Progesterone receptor status and clinical outcome in breast cancer patients with estrogen receptor-positive locoregional recurrence

被引:8
作者
Bogina, Giuseppe [1 ]
Lunardi, Gianluigi [1 ]
Coati, Francesca [1 ]
Zamboni, Giuseppe [1 ]
Gori, Stefania [1 ]
Bortesi, Laura [1 ]
Marconi, Marcella [1 ]
Cassandrini, Paola Agnese [1 ]
Turazza, Monica [1 ]
Cortesi, Laura [2 ]
DeMatteis, Elisabetta [2 ]
Ficarra, Guido [2 ]
Ibrahim, Toni [3 ]
Serra, Patrizia [3 ]
Medri, Laura [4 ]
Giraudi, Sara [5 ]
Lambertini, Matteo [5 ]
Carli, Franca [5 ]
Foglietta, Jennifer [6 ]
Sidoni, Angelo [7 ]
Nunzi, Martina [8 ]
Ficorella, Corrado [9 ]
Diadema, Maria Rosaria [10 ]
Del Mastro, Lucia [5 ]
机构
[1] Sacro Cuore Don Calabria Hosp Negrar, Verona, Italy
[2] Univ Modena & Reggio Emilia, Modena, Italy
[3] Ist Sci Romagnolo Cura Tumori Meldola, Forli, Italy
[4] Morgagni Pierantoni Hosp, Forli, Italy
[5] IRCCS AOU San Martino IST, Genoa, Italy
[6] Azienda Osped Perugia, Perugia, Italy
[7] Univ Perugia, I-06100 Perugia, Italy
[8] AO Santa Maria, Terni, Italy
[9] Univ Aquila, San Salvatore Hosp, I-67100 Laquila, Italy
[10] Univ Naples 2, Naples, Italy
来源
TUMORI JOURNAL | 2015年 / 101卷 / 04期
关键词
Breast cancer; Locoregional recurrence; Metastasis; Progesterone receptor; PROGNOSTIC IMPACT; TAMOXIFEN; DISCORDANCE; EXPRESSION;
D O I
10.5301/tj.5000323
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Aims and background: The aim of this retrospective multicenter study was to evaluate the impact of progesterone receptor (PgR) loss on locoregional recurrence in patients with estrogen receptor (ER)-positive primary breast cancer and ER-positive locoregional recurrence. Patients and methods: Eight Italian oncology centers collected data from consecutive patients with ER-positive breast cancer and a subsequent ER-positive locoregional recurrence. Results: Data were available for 265 patients diagnosed with breast cancer between 1990 and 2009. Median metastasis-free survival was 111 months in patients with PgR-positive primary tumors and locoregional recurrence (PgRpos), 38 months in patients with PgR-negative primary tumors and locoregional recurrence (PgRneg), and 63 months in patients with PgR-positive primary tumors and PgR-negative locoregional recurrence (PgRloss). In multivariate analysis, PgR status was independently associated with metastasis-free survival, with a hazard ratio of 2.84 (95% CI 1.34-6.00) for PgRneg compared with PgRpos, and 2.93 (95% CI: 1.51-5.70) for PgRloss compared with PgRpos. Conclusions: PgR absence was found to be a negative prognostic factor in breast cancer patients with ER-positive locoregional recurrence. Thus, PgR status could be a biological marker in ER-positive recurrent breast cancer.
引用
收藏
页码:398 / 403
页数:6
相关论文
共 30 条
[1]   Chemotherapy for isolated locoregional recurrence of breast cancer (CALOR): a randomised trial [J].
Aebi, Stefan ;
Gelber, Shari ;
Anderson, Stewart J. ;
Lang, Istvan ;
Robidoux, Andre ;
Martin, Miguel ;
Nortier, Johan W. R. ;
Paterson, Alexander H. G. ;
Rimawi, Mothaffar F. ;
Canada, Jose Manuel Baena ;
Thuerlimann, Beat ;
Murray, Elizabeth ;
Mamounas, Eleftherios P. ;
Geyer, Charles E., Jr. ;
Price, Karen N. ;
Coates, Alan S. ;
Gelber, Richard D. ;
Rastogi, Priya ;
Wolmark, Norman ;
Wapnir, Irene L. .
LANCET ONCOLOGY, 2014, 15 (02) :156-163
[2]   Routine pathologic parameters can predict Oncotype DXTM recurrence scores in subsets of ER positive patients: who does not always need testing? [J].
Allison, K. H. ;
Kandalaft, P. L. ;
Sitlani, C. M. ;
Dintzis, S. M. ;
Gown, A. M. .
BREAST CANCER RESEARCH AND TREATMENT, 2012, 131 (02) :413-424
[3]   Prospective Study Evaluating the Impact of Tissue Confirmation of Metastatic Disease in Patients With Breast Cancer [J].
Amir, Eitan ;
Miller, Naomi ;
Geddie, William ;
Freedman, Orit ;
Kassam, Farrah ;
Simmons, Christine ;
Oldfield, Maria ;
Dranitsaris, George ;
Tomlinson, George ;
Laupacis, Andreas ;
Tannock, Ian F. ;
Clemons, Mark .
JOURNAL OF CLINICAL ONCOLOGY, 2012, 30 (06) :587-592
[4]   Estrogen receptor-positive, progesterone receptor-negative breast cancer: Association with growth factor receptor expression and tamoxifen resistance [J].
Arpino, G ;
Weiss, H ;
Lee, AV ;
Schiff, R ;
De Placido, S ;
Osborne, CK ;
Elledge, RM .
JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 2005, 97 (17) :1254-1261
[5]  
Auerbach J, 2010, ARCH PATHOL LAB MED, V134, P1697, DOI 10.1043/2009-0439-OAR.1
[6]   Estrogen Receptor and Progesterone Receptor As Predictive Biomarkers of Response to Endocrine Therapy: A Prospectively Powered Pathology Study in the Tamoxifen and Exemestane Adjuvant Multinational Trial [J].
Bartlett, John M. S. ;
Brookes, Cassandra L. ;
Robson, Tammy ;
van de Velde, Cornelis J. H. ;
Billingham, Lucinda J. ;
Campbell, Fiona M. ;
Grant, Margaret ;
Hasenburg, Annette ;
Hille, Elysee T. M. ;
Kay, Charlene ;
Kieback, Dirk G. ;
Putter, Hein ;
Markopoulos, Christos ;
Kranenbarg, Elma Meershoek-Klein ;
Mallon, Elizabeth A. ;
Dirix, Luc ;
Seynaeve, Caroline ;
Rea, Daniel .
JOURNAL OF CLINICAL ONCOLOGY, 2011, 29 (12) :1531-1538
[7]   Comparison of hormonal receptor and HER-2 status between breast primary tumours and relapsing tumours: clinical implications of progesterone receptor loss [J].
Bogina, Giuseppe ;
Bortesi, Laura ;
Marconi, Marcella ;
Venturini, Marco ;
Lunardi, Gianluigi ;
Coati, Francesca ;
Massocco, Alberto ;
Manfrin, Erminia ;
Pegoraro, Cristina ;
Zamboni, Giuseppe .
VIRCHOWS ARCHIV, 2011, 459 (01) :1-10
[8]   Progesterone receptor loss Identifies Luminal B breast cancer subgroups at higher risk of relapse [J].
Cancello, G. ;
Maisonneuve, P. ;
Rotmensz, N. ;
Viale, G. ;
Mastropasqua, M. G. ;
Pruneri, G. ;
Montagna, E. ;
Iorfida, M. ;
Mazza, M. ;
Balduzzi, A. ;
Veronesi, P. ;
Luini, A. ;
Intra, M. ;
Goldhirsch, A. ;
Colleoni, M. .
ANNALS OF ONCOLOGY, 2013, 24 (03) :661-668
[9]   Locally recurrent or metastatic breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up [J].
Cardoso, F. ;
Fallowfield, L. ;
Costa, A. ;
Castiglione, M. ;
Senkus, E. .
ANNALS OF ONCOLOGY, 2011, 22 :vi25-vi30
[10]  
Clark BZ, 2013, APPL IMMUNOHISTO M M, V21, P287, DOI 10.1097/PAI.0b013e31826f80c9