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Updated: Jul 6, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Is triple negative a prognostic factor in breast cancer?
Reiki Nishimura1, Nobuyuki Arima
1Department of Breast and Endocrine Surgery, Kumamoto City Hospital, Kumamoto 862-8505, Japan. j_nishimura2002@yahoo.co.jp
Background:
Breast cancer is characterized by hormone dependency, and endocrine therapy is a key treatment in breast cancer. Recently, targeted therapies such as Trastuzumab treatment for HER2-positive breast cancer has been important. Triple-negative (TN) breast cancer is characterized by lack of expression of estrogen receptor (ER) and progesterone receptor (PgR), and the absence of HER2 protein overexpression, and so there is no targeted therapy for this subtype. In this study, we examined the biological and prognostic characteristics in TN breast cancer.
Patients And Methods:
Between January 1998 and September 2006, 1,552 patients with primary breast cancer were investigated retrospectively in this study and ER, PgR and HER2 status were evaluated in all cases. Furthermore, p53 overexpression and Ki67 values were examined immunohistochemically.
Results:
Patient distribution according to ER, PgR or HER2 status was as follows: ER and PgR positive: 57.9%, and ER and PgR negative: 25.1%. With regards to the HER2 status, HER2 positive was 23.3%, and triple negative (TN) was 14.0%. TN breast cancer has a high proliferation rate, high nuclear grade and frequent p53 overexpression. Patients with TN tumors had a significantly poorer disease-free survival (DFS) than those with non-TN tumors. After recurrence the overall survival (OS) rate in TN cases was significantly lower than that of the non-TN cases. Multivariate analysis revealed that TN was a significant factor for DFS and OS after recurrence.
Conclusion:
TN breast cancer is a rare subtype with a high proliferation rate and a high nuclear grade, p53 overexpression, and lower DFS/OS. To improve the prognosis of TN breast cancer, a new effective strategy needs to be developed.
Insights
Triple-negative (TN) breast cancer lacks targeted therapies and shows aggressive characteristics. This study found TN breast cancer has a higher proliferation rate, poorer disease-free survival, and lower overall survival rates, necessitating new treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Breast cancer treatment often relies on hormone dependency and targeted therapies like Trastuzumab for HER2-positive cases.
- Triple-negative (TN) breast cancer lacks estrogen receptor (ER), progesterone receptor (PgR), and HER2 expression, leaving it without specific targeted treatments.
- Understanding the unique biological and prognostic features of TN breast cancer is crucial for developing effective interventions.
Purpose of the Study:
- To investigate the biological and prognostic characteristics of triple-negative (TN) breast cancer.
- To compare the survival outcomes of TN breast cancer patients with those of non-TN breast cancer patients.
Main Methods:
- Retrospective analysis of 1,552 primary breast cancer patients diagnosed between January 1998 and September 2006.
- Evaluation of estrogen receptor (ER), progesterone receptor (PgR), and HER2 status in all cases.
- Immunohistochemical examination of p53 overexpression and Ki67 proliferation index.
Main Results:
- Triple-negative (TN) breast cancer constituted 14.0% of the study population.
- TN tumors exhibited a high proliferation rate, high nuclear grade, and frequent p53 overexpression.
- Patients with TN breast cancer had significantly poorer disease-free survival (DFS) and overall survival (OS) post-recurrence compared to non-TN tumors.
Conclusions:
- Triple-negative (TN) breast cancer is a distinct subtype characterized by aggressive biological features and inferior survival outcomes.
- The high proliferation rate, nuclear grade, and p53 overexpression in TN breast cancer contribute to its poor prognosis.
- Development of novel therapeutic strategies is essential to improve the survival rates for patients with TN breast cancer.