How much variability can you see in levels of ER/PR expression between the primary tumor and a metastasis to make you reconsider if it's a second primary?
One example is the original breast cancer ER high 90%, PR mod to high 40%, Her2 negative. A liver metastasis diagnosed 2 years later showed ER low to moderate pos 40%, PR negative, and Her2 negative.
Would this impact therapy decisions and/or genetic screening (eg now diagnosed with two primaries as one criteria)?
1 Answer
Mednet MemberInvited Expert
Medical Oncology · Ohio State University
Answered on
Expression of estrogen, progesterone receptors can vary over time and between primary and metastatic sites in approximately 10-15% of cases based on literature. It can also be affected by technical aspects such as cold ischemia time, negative/positive controls used and pathologist interpretation of ...
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