Abstract
Background: The Netherlands Cancer Institute used DNA microarray analyses to identify a 70-gene expression profile strongly predictive of a short interval to distant metastases in breast cancer. For patients with small tumors, the signature is not yet adequately validated. Furthermore, 95% of estrogen-receptor or triple-negative tumors are assigned to poor prognosis by the profile. Methods: A pooled database was constructed containing clinical, pathological and microarray data of 1696 patients. The database will be used to study the performance of the 70-gene profile in patients with small-sized T1 tumors. In addition, patients with triple-negative tumors will be identified and whole genome microarray analysis will be performed of these tumors to develop a new prognostic gene expression profile for this subgroup. Results and conclusions: If the 70-gene profile is accurate for small tumors, patients at risk may be assigned to adjuvant treatment. A new prognostic classifier for triple-negative tumors may help to identify women, in whom adjuvant treatment may safely be omitted.
Original language | English |
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Pages (from-to) | 221-227 |
Number of pages | 7 |
Journal | European Surgery - Acta Chirurgica Austriaca |
Volume | 41 |
Issue number | 5 |
DOIs | |
Publication status | Published - Oct 2009 |
Externally published | Yes |
Keywords
- Breast cancer
- Database
- Gene expression profiling
- Prognostic marker
- Triple-negative
- Tumor size