Low Prevalence of HER2-Positive Breast Carcinomas among Screening Detected Breast Cancers

Conflicting results have been reported regarding the prevalence of screen-detected human epidermal growth factor receptor 2 (HER2)-positive breast carcinomas and non-screen detected HER2-positive breast carcinomas. To address this issue, we evaluated the prevalence of HER2-positive breast carcinomas...

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Main Authors: M. Ángeles López-García, Irene Carretero-Barrio, Belén Pérez-Míes, Miguel Chiva, Carolina Castilla, Begoña Vieites, José Palacios
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/6/1578
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author M. Ángeles López-García
Irene Carretero-Barrio
Belén Pérez-Míes
Miguel Chiva
Carolina Castilla
Begoña Vieites
José Palacios
author_facet M. Ángeles López-García
Irene Carretero-Barrio
Belén Pérez-Míes
Miguel Chiva
Carolina Castilla
Begoña Vieites
José Palacios
author_sort M. Ángeles López-García
collection DOAJ
description Conflicting results have been reported regarding the prevalence of screen-detected human epidermal growth factor receptor 2 (HER2)-positive breast carcinomas and non-screen detected HER2-positive breast carcinomas. To address this issue, we evaluated the prevalence of HER2-positive breast carcinomas in two independent regional screening programs in Spain. The clinicopathologic and immunohistochemical characteristics of 479 (306 and 173) screen-detected breast carcinomas and 819 (479 and 340) non-screen-detected breast carcinomas diagnosed in women between 50 and 69-year-olds were compared. The prevalence of HER2-positive breast carcinomas was 8.8% and 6.4% in the two series of screen-detected tumors, compared with 16.4% and 13% in non-screen-detected carcinomas. These differences were statistically significant. This lower prevalence of HER2-positive in-screen-detected breast carcinomas was observed in both hormone receptor positive (luminal HER2) and hormone-receptor-negative (HER2 enriched) tumors. In addition, a lower prevalence of triple-negative and a higher prevalence of luminal-A breast carcinomas was observed in screen-detected tumors. Moreover, a literature review pointed out important differences in subrogate molecular types in screen-detected breast carcinomas among reported series, mainly due to study design, technical issues and racial differences.
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spelling doaj.art-9bc9e313469b4d67a7969fcbfd3698aa2023-11-20T03:55:04ZengMDPI AGCancers2072-66942020-06-01126157810.3390/cancers12061578Low Prevalence of HER2-Positive Breast Carcinomas among Screening Detected Breast CancersM. Ángeles López-García0Irene Carretero-Barrio1Belén Pérez-Míes2Miguel Chiva3Carolina Castilla4Begoña Vieites5José Palacios6Unidad de Anatomía Patológica, Hospital Universitario Virgen del Rocío, 41013 Sevilla, SpainPathology Department, Hospital Universitario Ramón y Cajal, 28034 Madrid, SpainCentro de Investigación Biomédica en Red de Cáncer (CIBERONC), Instituto de Salud Carlos III, 28029 Madrid, SpainBreast Pathology Unit, Hospital Universitario Ramón y Cajal, 28034 Madrid, SpainNodo Biobanco Hospital Universitario Virgen del Rocío—Instituto de Biomedicina de Sevilla, Biobanco del SSPA, Unidad de Anatomía Patológica, Hospital Universitario Virgen del Rocío, 41013 Sevilla, SpainUnidad de Anatomía Patológica, Hospital Universitario Virgen del Rocío, 41013 Sevilla, SpainCentro de Investigación Biomédica en Red de Cáncer (CIBERONC), Instituto de Salud Carlos III, 28029 Madrid, SpainConflicting results have been reported regarding the prevalence of screen-detected human epidermal growth factor receptor 2 (HER2)-positive breast carcinomas and non-screen detected HER2-positive breast carcinomas. To address this issue, we evaluated the prevalence of HER2-positive breast carcinomas in two independent regional screening programs in Spain. The clinicopathologic and immunohistochemical characteristics of 479 (306 and 173) screen-detected breast carcinomas and 819 (479 and 340) non-screen-detected breast carcinomas diagnosed in women between 50 and 69-year-olds were compared. The prevalence of HER2-positive breast carcinomas was 8.8% and 6.4% in the two series of screen-detected tumors, compared with 16.4% and 13% in non-screen-detected carcinomas. These differences were statistically significant. This lower prevalence of HER2-positive in-screen-detected breast carcinomas was observed in both hormone receptor positive (luminal HER2) and hormone-receptor-negative (HER2 enriched) tumors. In addition, a lower prevalence of triple-negative and a higher prevalence of luminal-A breast carcinomas was observed in screen-detected tumors. Moreover, a literature review pointed out important differences in subrogate molecular types in screen-detected breast carcinomas among reported series, mainly due to study design, technical issues and racial differences.https://www.mdpi.com/2072-6694/12/6/1578breast cancerscreeningHER2estrogen receptorprogesterone receptortriple negative
spellingShingle M. Ángeles López-García
Irene Carretero-Barrio
Belén Pérez-Míes
Miguel Chiva
Carolina Castilla
Begoña Vieites
José Palacios
Low Prevalence of HER2-Positive Breast Carcinomas among Screening Detected Breast Cancers
Cancers
breast cancer
screening
HER2
estrogen receptor
progesterone receptor
triple negative
title Low Prevalence of HER2-Positive Breast Carcinomas among Screening Detected Breast Cancers
title_full Low Prevalence of HER2-Positive Breast Carcinomas among Screening Detected Breast Cancers
title_fullStr Low Prevalence of HER2-Positive Breast Carcinomas among Screening Detected Breast Cancers
title_full_unstemmed Low Prevalence of HER2-Positive Breast Carcinomas among Screening Detected Breast Cancers
title_short Low Prevalence of HER2-Positive Breast Carcinomas among Screening Detected Breast Cancers
title_sort low prevalence of her2 positive breast carcinomas among screening detected breast cancers
topic breast cancer
screening
HER2
estrogen receptor
progesterone receptor
triple negative
url https://www.mdpi.com/2072-6694/12/6/1578
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