"Triple negative breast
cancer (TNBC) demonstrates poor prognosis because of aggressive tumor
biology and lack of targeted agents.
TNBC with high Ki-67 was associated with a more aggressive clinical
feature despite a higher pCR rate. Ki-67 can be used for further
classification of TNBC into two subtypes with different prognosis. Our
report suggests that TNBC with residual disease and high Ki-67 expression
should be a candidate for additional postoperative treatment such as
platinum-based chemotherapy, or clinical trials specifically testing novel
therapies in order to improve the outcome for this high-risk group of
patients. In addition, TNBC with high Ki-67 should be followed-up more
frequently within 3 years to guard for any recurrence" (Comment
on: Keam
B et al.: "Ki-67 can be used for further classification of
triple negative breast cancer into two subtypes with different
response and prognosis", Breast
Cancer Res. 2011 Mar 2;13(2):R22. [Epub ahead of print])
In
1874 the British surgeon and pathologist James Paget
makes a brief report describing changes on the nipple that
precede the manifestation of breast cancer (Paget’s disease of
the nipple)
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Read a comment from Michael Baum, University
College London, London, UK