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Concordance Between ER, PR, HER2 neu Receptors Before and After Neoadjuvant Chemotherapy in Locally Advanced Breast Cancer

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Figure (A)

Kaplan Meier curve shows comparison of Disease Free Survival (DFS) in HR conversion group.
Kaplan Meier curve shows comparison of Disease Free Survival (DFS) in HR conversion group.

Figure (B)

Kaplan Meier curve shows comparison of Disease Free Survival (DFS) in HER2 conversion group.
Kaplan Meier curve shows comparison of Disease Free Survival (DFS) in HER2 conversion group.

Figure (C)

Kaplan Meier curve shows comparison of Disease Free Survival (DFS) in Tumor Phenotype Conversion group.
Kaplan Meier curve shows comparison of Disease Free Survival (DFS) in Tumor Phenotype Conversion group.

Figure (2A)

Kaplan Meier curve shows comparison of Overall Survival (OS) in HR conversion group.
Kaplan Meier curve shows comparison of Overall Survival (OS) in HR conversion group.

Figure (2B)

Kaplan Meier curve shows comparison of Overall Survival (OS) in HER2 conversion group.
Kaplan Meier curve shows comparison of Overall Survival (OS) in HER2 conversion group.

Figure (2C)

Kaplan Meier curve shows comparison of Overall Survival (OS) in Tumor Phenotype Conversion group.
Kaplan Meier curve shows comparison of Overall Survival (OS) in Tumor Phenotype Conversion group.

Univariate Cox regression analysis for Disease Free Survival and Overall Survival.

Group Total N (%) DFS OS

HazR (95% CI) p-value HazR (95% CI) p-value
HR conversion <0.001 0.127
Negative to negative 39 (35.5%) 0.818 (0.477 – 1.405) 0.467 114437.447 0.933
Positive to negative 15 (13.6%) 12.606 (5.762 – 27.581) <0.001 578737.963 0.924
Negative to positive 12 (10.9%) 0.159 (0.038 – 0.667) 0.012 67638.402 0.936
Positive to positive 44 (40%) 1.000 1.000
HER2 conversion <0.001 0.557
Negative to negative 72 (65.5%) 1.023 (0.551 – 1.901) 0.943 0.381 (0.102 – 1.420) 0.151
Positive to negative 8 (7.3%) 1.295 (0.461 – 3.638) 0.624 0.000 0.987
Negative to positive 9 (8.2%) 6.104 (2.461 – 15.136) <0.001 0.650 (0.072 – 5.864) 0.701
Positive to positive 21 (19.1%) 1.000 1.000
Tumor Phenotype Conversion <0.001 0.276
Concordant nTN 53 (48.2%) 1.000 1.000
Concordant TN 12 (10.9%) 1.298 (0.568 – 2.966) 0.536 3.557 (0.593 – 21.328) 0.165
Discordant nTN 28 (25.5%) 4.548 (2.617 – 7.904) <0.001 3.771 (0.823 – 17.280) 0.087
Discordant TN 17 (15.5%) 1.376 (0.670 – 2.826) 0.385 1.100 (0.114 – 10.577) 0.935

Comparison of Overall Survival (OS) in the different conversion groups.

Group Total N N of events Censored N (%) Overall Survival (OS) p-value

Median 1-year 2-year 3-year
HR conversion
Negative to negative 39 5 34 (87.2%) NR 97.4% 89.4% 85.7% <0.001
Positive to negative 15 4 11 (73.3%) ---- 69.1% ---- ----
Negative to positive 12 1 11 (91.7%) NR 91.7% 91.7% 91.7%
Positive to positive 44 0 44 (100%) NR 100% 100% 100%
HER2 conversion
Negative to negative 72 5 67 (93.1%) NR 94.3% 92.7% 92.7% 0.365
Positive to negative 8 0 8 (100%) NR 100% 100% 100%
Negative to positive 9 1 8 (88.9%) ---- 88.9% 88.9% ----
Positive to positive 21 4 17 (81%) NR 90.5% 85.4% 79.3%
Tumor Phenotype Conversion
Concordant nTN 53 3 50 (94.3%) NR 98.1% 96.2% 93.9% 0.219
Concordant TN 12 2 10 (83.3%) NR 90.9% 81.8% 81.8%
Discordant nTN 28 4 24 (85.7%) ---- 84.8% 84.8% ----
Discordant TN 17 1 16 (94.1%) NR 94.1% 94.1% 94.1%

Patients and tumor characteristics.

Characteristics All patients (N=110)

No. %
Age (years)
Mean±SD 50.84 ±10.83
Median (Range) 51 (27 – 73)
<35 years 10 9.1%
≥35 years 100 90.9%
Side
Right breast 47 42.7%
Left breast 63 75.3%
Menopause
Premenopausal 50 45.5%
Postmenopausal 60 54.5%
Initial Grade
Grade II 37 33.6%
Grade III 73 66.4%
Pathological type
IDC 93 84.5%
ILC 11 10%
Other 6 5.5%
Initial T
T1 8 7.3%
T2 32 29.1%
T3 46 41.8%
T4 24 21.8%
Initial N
N1 30 27.3%
N2 50 45.5%
N3 30 27.3%
Initial Stage
Stage IIIA 60 54.5%
Stage IIIB 22 20%
Stage IIIC 28 25.5%
Initial LVI
Negative 46 41.8%
Positive 57 51.8%
Unknown 7 6.4%
Initial ER status
Negative 45 40.9%
Positive 65 59.1%
Initial PR status
Negative 52 47.3%
Positive 58 52.7%
Initial HER2 status
+1 64 58.2%
+2 23 20.9%
+3 23 20.9%
Initial HER2 FISH
Negative 17 15.4%
Positive 6 5.5%
Pre-NCT Tumor Phenotype
HER2−ve & HR+ve 67 60.9%
HER2+ve & HR+ve 6 5.5%
HER2+ve & HR−ve 13 11.8%
HER2−ve & HR−ve 24 21.8%
Neoadjuvant chemotherapy
CMF 8 7.3%
FAC 44 40%
FEC 22 20%
AC-T 27 24.5%
AC-D 9 8.2%
Surgery
BCS 15 13.6%
MRM 95 86.4%
ER status at surgery
Negative 52 47.3%
Positive 58 52.7%
PR status at surgery
Negative 52 47.3%
Positive 58 52.7%
HER2 status at surgery
Negative 8 7.3%
+1 57 51.8%
+2 20 18.2%
+3 25 22.7%
HER2 FISH at surgery
Negative 16 14.6%
Positive 4 3.6%
HR conversion
Negative to negative 39 35.5%
Positive to positive 44 40%
Negative to positive 15 13.6%
Positive to negative 12 10.9%
HER2 conversion
Negative to negative 72 65.5%
Positive to positive 21 19.1%
Positive to negative 8 7.3%
Negative to positive 9 8.2%
Tumor Phenotype Conversion
Concordant nTN 53 48.2%
Concordant TN 12 10.9%
Discordant nTN 28 25.5%
Discordant TN 17 15.5%
Adjuvant Herceptin
No 7 6.4%
Yes 31 28.1%
Adjuvant Hormonal
No 39 35.5%
Yes 71 64.5%
Radiotherapy
No 29 26.4%
Yes 81 73.6%
Recurrence
No recurrence 39 35.5%
Recurrence 71 64.5%
Mortality
Alive 100 90.9%
Died 10 9.1%
Follow-up duration (months)
Mean±SD 24.11 ±8.75
Median (Range) 27 (7 – 36)

Comparison of disease Free Survival (DFS) in the different conversion groups.

Group Total N N of events Censored N (%) Disease Free Survival (DFS) p-value

Median 1-year 2-year 3-year
HR conversion
Negative to negative 39 23 16 (41%) 25 months 71.8% 45% 39.4% <0.001
Positive to negative 15 15 0 (0%) 7 months 0% ---- ----
Negative to positive 12 2 10 (83.3%) NR 91.7% 83.3% 83.3%
Positive to positive 44 31 13 (29.5%) 22 months 79.5% 44.6% 26%
HER2 conversion
Negative to negative 72 44 28 (38.9%) 25 months 73.6% 69.4% 36.9% <0.001
Positive to negative 8 5 3 (37.5%) 12 months 50% 37.5% 37.5%
Negative to positive 9 9 0 (0%) 9 months 0% ---- ----
Positive to positive 21 13 8 (38.1%) 25 months 81% 51.6% ----
Tumor Phenotype Conversion
Concordant nTN 53 29 24 (45.3%) 27 months 84.9% 65.2% ---- <0.001
Concordant TN 12 7 5 (41.7%) 20 months 66.7% 50% 41.7%
Discordant nTN 28 25 3 (10.7%) 9 months 21.4% 14.3% ----
Discordant TN 17 10 7 (41.2%) 22 months 58.8% 47.1% 41.2%
eISSN:
1792-362X
Langue:
Anglais
Périodicité:
4 fois par an
Sujets de la revue:
Medicine, Clinical Medicine, Internal Medicine, Haematology, Oncology