Evaluating TIMP-1, Ki67, and HER2 as markers for non-sentinel node metastases in breast cancer patients with micrometastases to the sentinel node
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Evaluating TIMP-1, Ki67, and HER2 as markers for non-sentinel node metastases in breast cancer patients with micrometastases to the sentinel node. / Tvedskov, Tove Filtenborg; Bartels, Annette; Jensen, Maj-Britt; Paaschburg, Birgitte; Kroman, Niels; Balslev, Eva; Brünner, Nils.
In: APMIS Supplementum, Vol. 119, No. 12, 2011, p. 844-852.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Evaluating TIMP-1, Ki67, and HER2 as markers for non-sentinel node metastases in breast cancer patients with micrometastases to the sentinel node
AU - Tvedskov, Tove Filtenborg
AU - Bartels, Annette
AU - Jensen, Maj-Britt
AU - Paaschburg, Birgitte
AU - Kroman, Niels
AU - Balslev, Eva
AU - Brünner, Nils
N1 - © 2011 The Authors. APMIS © 2011 APMIS.
PY - 2011
Y1 - 2011
N2 - The aim was to investigate whether the biochemical prognostic markers TIMP-1, Ki67, and HER2 could predict metastatic spread to non-sentinel nodes (NSN) in breast cancer patients with micrometastases to sentinel node (SN). We included all breast cancer patients with micrometastases to SN operated between 2001 and 2007 at the Department of Breast Surgery, Herlev Hospital. The study was designed as a matched case-control study with 25 cases with micrometastases to SN and, in addition, metastatic spread to NSN and 50 matched controls with micrometastases to SN, but without NSN metastases. Patient and tumor characteristics were retrieved from the Danish Breast Cancer Cooperative Group database. Immunohistochemical analyses of TIMP-1 and Ki67 and measurements of HER2 on formalin-fixed paraffin-embedded tumor tissue were performed. No significant differences in the immunoreactivity of TIMP-1 and Ki67 were found between patients with and without NSN metastases. Six of seven HER2 positive patients did not have NSN metastases, but the results did not reach statistical significance. Despite being prognostic markers in breast cancer, TIMP-1 and Ki67 could not predict NSN metastases in women with micrometastatic disease to SN. Larger studies are needed to further validate HER2 as a marker for NSN metastases in these patients.
AB - The aim was to investigate whether the biochemical prognostic markers TIMP-1, Ki67, and HER2 could predict metastatic spread to non-sentinel nodes (NSN) in breast cancer patients with micrometastases to sentinel node (SN). We included all breast cancer patients with micrometastases to SN operated between 2001 and 2007 at the Department of Breast Surgery, Herlev Hospital. The study was designed as a matched case-control study with 25 cases with micrometastases to SN and, in addition, metastatic spread to NSN and 50 matched controls with micrometastases to SN, but without NSN metastases. Patient and tumor characteristics were retrieved from the Danish Breast Cancer Cooperative Group database. Immunohistochemical analyses of TIMP-1 and Ki67 and measurements of HER2 on formalin-fixed paraffin-embedded tumor tissue were performed. No significant differences in the immunoreactivity of TIMP-1 and Ki67 were found between patients with and without NSN metastases. Six of seven HER2 positive patients did not have NSN metastases, but the results did not reach statistical significance. Despite being prognostic markers in breast cancer, TIMP-1 and Ki67 could not predict NSN metastases in women with micrometastatic disease to SN. Larger studies are needed to further validate HER2 as a marker for NSN metastases in these patients.
KW - Adult
KW - Aged
KW - Breast Neoplasms
KW - Female
KW - Humans
KW - Immunohistochemistry
KW - Ki-67 Antigen
KW - Lymphatic Metastasis
KW - Middle Aged
KW - Neoplasm Micrometastasis
KW - Receptor, erbB-2
KW - Sentinel Lymph Node Biopsy
KW - Tissue Inhibitor of Metalloproteinase-1
KW - Tumor Markers, Biological
KW - Micrometastases
KW - sentinel node
KW - TIMP-1
KW - Ki67
KW - HER2
U2 - 10.1111/j.1600-0463.2011.02768.x
DO - 10.1111/j.1600-0463.2011.02768.x
M3 - Journal article
C2 - 22085360
VL - 119
SP - 844
EP - 852
JO - APMIS. Supplementum
JF - APMIS. Supplementum
SN - 0903-465X
IS - 12
ER -
ID: 37444738