PMID- 28441706 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240326 IS - 2476-762X (Electronic) IS - 1513-7368 (Print) IS - 1513-7368 (Linking) VI - 18 IP - 3 DP - 2017 Mar 1 TI - A Comprehensive Model for Predicting Recurrence and Survival in Cases of Chinese Postoperative Invasive Breast Cancer. PG - 727-733 AB - We investigated relationships between clinical pathologic data, molecular biomarkers and prognosis of invasive breast cancer based on a Chinese population. Immunohistochemistry (IHC) was used to assess the status of ER, PR, HER-2 and Ki-67, with fluorescence in situ hybridization (FISH) performed to further confirm HER-2 positivity with an equivocal result (IHC 2+). Subsequently, Kaplan-Meier univariate and multivariate COX regression analyses of ER, PR, HER-2, Ki-67, clinical features, therapeutic status and follow-up data were performed according to the establishment principle of the Nottingham prognostic index (NPI). From this study, age, tumor size, lymph node status, ER, HER-2, Ki-67 status were found to be associated with prognosis. Eventually, a prognostic model of (PI= (1.5xage) - size + (0.1xlymph node status) - (0.5xER) + (2xHER-2) - (0.2xKi-67)) was established with 288 randomly selected patients and verified with another 100 cases with invasive breast cancer. Pearson correlation analysis demonstrated a significant positive correlation index of 0.376 (P=0.012<0.05) between the prognostic index (PI) and actual prognosis. Remarkably, the consistency with the model predicted recurrence was 93% in the validation set. Therefore, it appears feasible to predict the prognosis of individuals with invasive breast cancer and to determine optimal therapeutic strategy with this model. CI - Creative Commons Attribution License FAU - Xie, Xianhe AU - Xie X AD - Department of Chemotherapy, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China AD - Department of Internal Medicine Oncology, Hainan General Hospital, Haikou, Hainan, China. Email:xiexianhe@ yahoo.com FAU - Hu, Yanfen AU - Hu Y FAU - Jing, Chao AU - Jing Ch FAU - Luo, Shuimei AU - Luo Sh FAU - Lv, Yunfu AU - Lv Y FAU - Yang, Haitao AU - Yang H FAU - Li, Lina AU - Li L FAU - Chen, Huijuan AU - Chen H FAU - Lin, Wanzun AU - Lin W FAU - Zheng, Weili AU - Zheng W LA - eng PT - Journal Article DEP - 20170301 PL - Thailand TA - Asian Pac J Cancer Prev JT - Asian Pacific journal of cancer prevention : APJCP JID - 101130625 PMC - PMC5464491 OTO - NOTNLM OT - Breast cancer OT - ER OT - HER-2 OT - Ki-67 OT - prognostic model EDAT- 2017/04/27 06:00 MHDA- 2017/04/27 06:01 PMCR- 2017/03/01 CRDT- 2017/04/27 06:00 PHST- 2017/04/27 06:01 [medline] PHST- 2017/04/27 06:00 [pubmed] PHST- 2017/04/27 06:00 [entrez] PHST- 2017/03/01 00:00 [pmc-release] AID - APJCP-18-727 [pii] AID - 10.22034/APJCP.2017.18.3.727 [doi] PST - epublish SO - Asian Pac J Cancer Prev. 2017 Mar 1;18(3):727-733. doi: 10.22034/APJCP.2017.18.3.727.