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Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Sci+Rep 2017 ; 7 (ä): ä Nephropedia Template TP
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Characterisation of male breast cancer: a descriptive biomarker study from a large patient series #MMPMID28350011
Humphries MP; Sundara Rajan S; Honarpisheh H; Cserni G; Dent J; Fulford L; Jordan LB; Jones JL; Kanthan R; Litwiniuk M; Di Benedetto A; Mottolese M; Provenzano E; Shousha S; Stephens M; Kulka J; Ellis IO; Titloye AN; Hanby AM; Shaaban AM; Speirs V
Sci Rep 2017[]; 7 (ä): ä PMID28350011show ga
Male breast cancer (MBC) is rare. We assembled 446 MBCs on tissue microarrays and assessed clinicopathological information, together with data from 15 published studies, totalling 1984 cases. By immunohistochemistry we investigated 14 biomarkers (ER?, ER?1, ER?2, ER?5, PR, AR, Bcl-2, HER2, p53, E-cadherin, Ki67, survivin, prolactin, FOXA1) for survival impact. The main histological subtype in our cohort and combined analyses was ductal (81%, 83%), grade 2; (40%, 44%), respectively. Cases were predominantly ER? (84%, 82%) and PR positive (74%, 71%), respectively, with HER2 expression being infrequent (2%, 10%), respectively. In our cohort, advanced age (>67) was the strongest predictor of overall (OS) and disease free survival (DFS) (p?=?0.00001; p?=?0.01, respectively). Node positivity negatively impacted DFS (p?=?0.04). FOXA1 p?=?0.005) and AR p?=?0.009) were both positively prognostic for DFS, remaining upon multivariate analysis. Network analysis showed ER?, AR and FOXA1 significantly correlated. In summary, the principle phenotype of MBC was luminal A, ductal, grade 2. In ER?+ MBC, only AR had prognostic significance, suggesting AR blockade could be employed therapeutically.