MammaPrint Feasibility in a Large Tertiary Urban Medical Center : An Initial Experience
Joint Authors
Taback, Bret
Keating, Shaughn
Feldman, Sheldon Marc
Espinel, C. Francisco
Hibshoosh, Hanina
Joseph, Kathie-Ann
El-Tamer, Mahmoud B.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-12-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Natural & Life Sciences (Multidisciplinary)
Diseases
Abstract EN
Background.
The MammaPrint (MP) diagnostic assay stratifies breast cancer patients into high- and low-risk groups using mRNA analysis of a 70-gene profile.
The assay is validated for assessment of patients with estrogen receptor positive or negative tumors less than 5 cm with 3 or fewer malignant lymph nodes.
TargetPrint (TP) is an assay for assessing estrogen, progesterone, and HER2-neu receptor status based on mRNA expression.
A potential limitation of these assays is that they require an evaluation of fresh tissue samples.
There is limited published experience describing MP or TP implementation.
Methods.
Over 10 months, 4 breast surgeons obtained samples from 54 patients for MP/TP analysis.
The samples were analyzed by Agendia Labs.
The tumors were independently evaluated for receptor status using immunohistochemistry (IHC).
Retrospectively, we identified patients who were assessed by MP/TP during this period.
Patients who underwent OncotypeDx evaluation were also identified.
Results.
Of the 54 patients receiving MP, 4 were found ineligible for MP risk assessment because >3 lymph nodes were found to be malignant.
Out of all eligible patients, 14/50 (28%) had samples whose quantity of tumor was not sufficient for analysis (QNS).
Out of eligible patients with tumors <1 cm, 7/8 (88%) had QNS samples.
7/42 with tumors ≥1 cm (17%) had QNS samples.
Nine patients had discordant receptor results when evaluated by IHC versus.
TP.
Of patients who also underwent OncotypeDx testing, 6/14 (43%) had discordant results with MP.
Conclusions.
This study indicates that using MP/TP assay is feasible in a tertiary care center but there may be utility in limiting MP testing to patients with tumors between 1 and 5 cm due to high likelihood of uninformative results in subcentimeter tumors.
Further study is needed to explore the discordance between oncotype and MP results.
American Psychological Association (APA)
Espinel, C. Francisco& Keating, Shaughn& Hibshoosh, Hanina& Taback, Bret& Joseph, Kathie-Ann& El-Tamer, Mahmoud B.…[et al.]. 2012. MammaPrint Feasibility in a Large Tertiary Urban Medical Center : An Initial Experience. Scientifica،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-510122
Modern Language Association (MLA)
Espinel, C. Francisco…[et al.]. MammaPrint Feasibility in a Large Tertiary Urban Medical Center : An Initial Experience. Scientifica No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-510122
American Medical Association (AMA)
Espinel, C. Francisco& Keating, Shaughn& Hibshoosh, Hanina& Taback, Bret& Joseph, Kathie-Ann& El-Tamer, Mahmoud B.…[et al.]. MammaPrint Feasibility in a Large Tertiary Urban Medical Center : An Initial Experience. Scientifica. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-510122
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-510122