Breast Cancer Research

official impact factor 5.79

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A divergent role for estrogen receptor-beta in node-positive and node-negative breast cancer classified according to molecular subtypes: an observational prospective study

Flavia Novelli1, Michele Milella2, Elisa Melucci1, Anna Di Benedetto1, Isabella Sperduti1, Raffaele Perrone-Donnorso1, Letizia Perracchio1, Irene Venturo2, Cecilia Nisticò2, Alessandra Fabi2, Simonetta Buglioni1, Pier G Natali3 and Marcella Mottolese1*

Author Affiliations

1 Pathology Department, Regina Elena Cancer Institute, Via Elio Chianesi 53, 00144 Rome, Italy

2 Medical Oncology Department, Regina Elena Cancer Institute, Via Elio Chianesi 53, 00144 Rome, Italy

3 Regina Elena Cancer Institute, Via delle Messi d'oro 156, 00158 Rome, Italy

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Breast Cancer Research 2008, 10:R74 doi:10.1186/bcr2139


See related editorial by Speirs, http://breast-cancer-research.com/content/10/5/111

Published: 4 September 2008

Additional files

Additional file 1:

Classification and Regression Tree (C&RT) analysis is applied to generate the ER-beta cut off percentage. Diagram shows diagnostic algorithm, generated by Answer-Tree 3.1 software, Statistical Package for the Social Sciences. We introduced into the model three variables (nodal status, ER-beta expression, relapses). The model indicated that in node negative patients the highest percentage of relapses occurred when ER-beta was positive in less than 17.5% of neoplastic cells whereas in node positive patients the highest percentage of relapses occurred when ER-beta was positive in more than 12.5% of neoplastic cells. We chose as cut off 20% being the percentage of ER-beta positivity which includes both values. Abbreviations: N-, node negative; N+, node positive; No = absence of recurrences; Yes = presence of recurrences.

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Additional file 2:

Distribution of the 109 recurrences occurred in the 728 breast cancer patients analyzed for DFS. The table summarizes the type and the site of recurrences including local, distant metastases and contralateral cancers.

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