Changes of Serum HER2 Status during Clinical Course of Metastatic Breast Cancer Patients

Background: Serum HER2 testing allows the determination of the real-time HER2 status of breast cancer patients. The aim of this investigation was to study (i) whether changes of serum HER2 status occur during the clinical course of breast cancer and (ii) to evaluate the prognostic significance of se...

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Veröffentlicht in:Anticancer research 2004-11, Vol.24 (6), p.4205-4210
Hauptverfasser: FEHM, T, JÄGER, W, KRAEMER, S, SOHN, C, SOLOMAYER-MEYBERG, G, SOLOMAYER, Ef, KUREK, R, WALLWIENER, D, GEBAUER, G
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container_end_page 4210
container_issue 6
container_start_page 4205
container_title Anticancer research
container_volume 24
creator FEHM, T
JÄGER, W
KRAEMER, S
SOHN, C
SOLOMAYER-MEYBERG, G
SOLOMAYER, Ef
KUREK, R
WALLWIENER, D
GEBAUER, G
description Background: Serum HER2 testing allows the determination of the real-time HER2 status of breast cancer patients. The aim of this investigation was to study (i) whether changes of serum HER2 status occur during the clinical course of breast cancer and (ii) to evaluate the prognostic significance of serum HER2 status, at the time of first diagnosis of primary breast cancer and at the onset of metastatic disease, for survival after relapse (SAR). Materials and Methods: HER2 serum levels were retrospectively measured in 152 breast cancer patients at the time of first diagnosis of breast cancer and at the onset of metastatic disease by enzyme immunoassay. Results: Twenty-seven out of 152 (18%) patients had elevated HER2 serum levels at the time of first diagnosis of breast cancer. In contrast, 56 out of 152 (37%) patients showed elevated serum HER2 levels when metastases were diagnosed. A change of serum HER2 status during clinical course was observed in 43 out of 152 (28%) patients. Serum HER2 status at the time of first diagnosis of breast cancer had no impact on survival after relapse (SAR) (p=0.4). However, the median SAR for serum HER2-positive patients at the onset of metastatic disease was significantly shorter (8 months, 95% CI: 3-12) compared to patients serum HER2-negative at this time (18 months, 95% CI: 14-22) (p
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The aim of this investigation was to study (i) whether changes of serum HER2 status occur during the clinical course of breast cancer and (ii) to evaluate the prognostic significance of serum HER2 status, at the time of first diagnosis of primary breast cancer and at the onset of metastatic disease, for survival after relapse (SAR). Materials and Methods: HER2 serum levels were retrospectively measured in 152 breast cancer patients at the time of first diagnosis of breast cancer and at the onset of metastatic disease by enzyme immunoassay. Results: Twenty-seven out of 152 (18%) patients had elevated HER2 serum levels at the time of first diagnosis of breast cancer. In contrast, 56 out of 152 (37%) patients showed elevated serum HER2 levels when metastases were diagnosed. A change of serum HER2 status during clinical course was observed in 43 out of 152 (28%) patients. Serum HER2 status at the time of first diagnosis of breast cancer had no impact on survival after relapse (SAR) (p=0.4). However, the median SAR for serum HER2-positive patients at the onset of metastatic disease was significantly shorter (8 months, 95% CI: 3-12) compared to patients serum HER2-negative at this time (18 months, 95% CI: 14-22) (p&lt;0.01). Conclusion: Serum HER2 status can change during the course of disease. Therefore, the serum HER2 status should be re-evaluated at the time of diagnosis of metastatic disease to optimize treatment decisions.</description><identifier>ISSN: 0250-7005</identifier><identifier>EISSN: 1791-7530</identifier><identifier>PMID: 15739264</identifier><language>eng</language><publisher>Attiki: International Institute of Anticancer Research</publisher><subject>Biological and medical sciences ; Breast Neoplasms - blood ; Breast Neoplasms - pathology ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Mammary gland diseases ; Medical sciences ; Neoplasm Metastasis ; Receptor, ErbB-2 - blood ; Retrospective Studies ; Tumors</subject><ispartof>Anticancer research, 2004-11, Vol.24 (6), p.4205-4210</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=16551952$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15739264$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FEHM, T</creatorcontrib><creatorcontrib>JÄGER, W</creatorcontrib><creatorcontrib>KRAEMER, S</creatorcontrib><creatorcontrib>SOHN, C</creatorcontrib><creatorcontrib>SOLOMAYER-MEYBERG, G</creatorcontrib><creatorcontrib>SOLOMAYER, Ef</creatorcontrib><creatorcontrib>KUREK, R</creatorcontrib><creatorcontrib>WALLWIENER, D</creatorcontrib><creatorcontrib>GEBAUER, G</creatorcontrib><title>Changes of Serum HER2 Status during Clinical Course of Metastatic Breast Cancer Patients</title><title>Anticancer research</title><addtitle>Anticancer Res</addtitle><description>Background: Serum HER2 testing allows the determination of the real-time HER2 status of breast cancer patients. The aim of this investigation was to study (i) whether changes of serum HER2 status occur during the clinical course of breast cancer and (ii) to evaluate the prognostic significance of serum HER2 status, at the time of first diagnosis of primary breast cancer and at the onset of metastatic disease, for survival after relapse (SAR). Materials and Methods: HER2 serum levels were retrospectively measured in 152 breast cancer patients at the time of first diagnosis of breast cancer and at the onset of metastatic disease by enzyme immunoassay. Results: Twenty-seven out of 152 (18%) patients had elevated HER2 serum levels at the time of first diagnosis of breast cancer. In contrast, 56 out of 152 (37%) patients showed elevated serum HER2 levels when metastases were diagnosed. A change of serum HER2 status during clinical course was observed in 43 out of 152 (28%) patients. Serum HER2 status at the time of first diagnosis of breast cancer had no impact on survival after relapse (SAR) (p=0.4). However, the median SAR for serum HER2-positive patients at the onset of metastatic disease was significantly shorter (8 months, 95% CI: 3-12) compared to patients serum HER2-negative at this time (18 months, 95% CI: 14-22) (p&lt;0.01). Conclusion: Serum HER2 status can change during the course of disease. Therefore, the serum HER2 status should be re-evaluated at the time of diagnosis of metastatic disease to optimize treatment decisions.</description><subject>Biological and medical sciences</subject><subject>Breast Neoplasms - blood</subject><subject>Breast Neoplasms - pathology</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Mammary gland diseases</subject><subject>Medical sciences</subject><subject>Neoplasm Metastasis</subject><subject>Receptor, ErbB-2 - blood</subject><subject>Retrospective Studies</subject><subject>Tumors</subject><issn>0250-7005</issn><issn>1791-7530</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0F1LwzAUBuAgipvTvyC50btCms_mUst0wkRxCt6FLD1dI203kxbx3xtxsqtzODy8cN4jNM2VzjMlGDlGU0IFyRQhYoLOYvwgREpdsFM0yYVimko-Re9lY_sNRLyt8QrC2OHF_IXi1WCHMeJqDL7f4LL1vXe2xeV2DBF-7SMMNibkHb4NkFZc2t5BwM_pBv0Qz9FJbdsIF_s5Q29389dykS2f7h_Km2XWUKmHTKqCkiJnObWcFY5XVnEHVa0sWMIddVJw0KqQldZ6TbR2Ste6qCoqCxDMsRm6_svdhe3nCHEwnY8O2tb2sB2jkYqK1IlK8HIPx3UHldkF39nwbf67SOBqD2xMz9YhPeTjwUkhci3owTV-03z5ACZ2tm1TLDM2UG6k4ZQI9gNwXnQ5</recordid><startdate>20041101</startdate><enddate>20041101</enddate><creator>FEHM, T</creator><creator>JÄGER, W</creator><creator>KRAEMER, S</creator><creator>SOHN, C</creator><creator>SOLOMAYER-MEYBERG, G</creator><creator>SOLOMAYER, Ef</creator><creator>KUREK, R</creator><creator>WALLWIENER, D</creator><creator>GEBAUER, G</creator><general>International Institute of Anticancer Research</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20041101</creationdate><title>Changes of Serum HER2 Status during Clinical Course of Metastatic Breast Cancer Patients</title><author>FEHM, T ; JÄGER, W ; KRAEMER, S ; SOHN, C ; SOLOMAYER-MEYBERG, G ; SOLOMAYER, Ef ; KUREK, R ; WALLWIENER, D ; GEBAUER, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h269t-6782081312a438c4da74cedf7aea04c2c654e9786d999b099c79f98dd268e53c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Biological and medical sciences</topic><topic>Breast Neoplasms - blood</topic><topic>Breast Neoplasms - pathology</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Mammary gland diseases</topic><topic>Medical sciences</topic><topic>Neoplasm Metastasis</topic><topic>Receptor, ErbB-2 - blood</topic><topic>Retrospective Studies</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FEHM, T</creatorcontrib><creatorcontrib>JÄGER, W</creatorcontrib><creatorcontrib>KRAEMER, S</creatorcontrib><creatorcontrib>SOHN, C</creatorcontrib><creatorcontrib>SOLOMAYER-MEYBERG, G</creatorcontrib><creatorcontrib>SOLOMAYER, Ef</creatorcontrib><creatorcontrib>KUREK, R</creatorcontrib><creatorcontrib>WALLWIENER, D</creatorcontrib><creatorcontrib>GEBAUER, G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Anticancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FEHM, T</au><au>JÄGER, W</au><au>KRAEMER, S</au><au>SOHN, C</au><au>SOLOMAYER-MEYBERG, G</au><au>SOLOMAYER, Ef</au><au>KUREK, R</au><au>WALLWIENER, D</au><au>GEBAUER, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes of Serum HER2 Status during Clinical Course of Metastatic Breast Cancer Patients</atitle><jtitle>Anticancer research</jtitle><addtitle>Anticancer Res</addtitle><date>2004-11-01</date><risdate>2004</risdate><volume>24</volume><issue>6</issue><spage>4205</spage><epage>4210</epage><pages>4205-4210</pages><issn>0250-7005</issn><eissn>1791-7530</eissn><abstract>Background: Serum HER2 testing allows the determination of the real-time HER2 status of breast cancer patients. The aim of this investigation was to study (i) whether changes of serum HER2 status occur during the clinical course of breast cancer and (ii) to evaluate the prognostic significance of serum HER2 status, at the time of first diagnosis of primary breast cancer and at the onset of metastatic disease, for survival after relapse (SAR). Materials and Methods: HER2 serum levels were retrospectively measured in 152 breast cancer patients at the time of first diagnosis of breast cancer and at the onset of metastatic disease by enzyme immunoassay. Results: Twenty-seven out of 152 (18%) patients had elevated HER2 serum levels at the time of first diagnosis of breast cancer. In contrast, 56 out of 152 (37%) patients showed elevated serum HER2 levels when metastases were diagnosed. A change of serum HER2 status during clinical course was observed in 43 out of 152 (28%) patients. Serum HER2 status at the time of first diagnosis of breast cancer had no impact on survival after relapse (SAR) (p=0.4). However, the median SAR for serum HER2-positive patients at the onset of metastatic disease was significantly shorter (8 months, 95% CI: 3-12) compared to patients serum HER2-negative at this time (18 months, 95% CI: 14-22) (p&lt;0.01). Conclusion: Serum HER2 status can change during the course of disease. Therefore, the serum HER2 status should be re-evaluated at the time of diagnosis of metastatic disease to optimize treatment decisions.</abstract><cop>Attiki</cop><pub>International Institute of Anticancer Research</pub><pmid>15739264</pmid><tpages>6</tpages></addata></record>
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Biological and medical sciences
Breast Neoplasms - blood
Breast Neoplasms - pathology
Female
Gynecology. Andrology. Obstetrics
Humans
Mammary gland diseases
Medical sciences
Neoplasm Metastasis
Receptor, ErbB-2 - blood
Retrospective Studies
Tumors
title Changes of Serum HER2 Status during Clinical Course of Metastatic Breast Cancer Patients
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