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Ki 67 is a major, but not the sole determinant of Oncotype Dx recurrence score
S Sahebjam1, R Aloyz, D Pilavdzic
1Department of Medical Oncology, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada.
Background:
Immunohistological assessment of Ki 67 expression is less expensive than Oncotype Dx, which is currently used to identify patients with lymph node-negative breast cancer, who will benefit from adjuvant chemotherapy.
Methods:
The relationship of immunohistologically measured Ki 67 to Oncotype DX recurrence score (RS) was examined in 53 cases of T1-2 N0 M0 (oestrogen receptor-positive, HER2/neu negative) breast cancer.
Results:
There was a strong linear correlation between Ki 67 value and the Oncotype Dx RS. All patients in the low Ki 67 group (Ki 67 of ≤ 10%) had Oncotype Dx RSs of low or intermediate risk. The vast majority of patients (93.8%) in the high-Ki 67 group (Ki 67 ≥ 25%) had oncotype RSs of high or intermediate risk.
Conclusion:
Ki 67 proliferation value is a major, but not the sole determinant of Oncotype Dx score.
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