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
Specialty: Hematology Oncology, Surgery, general, Obstetrics & Gynecology