CORRELATION OF CLINICAL-IMMUNOHISTOCHEMICAL WITH MOLECULAR CHARACTERISTICS IN EARLY BREAST CANCER

Authors

  • Ilir Kurtishi Oncology Clinic, University Clinical Center, Pristina, Kosovo
  • Violeta Klisarovska University Clinic for Radiotherapy and Oncology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Snezana Smichkoska University Clinic for Radiotherapy and Oncology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Brunilda Profka Haxhiu Oncology Clinic, University Clinical Center, Pristina, Kosovo
  • Fisnik Kurshumliu Oncology Clinic, University Clinical Center, Pristina, Kosovo
  • Ilir Ismaili University Clinic for Radiotherapy and Oncology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Arben Bislimi Oncology Clinic, University Clinical Center, Pristina, Kosovo
  • Behar Raci Oncology Clinic, University Clinical Center, Pristina, Kosovo

Keywords:

BluePrint, early breast cancer, immunohistochemistry, MammaPrint, recurrence

Abstract

Introduction: In modern oncology, immunohistochemistry and genomic tests are two complementary approaches in the characterization of early breast cancer. Their combination better reflects the biological potential for growth and metastasis.

Material and methods: A total of 88 patients with early breast cancer were analyzed, classified according to immunohistochemistry and MammaPrint/BluePrint, after which a clinical correlation was made.

Results: Molecular typing with MammaPrint/BluePrint presented 42 patients (47.73%) with a high risk of recurrence. There was no statistically significant association with age (p=0.655), nodal status pN (p=0.113), or histological type of cancer (p=1.0). Patients with high and low risk differed significantly in terms of tumor size, i.e. by pT classification (p=0.0036), and G classification (p=0.0044).

Conclusion: Genomic profiling should complement, not replace, immunohistochemistry, as the combined approach allows for the most accurate assessment of risk, biology, and optimal therapeutic strategy for each patient with early breast cancer.

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Published

2026-03-24

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Original Articles