Clinical and biologic features of triple-negative breast cancers in a large cohort of patients with long-term follow-up

Studies on well characterized, large populations of estrogen receptor (ER)/progesterone receptor (PgR)/HER2-negative [triple-negative (TN)] breast cancer (BC) patients with long-term follow-up are lacking. In this study, we analyze clinical outcomes of TN BC and implications of epidermal growth fact...

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Veröffentlicht in:Breast cancer research and treatment 2012-12, Vol.136 (3), p.795-804
Hauptverfasser: Malorni, L., Shetty, P. B., De Angelis, C., Hilsenbeck, S., Rimawi, M. F., Elledge, R., Osborne, C. K., De Placido, S., Arpino, G.
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container_end_page 804
container_issue 3
container_start_page 795
container_title Breast cancer research and treatment
container_volume 136
creator Malorni, L.
Shetty, P. B.
De Angelis, C.
Hilsenbeck, S.
Rimawi, M. F.
Elledge, R.
Osborne, C. K.
De Placido, S.
Arpino, G.
description Studies on well characterized, large populations of estrogen receptor (ER)/progesterone receptor (PgR)/HER2-negative [triple-negative (TN)] breast cancer (BC) patients with long-term follow-up are lacking. In this study, we analyze clinical outcomes of TN BC and implications of epidermal growth factor receptor (EGFR) expression. Clinical and biologic features, time to first recurrence (TTFR), and overall survival (OS) were compared in 253 TN versus 1,036 ER positive, PgR positive, HER2-negative [estrogen-driven (ED)] BC. Compared to ED, TN tumors were larger ( p  = 0.02), more proliferative (high S-phase 54 vs. 17 %, p  
doi_str_mv 10.1007/s10549-012-2315-y
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B.</au><au>De Angelis, C.</au><au>Hilsenbeck, S.</au><au>Rimawi, M. F.</au><au>Elledge, R.</au><au>Osborne, C. K.</au><au>De Placido, S.</au><au>Arpino, G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical and biologic features of triple-negative breast cancers in a large cohort of patients with long-term follow-up</atitle><jtitle>Breast cancer research and treatment</jtitle><stitle>Breast Cancer Res Treat</stitle><addtitle>Breast Cancer Res Treat</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>136</volume><issue>3</issue><spage>795</spage><epage>804</epage><pages>795-804</pages><issn>0167-6806</issn><eissn>1573-7217</eissn><coden>BCTRD6</coden><abstract>Studies on well characterized, large populations of estrogen receptor (ER)/progesterone receptor (PgR)/HER2-negative [triple-negative (TN)] breast cancer (BC) patients with long-term follow-up are lacking. In this study, we analyze clinical outcomes of TN BC and implications of epidermal growth factor receptor (EGFR) expression. Clinical and biologic features, time to first recurrence (TTFR), and overall survival (OS) were compared in 253 TN versus 1,036 ER positive, PgR positive, HER2-negative [estrogen-driven (ED)] BC. Compared to ED, TN tumors were larger ( p  = 0.02), more proliferative (high S-phase 54 vs. 17 %, p  &lt; 0.0001), more aneuploid (64 vs. 43 %, p  &lt; 0.0001) and more likely EGFR positive (≥10 fmol/mg by radioligand-binding assay, 49 vs. 7 %, p  &lt; 0.0001). Among TN, EGFR-positive BC were larger ( p  = 0.0018), more proliferative ( p  &lt; 0.0001), and more aneuploid, ( p  &lt; 0.0001) than EGFR-negative BC. Adjuvant-treated TN patients had shorter TTFR ( p  = 0.0003), and OS ( p  = 0.0017), than ED patients. However, in untreated patients, no differences in TTFR and OS were observed at 8 years median follow-up. Among TN patients, EGFR expression was not associated with worse outcome. TN tumors have a worse outcome in systemically treated patients but not in untreated patients. EGFR expression, does not predict for worse long-term survival.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>23124476</pmid><doi>10.1007/s10549-012-2315-y</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Biological and medical sciences
Breast cancer
Breast Neoplasms - genetics
Breast Neoplasms - metabolism
Breast Neoplasms - mortality
Breast Neoplasms - pathology
Breast Neoplasms - therapy
Cancer patients
Cancer research
Cancer therapies
Carcinoma, Ductal, Breast - genetics
Carcinoma, Ductal, Breast - metabolism
Carcinoma, Ductal, Breast - mortality
Carcinoma, Ductal, Breast - pathology
Chemotherapy, Adjuvant
Clinical outcomes
Clinical Trial
Comparative analysis
ErbB Receptors - metabolism
Estrogen
Female
Follow-Up Studies
Genotype & phenotype
Gynecology. Andrology. Obstetrics
Humans
Long term
Mammary gland diseases
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Multivariate Analysis
Oncology
Ploidies
Prognosis
Receptor, ErbB-2 - metabolism
Receptors, Estrogen - metabolism
Receptors, Progesterone - metabolism
Treatment Outcome
Tumors
title Clinical and biologic features of triple-negative breast cancers in a large cohort of patients with long-term follow-up
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