Classification and prognosis of invasive breast cancer: from morphology to molecular taxonomy
Open accessAbstract
For many years, patient age, axillary lymph node status, tumor size, histological features (especially histological grade and lymphovascular invasion), hormone receptor status, and HER2 status have been the major factors used to categorize patients with breast cancer in order to assess prognosis and determine the appropriate therapy. These factors are most often viewed in combination to group patients into various risk categories. Although these risk categories are useful for assessing prognosis and risk in groups of patients with breast cancer, their role in determining prognosis and evaluating risk in an individual patient is more limited. Therefore, better methods are required to help assess prognosis and determine the most appropriate treatment for patients on an individual basis. Recently, various molecular techniques, particular gene expression profiling, have been increasingly used to help refine breast cancer classification and to assess prognosis and response to therapy. Although the precise role of these newer techniques in the daily management of patients with breast cancer continues to evolve, it is clear that they have the potential to provide value above and beyond that provided by the traditional clinical and pathological prognostic and predictive factors.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Development of effective therapies for triple-negative breast cancer is challenging because the disease is aggressive and lacks targetable hormone receptors.
“The development of efficacious therapies for TNBC has been challenging due to its aggressive nature and lack of hormone receptors that can be therapeutically targeted (1, 2).”
From Potentiation of carboplatin-mediated DNA damage by the Mdm2 modulator Nutlin-3a in a humanized orthotopic breast-to-lung metastatic model (2015) · cites this paper as [1]
Cites
Sørlie, T., Perou, C., Tibshirani, R., Aas, T., Geisler, S., Johnsen, H., Hastie, T., Eisen, M., van de Rijn, M., Jeffrey, S., et al. (2001) · Proceedings of the National Academy of Sciences of the United States of America · doi:10.1073/pnas.191367098 · Cited by 11,695 · see citing works
A Gene-Expression Signature as a Predictor of Survival in Breast Cancer
van de Vijver, M. J., He, Y. D., Veer, L. V. ‘., Dai, H. A., Hart, A. A. M., Voskuil, D. W., Schreiber, G. J., Peterse, J. L., Roberts, C., Marton, M. J., et al. (2002) · New England Journal of Medicine · doi:10.1056/nejmoa021967 · Cited by 6,411 · see citing works
A multigene assay to predict recurrence of tamoxifen-treated, node-negative breast cancer.
Paik, S., Shak, S., Tang, G., Kim, C., Baker, J., Cronin, M., Baehner, F., Walker, M. G., Watson, D., Park, T., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa041588 · Cited by 6,009 · see citing works
Repeated observation of breast tumor subtypes in independent gene expression data sets
Sørlie, T., Tibshirani, R. J., Parker, J. S., Hastie, T. J., Marron, J. S., Nobel, A. B., Deng, S., Johnsen, H., Pesich, R., Geisler, S. B., et al. (2003) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0932692100 · Cited by 5,428 · see citing works
Supervised Risk Predictor of Breast Cancer Based on Intrinsic Subtypes
Parker, J. S., Mullins, M., Cheang, M. C. U., Leung, S. C. Y., Voduc, D. K., Vickery, T. L., Davies, S. R., Fauron, C. M. ‐., He, X., Hu, Z., et al. (2009) · Journal of Clinical Oncology · doi:10.1200/jco.2008.18.1370 · Cited by 4,737 · see citing works
Inhibition of Poly(ADP-Ribose) Polymerase in Tumors from <i>BRCA</i> Mutation Carriers
Fong, P. C., Boss, D. S., Yap, T. A., Tutt, A., Wu, P., Mergui-Roelvink, M., Mortimer, P., Swaisland, H., Lau, A., O'Connor, M. J., et al. (2009) · New England Journal of Medicine · doi:10.1056/nejmoa0900212 · Cited by 3,634 · see citing works
Nielsen, T. O., Hsu, F. D., Jensen, K. C., Cheang, M. C. U., Karaca, G., Hu, Z., Hernandez‐Boussard, T., Livasy, C., Cowan, D., Dressler, L. G., et al. (2004) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-04-0220 · Cited by 2,665 · see citing works
Paik, S., Tang, G., Shak, S., Kim, C., Baker, J. B., Kim, W., Cronin, M. T., Baehner, F. L., Watson, D., Bryant, J., et al. (2006) · Journal of Clinical Oncology · doi:10.1200/jco.2005.04.7985 · Cited by 2,576 · see citing works
Ki67 Index, HER2 Status, and Prognosis of Patients With Luminal B Breast Cancer
Cheang, M. C. U., Chia, S., Voduc, D. K., Gao, D., Leung, S. C. Y., Snider, J., Watson, M., Davies, S. R., Bernard, P. S., Parker, J. S., et al. (2009) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djp082 · Cited by 2,250 · see citing works
Sotiriou, C. P., Wirapati, P., Loi, S., Harris, A. L., Fox, S., Smeds, J., Nordgren, H., Farmer, P. J., Praz, V., Haibe‐Kains, B., et al. (2006) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djj052 · Cited by 2,060 · see citing works
Gene-Expression Signatures in Breast Cancer
Sotiriou, C. P., & Pusztai, L. (2009) · New England Journal of Medicine · doi:10.1056/nejmra0801289 · Cited by 1,482 · see citing works
Goldhirsch, A., Ingle, J. N., Gelber, R. D., Coates, A. S., Thurlimann, B. J. K., & Senn, H.-J. (2009) · Annals of Oncology · doi:10.1093/annonc/mdp322 · Cited by 1,356 · see citing works
Concordance among Gene-Expression–Based Predictors for Breast Cancer
Fan, C., Oh, D. S., Wessels, L. F. A., Weigelt, B., Nuyten, D. S. A., Nobel, A. B., Veer, L. J. V., & Perou, C. M. (2006) · New England Journal of Medicine · doi:10.1056/nejmoa052933 · Cited by 1,338 · see citing works
Buyse, M. E., Loi, S., Veer, L. V., Viale, G., Delorenzi, M., Glas, A. M., Saghatchian, M., Bergh, J. C. S., Lidereau, R., Ellis, P., et al. (2006) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djj329 · Cited by 1,235 · see citing works
Cheang, M. C. U., Voduc, D. K., Bajdik, C. D., Leung, S. C. Y., McKinney, S. E., Chia, S., Perou, C. M., & Nielsen, T. O. (2008) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-07-1658 · Cited by 1,197 · see citing works
Basal-Like Breast Cancer: A Critical Review
Rakha, E. A., Reis-Filho, J. S., & Ellis, I. O. (2008) · Journal of Clinical Oncology · doi:10.1200/jco.2007.13.1748 · Cited by 1,164 · see citing works
The Nottingham prognostic index in primary breast cancer
Galea, M. H., Blamey, R. W., Elston, C. W., & Ellis, I. O. (1992) · Breast Cancer Research and Treatment · doi:10.1007/bf01840834 · Cited by 1,071 · see citing works
Phenotypic evaluation of the basal-like subtype of invasive breast carcinoma
Livasy, C., Karaca, G., Nanda, R., Tretiakova, M., Olopade, O. I., Moore, D. T., & Perou, C. M. (2005) · Modern Pathology · doi:10.1038/modpathol.3800528 · Cited by 1,064 · see citing works
Germline BRCA1 Mutations and a Basal Epithelial Phenotype in Breast Cancer
Foulkes, W. D. (2003) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djg050 · Cited by 970 · see citing works
Molecular Classification and Molecular Forecasting of Breast Cancer: Ready for Clinical Application?
Brenton, J. D., Carey, L., Ahmed, A. A., & Caldas, C. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.03.3845 · Cited by 953 · see citing works
Goldhirsch, A., Wood, W. C., Gelber, R. D., Coates, A. S., Thurlimann, B. J. K., & Senn, H.-J. (2007) · Annals of Oncology · doi:10.1093/annonc/mdm271 · Cited by 932 · see citing works
Panel, N. I. O. H. C. D. (2001) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/93.13.979 · Cited by 892 · see citing works
Epidemiology of basal-like breast cancer
Millikan, R. C., Newman, B. M., Tse, C., Moorman, P. G., Conway, K., Smith, L. V., Labbok, M. H., Geradts, J., Bensen, J. T., Jackson, S., et al. (2007) · Breast Cancer Research and Treatment · doi:10.1007/s10549-007-9632-6 · Cited by 891 · see citing works
Wirapati, P., Sotiriou, C. P., Kunkel, S., Farmer, P. J., Pradervand, S., Haibe‐Kains, B., Desmedt, C., Ignatiadis, M., Sengstag, T., Schütz, F., et al. (2008) · Breast Cancer Research · doi:10.1186/bcr2124 · Cited by 888 · see citing works
Re: Germline BRCA1 Mutations and a Basal Epithelial Phenotype in Breast Cancer
van der Groep, P., Bouter, A., van der Zanden, R. A., Menko, F. H., Buerger, H., Verheijen, R. H. M., van der Wall, E., & van Diest, P. J. (2004) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djh114 · Cited by 798 · see citing works
Genetic Reclassification of Histologic Grade Delineates New Clinical Subtypes of Breast Cancer
Ivshina, A. V., George, J., Sen'ko, O. V., Mow, B. M. F., Putti, T. C., Smeds, J., Lindahl, T., Yudi Pawitan, Y., Hall, P. N., Nordgren, H., et al. (2006) · Cancer Research · doi:10.1158/0008-5472.can-05-4414 · Cited by 751 · see citing works
Development of the 21-Gene Assay and Its Application in Clinical Practice and Clinical Trials
Sparano, J. A., & Paik, S. (2008) · Journal of Clinical Oncology · doi:10.1200/jco.2007.15.1068 · Cited by 622 · see citing works
Lakhani, S. R., Reis-Filho, J. S., Fulford, L. G., Penault-Llorca, F. M., van de Vijver, M. J., Parry, S., Bishop, D. T., Benitez, J. J., Rivas, C., Bignon, Y., et al. (2005) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-04-2424 · Cited by 611 · see citing works
BRCA1 dysfunction in sporadic basal-like breast cancer
Turner, N. C., Reis-Filho, J. S., Russell, A. M., Springall, R. J., Ryder, K., Steele, D., Savage, K., Gillett, C. E., Schmitt, F. C., Ashworth, A., et al. (2006) · Oncogene · doi:10.1038/sj.onc.1210014 · Cited by 574 · see citing works
Weigelt, B., Horlings, H. M., Kreike, B., Hayes, M., Hauptmann, M., Wessels, L. F. A., de Jong, D., van de Vijver, M. J., Veer, L. V., & Peterse, J. L. (2008) · The Journal of Pathology · doi:10.1002/path.2407 · Cited by 560 · see citing works
Triple-Negative Breast Cancer: Distinguishing between Basal and Nonbasal Subtypes
Rakha, E. A., Elsheikh, S. E., Aleskandarany, M. A., Habashi, H. O., Green, A. R., Powe, D. G., El‐Sayed, M. E., Benhasouna, A., Brunet, J., Akslen, L. A., et al. (2009) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-08-2132 · Cited by 490 · see citing works
Habel, L. A., Shak, S., Jacobs, M. K., et al. (2006) · Breast Cancer Research · doi:10.1186/bcr1412 · Cited by 485 · see citing works
Basal-like breast cancer and the BRCA1 phenotype
Turner, N. C., & Reis-Filho, J. S. (2006) · Oncogene · doi:10.1038/sj.onc.1209876 · Cited by 481 · see citing works
Clinical Application of the 70-Gene Profile: The MINDACT Trial
Cardoso, F., Veer, L. V., Rutgers, E. J. T., Loi, S., Mook, S., & Piccart, M. J. (2008) · Journal of Clinical Oncology · doi:10.1200/jco.2007.14.3222 · Cited by 462 · see citing works
Sotiriou, C. P., & Piccart, M. J. (2007) · Nature reviews. Cancer · doi:10.1038/nrc2173 · Cited by 461 · see citing works
Triple-Negative Breast Cancer: Risk Factors to Potential Targets
Schneider, B. P., Winer, E. P., Foulkes, W. D., Garber, J. E., Perou, C. M., Richardson, A. L., Sledge, G. W., & Carey, L. (2008) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-08-1208 · Cited by 437 · see citing works
Fulford, L. G., Easton, D. F., Reis-Filho, J. S., Sofronis, A., Gillett, C., Lakhani, S. R., & Hanby, A. M. (2006) · Histopathology · doi:10.1111/j.1365-2559.2006.02453.x · Cited by 351 · see citing works
Fulford, L. G., Reis-Filho, J. S., Ryder, K., Jones, C., Gillett, C., Hanby, A. M., Easton, D. F., & Lakhani, S. R. (2007) · Breast Cancer Research · doi:10.1186/bcr1636 · Cited by 306 · see citing works
Basal-like breast carcinomas: clinical outcome and response to chemotherapy
Banerjee, S. N., Reis-Filho, J. S., Ashley, S., Steele, D., Ashworth, A., Lakhani, S. R., & Smith, I. E. (2006) · Journal of Clinical Pathology · doi:10.1136/jcp.2005.033043 · Cited by 289 · see citing works
Dowsett, M., & Dunbier, A. K. (2008) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-08-0974 · Cited by 269 · see citing works
Commercialized Multigene Predictors of Clinical Outcome for Breast Cancer
Ross, J. S., Hatzis, C., Symmans, W. F., et al. (2008) · The Oncologist · doi:10.1634/theoncologist.2007-0248 · Cited by 260 · see citing works
Cytokeratin 5/14-positive breast cancer: true basal phenotype confined to BRCA1 tumors
Laakso, M., Loman, N., Borg, Å., et al. (2005) · Modern Pathology · doi:10.1038/modpathol.3800456 · Cited by 190 · see citing works
Diaz, L. K., Cryns, V. L., Symmans, W. F., et al. (2007) · Advances in Anatomic Pathology · doi:10.1097/pap.0b013e3181594733 · Cited by 128 · see citing works
Basal-like Breast Carcinoma: From Expression Profiling to Routine Practice
Rakha, E. A., & Reis-Filho, J. S. (2009) · Archives of Pathology & Laboratory Medicine · doi:10.5858/133.6.860 · Cited by 90 · see citing works
Patho-biological aspects of basal-like breast cancer
Rakha, E. A., El‐Sayed, M. E., Reis-Filho, J. S., & Ellis, I. O. (2008) · Breast Cancer Research and Treatment · doi:10.1007/s10549-008-9952-1 · Cited by 83 · see citing works
Collins, L. C., Martyniak, A., Kandel, M., et al. (2009) · The American Journal of Surgical Pathology · doi:10.1097/pas.0b013e31819c1c93 · Cited by 81 · see citing works
Geyer, F. C., & Reis-Filho, J. S. (2008) · International Journal of Surgical Pathology · doi:10.1177/1066896908328577 · Cited by 79 · see citing works
Understanding the Molecular Basis of Histologic Grade
Ignatiadis, M., & Sotiriou, C. (2008) · Pathobiology · doi:10.1159/000123848 · Cited by 78 · see citing works
The Phenotypic Spectrum of Basal-like Breast Cancers: A Critical Appraisal
Fadare, O., & Tavassoli, F. A. (2007) · Advances in Anatomic Pathology · doi:10.1097/pap.0b013e31814b26fe · Cited by 76 · see citing works
Demystifying basal-like breast carcinomas: Figure 1
Silva, L. D., Clarke, C. L., & Lakhani, S. R. (2007) · Journal of Clinical Pathology · doi:10.1136/jcp.2006.041731 · Cited by 66 · see citing works
Expression profiling technology: its contribution to our understanding of breast cancer
Rakha, E. A., El‐Sayed, M. E., Reis-Filho, J. S., & Ellis, I. O. (2007) · Histopathology · doi:10.1111/j.1365-2559.2007.02894.x · Cited by 56 · see citing works
Moinfar, F. (2008) · Pathobiology · doi:10.1159/000123850 · Cited by 38 · see citing works
Impact of Basal-Like Breast Carcinoma Determination for a More Specific Therapy
Rakha, E. A., Reis-Filho, J. S., & Ellis, I. O. (2008) · Pathobiology · doi:10.1159/000123847 · Cited by 37 · see citing works
Relationship Between Clinical and Pathologic Features of Ductal Carcinoma In Situ and Patient Age
Collins, L. C., Achacoso, N. S., Nekhlyudov, L., et al. (2009) · The American Journal of Surgical Pathology · doi:10.1097/pas.0b013e3181b7cb7a · Cited by 31 · see citing works
Basal cytokeratins in breast tumours among BRCA1, BRCA2and mutation-negative breast cancer families
Eerola, H., Heinonen, M., Heikkilä, P., et al. (2008) · Breast Cancer Research · doi:10.1186/bcr1863 · Cited by 28 · see citing works
Kim, C., Taniyama, Y., & Paik, S. (2009) · Archives of Pathology & Laboratory Medicine · doi:10.5858/133.6.855 · Cited by 20 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Distinct Microbial Signatures Associated With Different Breast Cancer Types
Banerjee, S., Tian, T., Wei, Z., Shih, N., Feldman, M. D., Peck, K. N., DeMichele, A. M., Alwine, J. C., & Robertson, E. S. (2018) · Frontiers in Microbiology · doi:10.3389/fmicb.2018.00951 · Cited by 281 · see citing works
Determining breast cancer biomarker status and associated morphological features using deep learning
Gamble, P., Jaroensri, R., Wang, H., Tan, F., Moran, M., Brown, T., Flament-Auvigne, I., Rakha, E. A., Toss, M., Dabbs, D. J., et al. (2021) · Communications Medicine · doi:10.1038/s43856-021-00013-3 · Cited by 154 · see citing works
Sandbank, J., Bataillon, G., Nudelman, A., Krasnitsky, I., Mikulinsky, R., Bien, L., Thibault, L., Albrecht Shach, A., Sebag, G., Clark, D. P., et al. (2022) · npj Breast Cancer · doi:10.1038/s41523-022-00496-w · Cited by 112 · see citing works
Self-citationTonsing-Carter, E., Bailey, B. J., Saadatzadeh, M. R., Ding, J., Wang, H., Sinn, A. L., Peterman, K. M., Spragins, T. K., Silver, J. M., Sprouse, A. A., et al. (2015) · Molecular Cancer Therapeutics · doi:10.1158/1535-7163.mct-15-0237 · Cited by 42 · see citing works
- Authors
- Schnitt, S. J.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Corresponding author
- Schnitt, Stuart J
- ORCID
- Schnitt, Stuart J
- Venue
- Modern Pathology
- Publisher
- Elsevier BV
- Published
- 2010-05
- Volume
- 23
- Pages
- S60-S64
- ISSN
- 0893-3952 (ISSN-L)
- OpenAlex
- W1967186439
- Cited by
- 419
- References
- 56
- Citations by year
- 2026: 7 · 2025: 9 · 2024: 19 · 2023: 21 · 2022: 30 · 2021: 46 · 2020: 23 · 2019: 26 · 2018: 31 · 2017: 54 · 2016: 42 · 2015: 42 · 2014: 33 · 2013: 14 · 2012: 16
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Modern Pathology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Breast Cancer Treatment Studies
- Health Sciences › Medicine › Pathology and Forensic Medicine › Breast Lesions and Carcinomas
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › BRCA gene mutations in cancer
- Keywords
- invasive breast cancer, breast cancer classification, prognosis, molecular taxonomy, gene expression profiling, risk stratification, histological grade, lymphovascular invasion, hormone receptor status, HER2 status, predictive biomarkers, personalized treatment
- MeSH terms
- Breast Neoplasms, Female, Humans, Prognosis, Gene Expression Profiling
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review