Pooled analysis of the prognostic relevance of progesterone receptor status in five German cohort studies
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  • 作者:Jessica Salmen (1)
    Julia Neugebauer (2)
    Peter A. Fasching (12) (13) (3)
    Lothar Haeberle (3)
    Jens Huober (1)
    Achim W枚ckel (14)
    Claudia Rauh (3)
    Florian Schuetz (4)
    Tobias Weissenbacher (2)
    Bernd Kost (2)
    Elmar Stickeler (5)
    Maximilian Klar (5)
    Marzenna Orlowska-Volk (6)
    Marisa Windfuhr-Blum (7)
    Joerg Heil (4)
    Joachim Rom (4)
    Christof Sohn (4)
    Tanja Fehm (11) (8)
    Svjetlana Mohrmann (8)
    Christian R. Loehberg (3)
    Alexander Hein (3)
    Ruediger Schulz-Wendtland (10)
    Andreas D. Hartkopf (11)
    Sara Y. Brucker (11)
    Diethelm Wallwiener (11)
    Klaus Friese (2)
    Arndt Hartmann (9)
    Matthias W. Beckmann (3)
    Wolfgang Janni (1)
    Brigitte Rack (2)
  • 关键词:Progesterone receptor ; Breast cancer ; Prognosis ; Interaction
  • 刊名:Breast Cancer Research and Treatment
  • 出版年:2014
  • 出版时间:November 2014
  • 年:2014
  • 卷:148
  • 期:1
  • 页码:143-151
  • 全文大小:492 KB
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  • 作者单位:Jessica Salmen (1)
    Julia Neugebauer (2)
    Peter A. Fasching (12) (13) (3)
    Lothar Haeberle (3)
    Jens Huober (1)
    Achim W枚ckel (14)
    Claudia Rauh (3)
    Florian Schuetz (4)
    Tobias Weissenbacher (2)
    Bernd Kost (2)
    Elmar Stickeler (5)
    Maximilian Klar (5)
    Marzenna Orlowska-Volk (6)
    Marisa Windfuhr-Blum (7)
    Joerg Heil (4)
    Joachim Rom (4)
    Christof Sohn (4)
    Tanja Fehm (11) (8)
    Svjetlana Mohrmann (8)
    Christian R. Loehberg (3)
    Alexander Hein (3)
    Ruediger Schulz-Wendtland (10)
    Andreas D. Hartkopf (11)
    Sara Y. Brucker (11)
    Diethelm Wallwiener (11)
    Klaus Friese (2)
    Arndt Hartmann (9)
    Matthias W. Beckmann (3)
    Wolfgang Janni (1)
    Brigitte Rack (2)

    1. Department of Gynecology and Obstetrics, Ulm University Hospital, Ulm, Germany
    2. Department of Gynecology and Obstetrics, Campus Innenstadt University Hospital, Ludwig Maximilian University, Munich, Germany
    12. Department of Medicine, Division of Hematology and Oncology, David Geffen School of Medicine, University of California, Los Angeles, USA
    13. Department of Gynecology and Obstetrics, Comprehensive Cancer Center EMN, Erlangen University Hospital, Friedrich-Alexander University, Erlangen鈥揘uremberg, Erlangen, Germany
    3. University Breast Center, Department of Gynecology and Obstetrics, Erlangen University Hospital, Erlangen, Germany
    14. Department of Gynecology and Obstetrics, W眉rzburg University Hospital, W眉rzburg, Germany
    4. Department of Gynecology and Obstetrics, Breast Unit, Heidelberg University Hospital, Heidelberg, Germany
    5. Department of Obstetrics and Gynecology, Freiburg University Medical Center, Freiburg, Germany
    6. Institute of Pathology, Freiburg University Medical Center, Freiburg, Germany
    7. Department of Radiology, Freiburg University Medical Center, Freiburg, Germany
    11. Department of Gynecology and Obstetrics, University Hospital T眉bingen, T眉bingen, Germany
    8. Department of Gynecology and Obstetrics, Duesseldorf University Hospital, Duesseldorf, Germany
    10. Institute of Diagnostic Radiology, University Breast Center, Erlangen University Hospital, Erlangen, Germany
    9. Institute of Pathology, University Breast Center, Erlangen University Hospital, Erlangen, Germany
  • ISSN:1573-7217
文摘
The progesterone receptor (PR) has been increasingly well described as an important mediator of the pathogenesis and progression of breast cancer. The aim of this study was to assess the role of PR status as a prognostic factor in addition to other well-established prognostic factors. Data from five independent German breast cancer centers were pooled. A total of 7,965 breast cancer patients were included for whom information about their PR status was known, as well as other patient and tumor characteristics commonly used as prognostic factors. Cox proportional hazards models were built to compare the predictive value of PR status in addition to age at diagnosis, tumor size, nodal status, grading, and estrogen receptor (ER) status. PR status significantly increased the accuracy of prognostic predictions with regard to overall survival, distant disease-free survival, and local recurrence-free survival. There were differences with regard to its prognostic value relative to subgroups such as nodal status, ER status, and grading. The prognostic value of PR status was greatest in patients with a positive nodal status, negative ER status, and low grading. The PR-status adds prognostic value in addition to ER status and should not be omitted from clinical routine testing. The significantly greater prognostic value in node-positive and high-grade tumors suggests a greater role in the progression of advanced and aggressive tumors.

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