High expression of progesterone receptor may be an adverse prognostic factor in oestrogen receptor-negative/progesterone receptor-positive breast cancer results of comprehensive re-evaluation of multi-institutional case series /

Oestrogen receptor (ER)-negative (-) progesterone receptor (PgR)-positive (+) is the least common combination of steroid receptor expression observed in breast cancer. There are many controversies regarding the actual existence of ER-/PgR+ phenotype. In the current study, we aimed to perform compreh...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Kunc Michal
Peksa Rafal
Cserni Gábor
Izycka-Swieszewska Ewa
Lacko Aleksandra
Radecka Barbara
Braun Marcin
Pikiel Joanna
Litwiniuk Maria
Pogoda Katarzyna
Szwajkosz Anna
Biernat Wojciech
Senkus Elzbieta
Dokumentumtípus: Cikk
Megjelent: 2022
Sorozat:PATHOLOGY 54 No. 3
Tárgyszavak:
doi:10.1016/j.pathol.2021.10.003

mtmt:33178139
Online Access:http://publicatio.bibl.u-szeged.hu/29625
LEADER 03135nab a2200373 i 4500
001 publ29625
005 20240221080751.0
008 240221s2022 hu o 0|| eng d
022 |a 0031-3025 
024 7 |a 10.1016/j.pathol.2021.10.003  |2 doi 
024 7 |a 33178139  |2 mtmt 
040 |a SZTE Publicatio Repozitórium  |b hun 
041 |a eng 
100 1 |a Kunc Michal 
245 1 0 |a High expression of progesterone receptor may be an adverse prognostic factor in oestrogen receptor-negative/progesterone receptor-positive breast cancer  |h [elektronikus dokumentum] :  |b results of comprehensive re-evaluation of multi-institutional case series /  |c  Kunc Michal 
260 |c 2022 
300 |a 269-278 
490 0 |a PATHOLOGY  |v 54 No. 3 
520 3 |a Oestrogen receptor (ER)-negative (-) progesterone receptor (PgR)-positive (+) is the least common combination of steroid receptor expression observed in breast cancer. There are many controversies regarding the actual existence of ER-/PgR+ phenotype. In the current study, we aimed to perform comprehensive immunohistochemical re-evaluation of ER-/PgR+ breast cancers from multiple institutions. A total of 135 cases of ER-/PgR+ breast cancer were collected from 11 institutions from the period 2006-2020 and subsequently stained with three clinically validated anti-ER antibody clones: SP1 (Roche), 1D5 (Dako), and EP1 (Dako), and two anti-PgR antibody clones: 636 (Dako), and 1E2 (Roche). Clinicopathological characteristics of confirmed and re-categorised cases were analysed. Seventy-six cases retained the original ER-/ PgR+ phenotype, including 21 HER2+ and 55 HER2- tumours. Forty-seven cases were ER+ with at least one anti ER antibody, and 12 cases were re-categorised as double negatives across all anti-ER and anti-PgR antibodies. No significant differences in survival were observed between groups in the HER2+ category. In the HER2- cohort, confirmed ER-/PgR+, ER+ tumours with discrepant ER staining, and triple negatives had inferior overall survival compared to concordant ER+ cases. Progesterone receptor expression in >20% of cells was identified as an adverse prognostic factor in ER-/PgR+/HER2- breast cancer in a multivariable model adjusted by stage (HR 5.0, 95% CI 1.3-19.2, p=0.019). We performed one of the largest validation studies so far on ER-/PgR+ breast cancer and confirmed the existence of this subgroup. Moreover, we identified high PgR expression as an adverse prognostic factor. 
650 4 |a Klinikai orvostan 
700 0 1 |a Peksa Rafal  |e aut 
700 0 1 |a Cserni Gábor  |e aut 
700 0 2 |a Izycka-Swieszewska Ewa  |e aut 
700 0 2 |a Lacko Aleksandra  |e aut 
700 0 2 |a Radecka Barbara  |e aut 
700 0 2 |a Braun Marcin  |e aut 
700 0 2 |a Pikiel Joanna  |e aut 
700 0 2 |a Litwiniuk Maria  |e aut 
700 0 2 |a Pogoda Katarzyna  |e aut 
700 0 2 |a Szwajkosz Anna  |e aut 
700 0 2 |a Biernat Wojciech  |e aut 
700 0 2 |a Senkus Elzbieta  |e aut 
856 4 0 |u http://publicatio.bibl.u-szeged.hu/29625/3/33178139_megjelent.pdf  |z Dokumentum-elérés  
856 4 0 |u http://publicatio.bibl.u-szeged.hu/29625/1/Pathology_clean-SZTERepositorium.pdf  |z Dokumentum-elérés