Correlation of levels and patterns of genomic instability with histological grading of invasive breast tumors

Pathological grade is a useful prognostic factor for stratifying breast cancer patients into favorable (well-differentiated tumors) and less favorable (poorly-differentiated tumors) outcome groups. The current system of tumor grading, however, is subjective and a large proportion of tumors are chara...

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Veröffentlicht in:Breast cancer research and treatment 2008, Vol.107 (2), p.259-265
Hauptverfasser: Ellsworth, Rachel E., Hooke, Jeffrey A., Love, Brad, Kane, Jennifer L., Patney, Heather L., Ellsworth, Darrell L., Shriver, Craig D.
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container_end_page 265
container_issue 2
container_start_page 259
container_title Breast cancer research and treatment
container_volume 107
creator Ellsworth, Rachel E.
Hooke, Jeffrey A.
Love, Brad
Kane, Jennifer L.
Patney, Heather L.
Ellsworth, Darrell L.
Shriver, Craig D.
description Pathological grade is a useful prognostic factor for stratifying breast cancer patients into favorable (well-differentiated tumors) and less favorable (poorly-differentiated tumors) outcome groups. The current system of tumor grading, however, is subjective and a large proportion of tumors are characterized as intermediate-grade tumors, making determination of optimal treatments difficult. To determine whether molecular profiles can discriminate breast disease by grade, patterns and levels of allelic imbalance (AI) at 26 chromosomal regions frequently altered in breast disease were examined in 185 laser microdissected specimens representing well-differentiated (grade 1; n  = 55), moderately-differentiated (grade 2; n  = 71), and poorly-differentiated (grade 3; n  = 59) stage I–IV breast tumors. Overall levels of AI were significantly higher in grade 3 compared to grade 1 tumors ( P  
doi_str_mv 10.1007/s10549-007-9547-2
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The current system of tumor grading, however, is subjective and a large proportion of tumors are characterized as intermediate-grade tumors, making determination of optimal treatments difficult. To determine whether molecular profiles can discriminate breast disease by grade, patterns and levels of allelic imbalance (AI) at 26 chromosomal regions frequently altered in breast disease were examined in 185 laser microdissected specimens representing well-differentiated (grade 1; n  = 55), moderately-differentiated (grade 2; n  = 71), and poorly-differentiated (grade 3; n  = 59) stage I–IV breast tumors. Overall levels of AI were significantly higher in grade 3 compared to grade 1 tumors ( P  &lt; 0.05). Grades 1 and 3 showed distinct genetic profiles - grade 1 tumors were associated with large deletions of chromosome 16q22, while alterations at 9p21, 11q23, 13q14, 17p13.1 and 17q12 were characteristics of grade 3 carcinomas. 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subjects Allelic Imbalance
Biological and medical sciences
Breast cancer
Breast Neoplasms - metabolism
Breast Neoplasms - pathology
Cancer research
Carcinoma - genetics
Cell Differentiation
Chromosome Mapping
Female
Genes
Genomic Instability
Gynecology. Andrology. Obstetrics
Histology
Humans
Mammary gland diseases
Medical sciences
Medicine
Medicine & Public Health
Microsatellite Repeats
Neoplasm Invasiveness
Oncology
Physical Chromosome Mapping
Postmenopause
Preclinical Study
Premenopause
Prognosis
Treatment Outcome
Tumors
title Correlation of levels and patterns of genomic instability with histological grading of invasive breast tumors
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