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Predictive and Prognostic Value of Peripheral Blood Cytokeratin-19 mRNA-Positive Cells Detected by Real-Time Polymerase Chain Reaction in Node-Negative Breast Cancer Patients

Xenidis, Nikos, Perraki, Maria, Kafousi, Maria, Apostolaki, Stella, Bolonaki, Irene, Stathopoulou, Aliki, Kalbakis, Kostas, Androulakis, Nikos, Kouroussis, Charalambos, Pallis, Thanos, Christophylakis, Charalambos, Argyraki, Katerina, Lianidou, Evi S., Stathopoulos, Stathis, Georgoulias, Vassilis, Mavroudis, Dimitris·2006·Journal of Clinical Oncology

Abstract

Purpose: To evaluate the predictive and prognostic value of peripheral blood cytokeratin-19 (CK-19) mRNA-positive cells in axillary lymph node–negative breast cancer patients. Patients and Methods: Peripheral blood was obtained from 167 node-negative breast cancer patients before the initiation of any systemic adjuvant therapy, and was analyzed for the presence of CK-19 mRNA-positive cells using a real time polymerase chain reaction assay. The association with known prognostic factors and the effect of CK-19 mRNA-positive cells on patients' prognosis was investigated. Results: CK-19 mRNA-positive cells were detected in the blood of 36 (21.6%) of the 167 patients. There was no correlation between the detection of CK-19 mRNA-positive cells in the peripheral blood and the various known pathologic and clinical prognostic factors; only overexpression of HER2 receptor (score 2+/3+) on the primary tumor was associated with a higher incidence of CK-19 mRNA-positive cell detection (P = .033). Multivariate analysis revealed that detection of peripheral blood CK-19 mRNA-positive cells was associated with early clinical relapse (P < .00001) and disease-related death (P = .008). Conclusion: Detection of peripheral-blood CK-19 mRNA-positive cells is an independent predictive and prognostic factor for reduced disease-free interval and overall survival, respectively, in node-negative breast cancer patients.

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Metadata

Authors
Xenidis, N., Perraki, M., Kafousi, M., Apostolaki, S., Bolonaki, I., Stathopoulou, A., Kalbakis, K., Androulakis, N., Kouroussis, C., Pallis, T., Christophylakis, C., Argyraki, K., Lianidou, E. S., Stathopoulos, S., Georgoulias, V., & Mavroudis, D.
Venue
Journal of Clinical Oncology
Published
2006-08-10
Volume
24
Issue
23
Pages
3756-3762
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2102949315
Cited by
263
References
27
FWCI
7.90
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Predictive and Prognostic Value of Peripheral Blood Cytokeratin-19 mRNA-Positive Cells Detected by Real-Time Polymerase Chain Reaction in Node-Negative Breast Cancer Patients. https://app.cochat.ai/papers/10.1200/jco.2005.04.5948
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Xenidis, N., Perraki, M., Kafousi, M., Apostolaki, S., Bolonaki, I., Stathopoulou, A., Kalbakis, K., Androulakis, N., Kouroussis, C., Pallis, T., Christophylakis, C., Argyraki, K., Lianidou, E. S., Stathopoulos, S., Georgoulias, V., & Mavroudis, D. (2006). Predictive and Prognostic Value of Peripheral Blood Cytokeratin-19 mRNA-Positive Cells Detected by Real-Time Polymerase Chain Reaction in Node-Negative Breast Cancer Patients. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2005.04.5948

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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