Correlation of microarray-based breast cancer molecular subtypes and clinical outcomes: implications for treatment optimization
2011

Breast Cancer Subtypes and Treatment Outcomes

Sample size: 327 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kao Kuo-Jang, Chang Kai-Ming, Hsu Hui-Chi, Huang Andrew T

Primary Institution: Koo Foundation SYS Cancer Center

Hypothesis

Can breast cancer molecular subtyping based on global intrinsic biology be used for treatment customization?

Conclusion

The molecular subtypes established in this study can be utilized for customization of breast cancer treatment.

Supporting Evidence

  • Six molecular subtypes of breast cancer were identified with distinctive characteristics.
  • Subtype I was concordant with the chemosensitive basal-like intrinsic type.
  • Adjuvant chemotherapy did not provide survival benefits for early-stage subtype V patients.

Takeaway

This study found that breast cancer can be divided into six different types, and each type may need different treatments to work best.

Methodology

Gene expression profiling was conducted on fresh frozen breast cancer tissue collected from 327 patients, and statistical analysis was performed to correlate molecular subtypes with survival outcomes and chemotherapy regimens.

Limitations

The small sample size for some subtypes limited the ability to draw firm conclusions regarding survival.

Participant Demographics

{"age":{"under_50":197,"over_50":115},"treatment_year":{"before_1997":125,"after_1997":187},"tnm_stage":{"I":67,"II":139,"III":98,"IV":8}}

Statistical Information

P-Value

p = 2 × 10-5

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2407-11-143

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