Receptor discordance and phenotype change in metastatic breast cancer.

Abstract:

BACKGROUND:changes may occur in tumor phenotype and receptor status during the progression of breast cancer. Discordance between primary and metastases has implications for further treatment and prognosis. METHODS:185 patients confirmed breast cancer metastasis were retrospectively analyzed during 1999-2019. All the pathological assessments of receptors and phenotypes of both primaries and metastases were recorded. RESULTS:rates of receptor discordance were 18.65%, 30.57%, and 16.06% for ER, PR, and HER2, respectively and 31.62% for phenotype change. Patients with ER discordance experienced a worse OS and PMS, and those with ER loss had worse PMS compared with ER positive concordance. Patients with PR discordance experienced poorer OS and loss of PR positivity also had decreased OS and PMS when comparing with PR positive concordance. There was also significantly poorer PMS of hormon receptor (HR) discordance than HR positive concordance. In phenotype change, the luminal A type concordance group showed better PMS result. CONCLUSIONS:this study demonstrated that discordance in subtype and receptor status between primary and metastatic lesions ultimately affects the survival and has a potential impact on treatment options.

journal_name

Asian J Surg

journal_title

Asian journal of surgery

authors

Kao JY,Tsai JH,Wu TY,Wang CK,Kuo YL

doi

10.1016/j.asjsur.2020.05.032

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

192-198

issue

1

eissn

1015-9584

issn

0219-3108

pii

S1015-9584(20)30181-0

journal_volume

44

pub_type

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