Published in:
01-12-2009 | Short communication
Who would have thought a single Ki67 measurement would predict long-term outcome?
Authors:
Mitch Dowsett, Roger A'Hern, Janine Salter, Lila Zabaglo, Ian E Smith
Published in:
Breast Cancer Research
|
Special Issue 3/2009
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Excerpt
Recent data from neoadjuvant studies, predominantly for endocrine therapy but also for chemotherapy, indicate that a single measurement of the nuclear proliferation marker Ki67 made in the breast carcinoma during/after neoadjuvant therapy is strongly predictive of long-term disease outcome. In an era when many mega-parameter signatures have been derived with the aim of improving the accuracy of prediction, it is superficially very surprising that a single immunohistochemical measurement can act in this fashion. This provokes a number of questions, and the following three are addressed below: What is the underlying reason for this predictive ability? Given that Ki67 is influenced by treatment/external factors and is not stable in the short term, why does it predict in the long term? What is the best time for measuring Ki67? …