Abstract
Background: Mutations in the p53 gene are the most common genetic alterations in human primary breast carcinoma and these mutations are often associated with worse prognosis and chemo/radioresistance. Patients and methods: The analysis of the p53 gene was performed by fluorescence-assisted mismatch analysis in 13 consecutive high-risk primary breast cancer (HR-BC) patients with 10 or more involved axillary nodes to evaluate its prognostic value. Results: Three p53 mutations (23%) and four allelic variants were detected. After a median follow-up of 52 months the HR-BC disease-free survival (DFS) was 51% and overall survival 79%. All patients harboring a p53 mutation (p53mut) relapsed within 10 months of the median DFS while 67% of those showing a wild-type p53 status (p53wt) survive disease-free at a median follow-up of 43 months. One p53mut patient is still alive while all the p53wt patients survive at 56 months median follow-up. Two out of the four p53wt relapsing breast cancer patients showed the Arg72Pro allelic variant; one of these died at 75 months. Conclusions: p53 mutations may help identify a subset of very high risk breast cancer patients (vHR-BC) with worse prognosis.
Original language | English |
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Pages (from-to) | 704-708 |
Number of pages | 5 |
Journal | Annals of Oncology |
Volume | 14 |
Issue number | 5 |
DOIs | |
Publication status | Published - May 1 2003 |
Keywords
- Breast cancer
- FAMA
- p53
- Prognostic factors
ASJC Scopus subject areas
- Oncology
- Cancer Research