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Do you modify your choice of systemic therapy for localized early stage ER+/PR+ HER2- breast if Mammaprint shows basal subtype?

2 Answers
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Medical Oncology · H Lee Moffitt Cancer Center, University of South Florida
Answered on

It would make me want to recheck the ER/PR IHC through another lab to make sure it is truly positive. There are some ER positive tumors (especially low expressors) that have basal transcriptional profiles suggesting a lack of estrogen pathway signaling. If the ER is truly positive and it is >= 10% o...

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Mednet Member
Mednet MemberInvited Expert
Medical Oncology · British Columbia Cancer Agency
Answered on

I think the first thing to make sure if we are using Mammaprint to guide chemotherapy is:

  • Was it sent in a clinically high risk tumor?
  • Was the Mammaprint high or low risk?

Assuming the Mammaprint was low risk for a clinically high risk tumor, I do not believe we have data to use the basal subtypin...

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