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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2008-9-25
pubmed:abstractText
Oncotype DX is a commercially available reverse transcriptase-polymerase chain reaction based assay that provides a Recurrence Score (RS) and has been shown to provide prognostic and predictive information in estrogen receptor-positive lymph node-negative breast cancers. Independent studies of its utility in routine practice are lacking. Slides and surgical pathology reports from 42 cases of breast carcinomas evaluated by Oncotype DX were retrospectively reviewed to determine patient age, tumor size, histologic grade, estrogen and progesterone receptor (ER and PR) and ERBB2 (HER-2/neu) data, with ER and PR reported as a semi-quantitative score reflecting both intensity of staining and proportion of positive cells. We show here that Recurrence Score is significantly correlated with tubule formation, nuclear grade, mitotic count, ER immunohistochemical score, PR immunohistochemical score, and HER-2/neu status, and that the equation RS=13.424+5.420 (nuclear grade) +5.538 (mitotic count) -0.045 (ER immunohistochemical score) -0.030 (PR immunohistochemical score) +9.486 (HER-2/neu) predicts the Recurrence Score with an R2 of 0.66, indicating that the full model accounts for 66% of the data variability. Although the Oncotype DX Recurrence Score holds potential, further validation of its independent value beyond that of histopathologic analysis is necessary before it can be implemented in clinical decision making.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1530-0285
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
21
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1255-61
pubmed:meshHeading
pubmed-meshheading:18360352-Adenocarcinoma, pubmed-meshheading:18360352-Adult, pubmed-meshheading:18360352-Aged, pubmed-meshheading:18360352-Aged, 80 and over, pubmed-meshheading:18360352-Breast Neoplasms, pubmed-meshheading:18360352-Cell Nucleus, pubmed-meshheading:18360352-Female, pubmed-meshheading:18360352-Gene Expression, pubmed-meshheading:18360352-Gene Expression Profiling, pubmed-meshheading:18360352-Humans, pubmed-meshheading:18360352-Immunohistochemistry, pubmed-meshheading:18360352-Middle Aged, pubmed-meshheading:18360352-Mitosis, pubmed-meshheading:18360352-Neoplasm Recurrence, Local, pubmed-meshheading:18360352-Predictive Value of Tests, pubmed-meshheading:18360352-Retrospective Studies, pubmed-meshheading:18360352-Reverse Transcriptase Polymerase Chain Reaction, pubmed-meshheading:18360352-Tumor Markers, Biological
pubmed:year
2008
pubmed:articleTitle
Histopathologic variables predict Oncotype DX recurrence score.
pubmed:affiliation
Department of Pathology, Magee-Women's Hospital of University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
pubmed:publicationType
Journal Article, Validation Studies