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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2003-3-13
pubmed:abstractText
Unexpected outcomes in breast cancer demand a refinement of prognostic criteria. This study therefore investigated the prognostic relevance of cyclin expression in a cohort of 332 T1-T2 N0 infiltrating ductal carcinomas with long-term follow-up (median 99 months). By univariate analysis, tumour size, histopathological grade, hormone receptor content, cyclin E, cyclin B, and the Ki-S5 (Ki-67) index significantly predicted disease-specific and metastasis-free survival. Cyclin A did not achieve statistical significance. In a multivariate analysis, both cyclin E [relative risk (RR) 2.01, p = 0.021] and cyclin B (RR 1.85, p = 0.033) were selected as independent prognosticators of metastasis-free survival when the Ki-67 index was omitted, but only cyclin E expression was associated with disease-specific survival (RR 2.56, p = 0.006). When Ki-67 was included as a covariate, cyclin E lost its significance with respect to disease-specific survival but remained significant for metastasis-free survival. In an analogous analysis including Ki-67, the number of concurrently overexpressed cyclins did not attain statistical significance regarding disease-specific survival but was selected as the leading predictor of metastatic disease. It is concluded that combined overexpression of cyclins may imply genetic instability enhancing metastatic potential, but that survival ultimately depends on the proliferative activity of tumour cells.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0022-3417
pubmed:author
pubmed:copyrightInfo
Copyright 2003 John Wiley & Sons, Ltd.
pubmed:issnType
Print
pubmed:volume
199
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
424-31
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:12635132-Adult, pubmed-meshheading:12635132-Aged, pubmed-meshheading:12635132-Aged, 80 and over, pubmed-meshheading:12635132-Breast Neoplasms, pubmed-meshheading:12635132-Cell Division, pubmed-meshheading:12635132-Cyclin A, pubmed-meshheading:12635132-Cyclin B, pubmed-meshheading:12635132-Cyclin E, pubmed-meshheading:12635132-Cyclins, pubmed-meshheading:12635132-Disease-Free Survival, pubmed-meshheading:12635132-Female, pubmed-meshheading:12635132-Follow-Up Studies, pubmed-meshheading:12635132-Humans, pubmed-meshheading:12635132-Immunoenzyme Techniques, pubmed-meshheading:12635132-Middle Aged, pubmed-meshheading:12635132-Multivariate Analysis, pubmed-meshheading:12635132-Neoplasm Proteins, pubmed-meshheading:12635132-Prognosis, pubmed-meshheading:12635132-Survival Analysis, pubmed-meshheading:12635132-Survival Rate, pubmed-meshheading:12635132-Tumor Markers, Biological
pubmed:year
2003
pubmed:articleTitle
Expression of cyclins E, A, and B, and prognosis in lymph node-negative breast cancer.
pubmed:affiliation
Department of Pathology, University of Kiel, Germany.
pubmed:publicationType
Journal Article