Analysis of the Pathologic Response to Primary Chemotherapy in Patients with Locally Advanced Breast Cancer Grouped According to Estrogen Receptor, Progesterone Receptor, and HER2 Status

作者: Luis A. Fernández-Morales , Miquel A. Seguí , Xavier Andreu , Elsa Dalmau , Amparo Sáez

DOI: 10.3816/CBC.2007.N.012

关键词: TrastuzumabEstrogen receptorLocally advancedBreast cancerOncologyInternal medicineDiseaseProgesterone receptorHormone receptorIn patientMedicine

摘要: Abstract Purpose In clinical practice, it is possible to classify breast tumors according estrogen receptor (ER), progesterone (PgR), and HER2 overexpression: ER negative, PgR overexpressing; negative; positive, the less frequent remaining 4 combinations. The aim of this study was determine percentage pathologic complete response (pCR) in patients with locally advanced cancer (LABC) treated neoadjuvant or primary chemotherapy anthracyclines taxanes grouped ER, PgR, status. Patients Methods LABC including were status; pCR rates analyzed using χ 2 test; correlations a P value ≤ 0.05 considered statistically significant. Results A total 103 treated. Only 100 included for analysis pCR. Eighteen exhibited rate each subgroup as follows: 39.1% (9 23) had ER-negative, PgR-negative, HER2-negative disease ( Conclusion LABC, grouping status can help predict chemotherapy.

参考文章(25)
B Fisher, A Brown, E Mamounas, S Wieand, A Robidoux, R G Margolese, A B Cruz, E R Fisher, D L Wickerham, N Wolmark, A DeCillis, J L Hoehn, A W Lees, N V Dimitrov, Effect of preoperative chemotherapy on local-regional disease in women with operable breast cancer: findings from National Surgical Adjuvant Breast and Bowel Project B-18. Journal of Clinical Oncology. ,vol. 15, pp. 2483- 2493 ,(1997) , 10.1200/JCO.1997.15.7.2483
Thomas A. Buchholz, Kelly K. Hunt, Gary J. Whitman, Aysegul A. Sahin, Gabriel N. Hortobagyi, Neoadjuvant chemotherapy for breast carcinoma: multidisciplinary considerations of benefits and risks. Cancer. ,vol. 98, pp. 1150- 1160 ,(2003) , 10.1002/CNCR.11603
Nagi S. El Saghir, Alexandru Eniu, Robert W. Carlson, Zeba Aziz, Daniel Vorobiof, Gabriel N. Hortobagyi, , Locally advanced breast cancer Cancer. ,vol. 113, pp. 2315- 2324 ,(2008) , 10.1002/CNCR.23836
Thomas A Buchholz, Angela Katz, Eric A Strom, Marsha D McNeese, George H Perkins, Gabriel N Hortobagyi, Howard D Thames, Henry M Kuerer, S.Eva Singletary, Aysegul A Sahin, Kelly K Hunt, Aman U Buzdar, Vicente Valero, Nour Sneige, Susan L Tucker, Pathologic tumor size and lymph node status predict for different rates of locoregional recurrence after mastectomy for breast cancer patients treated with neoadjuvant versus adjuvant chemotherapy. International Journal of Radiation Oncology Biology Physics. ,vol. 53, pp. 880- 888 ,(2002) , 10.1016/S0360-3016(02)02850-X
C. Sotiriou, S.-Y. Neo, L. M. McShane, E. L. Korn, P. M. Long, A. Jazaeri, P. Martiat, S. B. Fox, A. L. Harris, E. T. Liu, Breast cancer classification and prognosis based on gene expression profiles from a population-based study Proceedings of the National Academy of Sciences of the United States of America. ,vol. 100, pp. 10393- 10398 ,(2003) , 10.1073/PNAS.1732912100
John F. Stewart, Roger J.B. King, Peter J. Winter, David Tong, John L. Hayward, Robert D. Rubens, Oestrogen Receptors, Clinical Features and Prognosis in Stage III Breast Cancer European Journal of Cancer and Clinical Oncology. ,vol. 18, pp. 1315- 1320 ,(1982) , 10.1016/0277-5379(82)90135-3
C. D. Haagensen, Diseases of the breast ,(1971)
I F Faneyte, J G Schrama, J L Peterse, P L Remijnse, S Rodenhuis, M J van de Vijver, Breast cancer response to neoadjuvant chemotherapy: predictive markers and relation with outcome British Journal of Cancer. ,vol. 88, pp. 406- 412 ,(2003) , 10.1038/SJ.BJC.6600749
Charles M. Perou, Therese Sørlie, Michael B. Eisen, Matt van de Rijn, Stefanie S. Jeffrey, Christian A. Rees, Jonathan R. Pollack, Douglas T. Ross, Hilde Johnsen, Lars A. Akslen, Øystein Fluge, Alexander Pergamenschikov, Cheryl Williams, Shirley X. Zhu, Per E. Lønning, Anne-Lise Børresen-Dale, Patrick O. Brown, David Botstein, Molecular portraits of human breast tumours Nature. ,vol. 406, pp. 747- 752 ,(2000) , 10.1038/35021093