Description

Klein et al reported an updated version of equations for predicting the Oncotype DX recurrence score for a woman with breast cancer. The authors are from Magee-Womens Hospital of the University of Pittsburgh and the University of Wisconsin-Madison.


 

Patient selection: woman with breast cancer

 

Parameters:

(1) Nottingham score (from 3 to 9)

(2) estrogen receptor immunohistochemical score (ERIHC, from 0 to 300)

(3) progresterone receptor immunohistochemical score (PRIHC, from 0 to 300)

(4) Ki-67 index (from 0 to 100)

(5) HER2/neu

(6) tumor size in cm

 

ER or PR IHC =

= (percent cells staining 1+) + (2 * (percent cells staining 2+)) + (3 * percent of cells staining 3+))

 

Points for HER2

Points if Negative

Points if Equivocal

Points if Positive

for Equation 1

0

0.77681

11.58134

for Equation 2

0

1.82921

11.51378

for Equation 3

0

1.46495

12.75525

 

total score for equation 1 =

= (1.4055 * (Nottingham score)) – (0.01924 * (ERIHC)) – (0.02925 * (PRIHC)) + (points for HER2) + (0.78677 * (tumor size)) + (0.13269 * (Ki-67 index)) + 15.31385

 

total score for equation 2 =

= (2.34123 * (Nottingham score)) – (0.03749 * (ERIHC)) – (0.03065 * (PRIHC)) + (points for HER2) + (0.0.04267 * (tumor size)) + 18.8042

 

total score for equation 3 =

= (1.4055 * (Nottingham score)) – (0.01924 * (ERIHC)) – (0.02925 * (PRIHC)) + (points for HER2) + (0.78677 * (tumor size)) + (0.13269 * (Ki-67 index)) + 15.31385

 


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