Basal-like subtype breast cancers in women older than 40 years of age

Int J Surg Pathol. 2010 Feb;18(1):42-7. doi: 10.1177/1066896909332322. Epub 2009 Apr 15.

Abstract

Basal-like (BL) carcinoma, distinguished by the expression of keratins that are a characteristic of myoepithelial cells, is 1 of the 5 distinct subtypes of breast tumors identified by gene microarray technologies. BL cancers have been well described in women <40 years of age. However, little data exist about this carcinoma in older patients. Twenty-three BL breast cancer specimens from patients >40 years of age were evaluated. The study demonstrated that there is a subset of patients >40 years of age with breast cancers, manifesting features of BL carcinoma. There has been a significant increase in BL cancers among women >40 years of age having larger tumors and lymph node metastasis in comparison with younger women <40 years of age. This could be due to the tumor heterogeneity in BL cancers between the 2 age groups. BL cancer patients from all age groups require further investigation for BRCA-1, as well as gene microarray analysis to compare the gene expressions with those observed in the younger population.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers, Tumor / metabolism
  • Breast Neoplasms / metabolism
  • Breast Neoplasms / pathology*
  • Breast Neoplasms / surgery
  • Carcinoma, Ductal, Breast / metabolism
  • Carcinoma, Ductal, Breast / secondary*
  • Carcinoma, Ductal, Breast / surgery
  • Carcinoma, Intraductal, Noninfiltrating / metabolism
  • Carcinoma, Intraductal, Noninfiltrating / secondary*
  • Carcinoma, Intraductal, Noninfiltrating / surgery
  • DNA Mutational Analysis
  • DNA, Neoplasm / analysis
  • Female
  • Genes, BRCA1
  • Genes, BRCA2
  • Humans
  • Immunohistochemistry
  • Keratins / metabolism
  • Middle Aged
  • Nerve Tissue Proteins / metabolism
  • Receptors, Nerve Growth Factor / metabolism

Substances

  • Biomarkers, Tumor
  • DNA, Neoplasm
  • NGFR protein, human
  • Nerve Tissue Proteins
  • Receptors, Nerve Growth Factor
  • Keratins