Phenotypic evaluation of the basal-like subtype of invasive breast carcinoma
- PMID: 16341146
- DOI: 10.1038/modpathol.3800528
Phenotypic evaluation of the basal-like subtype of invasive breast carcinoma
Abstract
Microarray profiling of invasive breast carcinomas has identified five distinct subtypes of tumors (luminal A, luminal B, normal breast-like, HER2 overexpressing, and basal-like) that are associated with different clinical outcomes. The basal-like subtype is associated with poor clinical outcomes and is the subtype observed in BRCA1-related breast cancers. The aim of this study was to characterize the histologic and immunophenotypic properties of breast basal-like carcinomas that were first positively identified using DNA microarray analysis. Detailed histologic review was performed on 56 tumors with known microarray profiles (23 basal-like, 23 luminal, and 12 HER2+). Immunohistochemistry for estrogen receptor (ER), HER2, EGFR, smooth muscle actin (SMA), p63, CD10, cytokeratin 5/6, cytokeratin 8/18, and vimentin was performed on 18 basal-like, 16 luminal, and 12 HER2+ tumors. The basal-like tumors were grade 3 ductal/NOS (21/23) or metaplastic (2/23) carcinomas that frequently showed geographic necrosis (17/23), a pushing border of invasion (14/23), and a stromal lymphocytic response (13/23). Most basal-like tumors showed immunoreactivity for vimentin (17/18), luminal cytokeratin 8/18 (15/18), EGFR (13/18), and cytokeratin 5/6 (11/18), while positivity for the myoepithelial markers SMA (4/18), p63 (4/18) and CD10 (2/18) was infrequent. All basal-like tumors tested were ER- and HER2-. Morphologic features significantly associated with the basal-like subtype included markedly elevated mitotic count (P<0.0001), geographic tumor necrosis (P=0.0003), pushing margin of invasion (P=0.0001), and stromal lymphocytic response (P=0.01). The most consistent immunophenotype seen in the basal-like tumors was negativity for ER and HER2, and positivity for vimentin, EGFR, cytokeratin 8/18, and cytokeratin 5/6. The infrequent expression of myoepithelial markers in basal-like carcinomas does not support a direct myoepithelial cell derivation of these tumors. These findings should further assist in the identification of basal-like carcinomas in clinical specimens, facilitating treatment and epidemiologic studies of this tumor subtype.
Similar articles
-
Basal phenotype of ductal carcinoma in situ: recognition and immunohistologic profile.Mod Pathol. 2006 Nov;19(11):1506-11. doi: 10.1038/modpathol.3800678. Epub 2006 Aug 25. Mod Pathol. 2006. PMID: 16941011
-
Identification of a basal-like subtype of breast ductal carcinoma in situ.Hum Pathol. 2007 Feb;38(2):197-204. doi: 10.1016/j.humpath.2006.08.017. Hum Pathol. 2007. PMID: 17234468
-
[Morphological features of basal-like subtype invasive carcinoma of breast].Zhonghua Bing Li Xue Za Zhi. 2008 Feb;37(2):83-7. Zhonghua Bing Li Xue Za Zhi. 2008. PMID: 18681317 Chinese.
-
[Basal-like breast cancer: a review].Ann Pathol. 2009 Jun;29(3):180-6. doi: 10.1016/j.annpat.2009.04.001. Epub 2009 Jun 12. Ann Pathol. 2009. PMID: 19619822 Review. French.
-
Molecular subclasses of breast cancer: how do we define them? The IMPAKT 2012 Working Group Statement.Ann Oncol. 2012 Dec;23(12):2997-3006. doi: 10.1093/annonc/mds586. Ann Oncol. 2012. PMID: 23166150 Review.
Cited by
-
Hypoxia-Inducible Expression of Annexin A6 Enhances the Resistance of Triple-Negative Breast Cancer Cells to EGFR and AR Antagonists.Cells. 2022 Sep 27;11(19):3007. doi: 10.3390/cells11193007. Cells. 2022. PMID: 36230969 Free PMC article.
-
Invasive breast carcinomas in Ghana: high frequency of high grade, basal-like histology and high EZH2 expression.Breast Cancer Res Treat. 2012 Aug;135(1):59-66. doi: 10.1007/s10549-012-2055-z. Epub 2012 Apr 13. Breast Cancer Res Treat. 2012. PMID: 22527102 Free PMC article.
-
Accumulation of p62 is associated with poor prognosis in patients with triple-negative breast cancer.Onco Targets Ther. 2013 Jul 19;6:883-8. doi: 10.2147/OTT.S46222. Print 2013. Onco Targets Ther. 2013. PMID: 23888115 Free PMC article.
-
p63/MT1-MMP axis is required for in situ to invasive transition in basal-like breast cancer.Oncogene. 2016 Jan 21;35(3):344-57. doi: 10.1038/onc.2015.87. Epub 2015 Apr 20. Oncogene. 2016. PMID: 25893299
-
A Novel Subset of Triple-Negative Breast Cancers with Unique Histology and Immunohistochemical Expression.Iran J Pathol. 2022 Spring;17(2):217-224. doi: 10.30699/IJP.2022.139734.2526. Epub 2022 Mar 8. Iran J Pathol. 2022. PMID: 35463732 Free PMC article.
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Research Materials
Miscellaneous