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Predictive Role of Molecular Subtypes in Response to Neoadjuvant Chemotherapy in Breast Cancer Patients

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Last updated: 24 Dec 2024

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Abstract

Background: Breast cancer is increasingly regarded as a heterogeneous disease which can be classified into distinct molecular subtypes with prognostic significance. Objectives: Retrospective evaluation of the response to neoadjuvant chemotherapy for patients with the major molecular subtypes of breast cancer as classified using immunohistochemical assay and to investigate the patterns of benefit from the neoadjuvant chemotherapy in different molecular subtypes Materials and methods: ER, PR, HER2 and ki-67 were used to divide102 breast cancer patients treated with neoadjuvant chemotherapy (NCT) into 4 subtypes: luminal A (ER+,PR+,HER2-, and ki-67 ≤14%), luminal B (ER+, PR+,HER2- and ki-67>14% ; ER+ and/or PR+, HER2+), HER2-overexpression (ER-, PR- and HER2+) and triple-negative (ER-, PR-,and HER2-). Results: Of the 102 patients analyzed, 9 patients (8.8% of all patients) achieved pCR with 2.6% (2/76) for luminal subgroup, 0.0% (0/8) for HER2-overpression subgroup and 38.9% (7/18) for triple-negative subgroup with a high statistical significant value (p=0.000). Conclusions: Molecular subtypes are good predictors for response to NCT in breast cancer patients. Compared to luminal A tumors, HER2-overexpression and triple-negative subtypes are more sensitive to NCT.  

Keywords

Keywords: Breast cancer, molecular subtype, predictive factor, Chemotherapy, pathologic complete remission

Authors

First Name

Soheir Helmy Mahmoud; Amr Shafik Tawfik; Doaa Atef Mohamed;

Last Name

Kamal Ahmed Shata

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Affiliation

Clinical Oncology and Nuclear Medicine Department Faculty of Medicine - Ain Shams University

Email

kamalshata84@gmail.com

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Volume

71

Article Issue

2

Related Issue

1697

Issue Date

2018-04-01

Receive Date

2018-02-19

Publish Date

2018-04-01

Page Start

2,590

Page End

2,592

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_8826.html

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https://ejhm.journals.ekb.eg/service?article_code=8826

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25

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Predictive Role of Molecular Subtypes in Response to Neoadjuvant Chemotherapy in Breast Cancer Patients

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Article

Created At

22 Jan 2023