Adjuvant Therapy in Stage I Carcinoma of the Breast: The Influence of Multigene Analyses and Molecular Phenotyping

Gordon F. Schwartz*, Harry Bartelink, Harold J. Burstein, Blake Cady, Luigi Cataliotti, Ian Fentiman, Roland Holland, Kevin S. Hughes, Shahla Masood, Beryl McCormick, Juan A. Palazzo, Peter I. Pressman, Jorge Reis-Filho, Lajos Pusztai, Emiel J. T. Rutgers, Andrew D. Seidman, Lawrence J. Solin, Joseph A. Sparano

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    8 Citations (Scopus)

    Abstract

    A consensus conference was held in order to provide guidelines for the use of adjuvant therapy in patients with Stage I carcinoma of the breast, using traditional information, such as tumor size, microscopic character, Nottingham index, patient age and co-morbidities, but also incorporating steroid hormone and Her-2-neu data as well as other immunohistochemical markers. The role of the genetic analysis of breast cancer and proprietary gene prognostic signatures was discussed, along with the molecular profiling of breast cancers into several groups that may predict prognosis. These molecular data are not currently sufficiently mature to make them part of decision making algorithms of recommendations for the treatment of individual patients.

    Original languageEnglish
    Pages (from-to)303-311
    Number of pages9
    JournalThe Breast Journal
    Volume18
    Issue number4
    DOIs
    Publication statusPublished - Jul 2012

    Keywords

    • adjuvant therapy
    • breast carcinoma
    • estrogen receptors
    • gene analysis
    • Her-2-neu
    • progesterone receptors
    • Ki-67
    • CANCER
    • EXPRESSION
    • RECURRENCE
    • RISK
    • CHEMOTHERAPY
    • PREDICTION
    • PROGNOSIS
    • TAMOXIFEN
    • SUBTYPES
    • MARKERS

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