Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
700 1 |a Kameyama  |D Kaori  |u Division of Pathological Diagnosis, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
700 1 |a Kitagawa  |D Yuko  |u Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/4(2015-08-01), 701-708  |x 1341-9625  |q 20:4<701  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-014-0759-2  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
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949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Matsumoto  |D Akiko  |u Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jinno  |D Hiromitsu  |u Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Murata  |D Takeshi  |u Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Seki  |D Tomoko  |u Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takahashi  |D Maiko  |u Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hayashida  |D Tetsu  |u Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kameyama  |D Kaori  |u Division of Pathological Diagnosis, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kitagawa  |D Yuko  |u Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, 160-8582, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/4(2015-08-01), 701-708  |x 1341-9625  |q 20:4<701  |1 2015  |2 20  |o 10147