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Triple negative breast cancer: outcome correlation with immunohistochemical detection of basal markers.

Publication ,  Journal Article
Thike, AA; Iqbal, J; Cheok, PY; Chong, APY; Tse, GM-K; Tan, B; Tan, P; Wong, NS; Tan, PH
Published in: The American journal of surgical pathology
July 2010

We earlier evaluated the relationship of 653 triple negative breast cancers (TNBC) with basal immunophenotypic expression by using antibodies to basal cytokeratins (CK5/6, CK14, CK17, 34betaE12), p63, smooth muscle actin (SMA), epidermal growth factor receptor, and CD117, and found that a triple panel of CK14, 34betaE12 and epidermal growth factor receptor determined 84% of our cases to be basal-like. Women with basal-like TNBC tended to be younger (P=0.04), have histologically higher-grade tumors (P=0.047), with positive nodal status (P=0.047), than those whose tumors were nonbasal-like. Using univariate Cox regression analysis, tumor size (P=0.003), histologic grade (P=0.006), and nodal status (P=0.017) were significant factors for disease-free survival (DFS) among TNBC, whereas age (P=0.004), tumor size (P=0.001), histologic grade (P<0.001), nodal status (P=0.011), lymphovascular invasion (P=0.032), and pushing borders (P=0.042) were important for overall survival (OS). On multivariate analysis, age was statistically significant for both DFS and OS (P=0.033, 0.001 respectively), whereas histologic grade was important for OS (P<0.001). Kaplan Meier curves showed CK17 positivity to impact adversely on DFS (P=0.003) and OS (P=0.014), whereas CD117 positive staining was accompanied by diminished OS (P=0.036). SMA expression in TNBC however, revealed a trend for improved DFS (P=0.05). Our findings indicate that basal-like TNBC are associated with adverse clinicopathologic parameters, and that individual biologic markers of CK17, CD117, and SMA have prognostic implications on survival. Possibilities exist for future targeted therapy for this challenging group of breast cancers.

Duke Scholars

Published In

The American journal of surgical pathology

DOI

EISSN

1532-0979

ISSN

0147-5185

Publication Date

July 2010

Volume

34

Issue

7

Start / End Page

956 / 964

Related Subject Headings

  • Singapore
  • Proto-Oncogene Proteins c-kit
  • Phenotype
  • Pathology
  • Muscle, Smooth
  • Middle Aged
  • Mastectomy
  • Lymph Nodes
  • Keratin-17
  • Kaplan-Meier Estimate
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Thike, A. A., Iqbal, J., Cheok, P. Y., Chong, A. P. Y., Tse, G.-K., Tan, B., … Tan, P. H. (2010). Triple negative breast cancer: outcome correlation with immunohistochemical detection of basal markers. The American Journal of Surgical Pathology, 34(7), 956–964. https://doi.org/10.1097/pas.0b013e3181e02f45
Thike, Aye Aye, Jabed Iqbal, Poh Yian Cheok, Angela Phek Yoon Chong, Gary Man-Kit Tse, Benita Tan, Patrick Tan, Nan Soon Wong, and Puay Hoon Tan. “Triple negative breast cancer: outcome correlation with immunohistochemical detection of basal markers.The American Journal of Surgical Pathology 34, no. 7 (July 2010): 956–64. https://doi.org/10.1097/pas.0b013e3181e02f45.
Thike AA, Iqbal J, Cheok PY, Chong APY, Tse GM-K, Tan B, et al. Triple negative breast cancer: outcome correlation with immunohistochemical detection of basal markers. The American journal of surgical pathology. 2010 Jul;34(7):956–64.
Thike, Aye Aye, et al. “Triple negative breast cancer: outcome correlation with immunohistochemical detection of basal markers.The American Journal of Surgical Pathology, vol. 34, no. 7, July 2010, pp. 956–64. Epmc, doi:10.1097/pas.0b013e3181e02f45.
Thike AA, Iqbal J, Cheok PY, Chong APY, Tse GM-K, Tan B, Tan P, Wong NS, Tan PH. Triple negative breast cancer: outcome correlation with immunohistochemical detection of basal markers. The American journal of surgical pathology. 2010 Jul;34(7):956–964.

Published In

The American journal of surgical pathology

DOI

EISSN

1532-0979

ISSN

0147-5185

Publication Date

July 2010

Volume

34

Issue

7

Start / End Page

956 / 964

Related Subject Headings

  • Singapore
  • Proto-Oncogene Proteins c-kit
  • Phenotype
  • Pathology
  • Muscle, Smooth
  • Middle Aged
  • Mastectomy
  • Lymph Nodes
  • Keratin-17
  • Kaplan-Meier Estimate