The beneficial role of Asian-based RecurIndex test in the prognostic prediction in Chinese male breast cancer patients

Abstract RecurIndex, a multigene profiling assay, can predict the risk of local recurrence and distant metastasis in female breast cancer (FBC), but its role in male breast cancer (MBC) remains unclear. In this study, the clinicopathological data of 43 consecutive MBC patients undergoing surgeries b...

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Main Authors: Shuo Zhang, Beichen Liu, Mengli Zhou, Jintian Wang, Jinzhao Liu, Li Wang, Chao Yang, Yueping Liu, Shuyao Niu, Furong Du, Xiaohua Du, Ning Wang, Jiyu Tang, Chao Song, Yunjiang Liu
Format: Article
Language:English
Published: Nature Portfolio 2021-04-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-87267-y
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author Shuo Zhang
Beichen Liu
Mengli Zhou
Jintian Wang
Jinzhao Liu
Li Wang
Chao Yang
Yueping Liu
Shuyao Niu
Furong Du
Xiaohua Du
Ning Wang
Jiyu Tang
Chao Song
Yunjiang Liu
author_facet Shuo Zhang
Beichen Liu
Mengli Zhou
Jintian Wang
Jinzhao Liu
Li Wang
Chao Yang
Yueping Liu
Shuyao Niu
Furong Du
Xiaohua Du
Ning Wang
Jiyu Tang
Chao Song
Yunjiang Liu
author_sort Shuo Zhang
collection DOAJ
description Abstract RecurIndex, a multigene profiling assay, can predict the risk of local recurrence and distant metastasis in female breast cancer (FBC), but its role in male breast cancer (MBC) remains unclear. In this study, the clinicopathological data of 43 consecutive MBC patients undergoing surgeries between 2009 and 2018 were retrospectively analysed. Their paraffin-embedded tissue sections were examined by RecurIndex test which comprised 2 models: recurrence index for local recurrence (RI-LR) and recurrence index for distant recurrence (RI-DR). Of 43 patients, there were 26 low-risk and 17 high-risk patients assessed by RI-LR, while 17 low-risk and 26 high-risk patients by RI-DR. For RI-LR, tumor N stage showed statistically significant (P < 0.001) between low- and high-risk patients; for RI-DR, differences were pronounced in tumor grade (P = 0.033), T stage (P = 0.043) and N stage (P = 0.003). In terms of clinical outcomes, the overall survival (OS) of low- and high-risk patients stratified by RI-LR showed no statistically significant differences (P = 0.460), while high-risk patients identified by RI-DR had a significantly worse distant recurrence-free survival (DRFS) (P = 0.035), progression-free survival (PFS) (P = 0.019) and OS (P = 0.044) than low-risk patients. Overall, RI-DR can effectively predict the DRFS, PFS and OS of MBC patients and identify those at low risk of recurrence, which may serve as a potential prognostic tool for MBC.
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spelling doaj.art-b8f9bf0eb917417294743488db621f332022-12-21T20:36:02ZengNature PortfolioScientific Reports2045-23222021-04-011111810.1038/s41598-021-87267-yThe beneficial role of Asian-based RecurIndex test in the prognostic prediction in Chinese male breast cancer patientsShuo Zhang0Beichen Liu1Mengli Zhou2Jintian Wang3Jinzhao Liu4Li Wang5Chao Yang6Yueping Liu7Shuyao Niu8Furong Du9Xiaohua Du10Ning Wang11Jiyu Tang12Chao Song13Yunjiang Liu14Breast Center, The Fourth Hospital of Hebei Medical UniversityDepartment of Haematology, The Fourth Hospital of Hebei Medical UniversityThe State Key Laboratory of Translational Medicine and Innovative Drug Development, Jiangsu Simcere Diagnostics Co., Ltd.Breast Center, The Fourth Hospital of Hebei Medical UniversityBreast Center, The Fourth Hospital of Hebei Medical UniversityDepartment of Breast Surgery, Xingtai People’s HospitalBreast Center, The Fourth Hospital of Hebei Medical UniversityDepartment of Pathology, The Fourth Hospital of Hebei Medical UniversityDepartment of Pathology, The Fourth Hospital of Hebei Medical UniversityThe State Key Laboratory of Translational Medicine and Innovative Drug Development, Jiangsu Simcere Diagnostics Co., Ltd.The State Key Laboratory of Translational Medicine and Innovative Drug Development, Jiangsu Simcere Diagnostics Co., Ltd.The State Key Laboratory of Translational Medicine and Innovative Drug Development, Jiangsu Simcere Diagnostics Co., Ltd.The State Key Laboratory of Translational Medicine and Innovative Drug Development, Jiangsu Simcere Diagnostics Co., Ltd.The State Key Laboratory of Translational Medicine and Innovative Drug Development, Jiangsu Simcere Diagnostics Co., Ltd.Breast Center, The Fourth Hospital of Hebei Medical UniversityAbstract RecurIndex, a multigene profiling assay, can predict the risk of local recurrence and distant metastasis in female breast cancer (FBC), but its role in male breast cancer (MBC) remains unclear. In this study, the clinicopathological data of 43 consecutive MBC patients undergoing surgeries between 2009 and 2018 were retrospectively analysed. Their paraffin-embedded tissue sections were examined by RecurIndex test which comprised 2 models: recurrence index for local recurrence (RI-LR) and recurrence index for distant recurrence (RI-DR). Of 43 patients, there were 26 low-risk and 17 high-risk patients assessed by RI-LR, while 17 low-risk and 26 high-risk patients by RI-DR. For RI-LR, tumor N stage showed statistically significant (P < 0.001) between low- and high-risk patients; for RI-DR, differences were pronounced in tumor grade (P = 0.033), T stage (P = 0.043) and N stage (P = 0.003). In terms of clinical outcomes, the overall survival (OS) of low- and high-risk patients stratified by RI-LR showed no statistically significant differences (P = 0.460), while high-risk patients identified by RI-DR had a significantly worse distant recurrence-free survival (DRFS) (P = 0.035), progression-free survival (PFS) (P = 0.019) and OS (P = 0.044) than low-risk patients. Overall, RI-DR can effectively predict the DRFS, PFS and OS of MBC patients and identify those at low risk of recurrence, which may serve as a potential prognostic tool for MBC.https://doi.org/10.1038/s41598-021-87267-y
spellingShingle Shuo Zhang
Beichen Liu
Mengli Zhou
Jintian Wang
Jinzhao Liu
Li Wang
Chao Yang
Yueping Liu
Shuyao Niu
Furong Du
Xiaohua Du
Ning Wang
Jiyu Tang
Chao Song
Yunjiang Liu
The beneficial role of Asian-based RecurIndex test in the prognostic prediction in Chinese male breast cancer patients
Scientific Reports
title The beneficial role of Asian-based RecurIndex test in the prognostic prediction in Chinese male breast cancer patients
title_full The beneficial role of Asian-based RecurIndex test in the prognostic prediction in Chinese male breast cancer patients
title_fullStr The beneficial role of Asian-based RecurIndex test in the prognostic prediction in Chinese male breast cancer patients
title_full_unstemmed The beneficial role of Asian-based RecurIndex test in the prognostic prediction in Chinese male breast cancer patients
title_short The beneficial role of Asian-based RecurIndex test in the prognostic prediction in Chinese male breast cancer patients
title_sort beneficial role of asian based recurindex test in the prognostic prediction in chinese male breast cancer patients
url https://doi.org/10.1038/s41598-021-87267-y
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