title: [Molecular subtypes of breast cancer: prognostic implications and clinical and immunohistochemical characteristics].
abstract: BACKGROUND
  Breast carcinomas are a heterogeneous group of tumours, in both their clinical behavior and their prognosis. The aim of this article is to classify breast carcinomas according to molecular subtypes by means of immunohistochemical markers and to analyse the clinicopathological and immunohistochemical characteristics and the patterns of survival and relapse of the different subtypes.
  
  
  METHODS
  Two hundred and seventy-two patients diagnosed with breast cancer were classified into five subtypes: breast carcinomas of the basal type, HER2 type, luminal A type, luminal B type and normal.
  
  
  RESULTS
  The most frequent breast carcinomas were: luminal A type carcinomas (62.5%), luminal B type carcinomas (18%), HER2 type carcinomas (9.9%), basal type carcinomas (8.4%) and normal phenotype carcinomas (1.4%). Significantly and with greater frequency, the luminal type breast carcinomas proved to be well differentiated tumours, of small tumoral size, with negative axillary ganglions, at an early stage at the time of diagnosis, with high levels of BCL-2 and a low Ki-67 proliferation index. On the contrary, the basal type and HER2 carcinomas presented larger tumours, poorly differentiated, greater ganglionar involvement and more advanced stages at the time of diagnosis. They expressed high Ki-67 proliferation indexes with greater frequency and were the subtypes that showed a worse prognosis on global survival and progression-free survival curves.
  
  
  CONCLUSIONS
  Breast cancer classification based on immunohistochemical (IHC) parameters makes a better prognostic definition possible. Both the basal type and the HER2 type breast carcinomas present more unfavourable histopathological and IHC characteristics, as well as a worse survival and less relapse time, while the luminal type breast carcinomas show more benign characteristics and a better prognosis.
authors: Centro de Salud de Irurita, Navarra, Spain. ma.arrechea.irigoyen@cfnavarra.es
authors: M A Arrechea
authors: MA
authors: Irigoyen
authors: F Vicente
authors: FV
authors: García
authors: A Córdoba
authors: AC
authors: Iturriagagoitia
authors: B Ibáñez
authors: BI
authors: Beroiz
authors: M Santamaría
authors: MS
authors: Martínez
authors: F
authors: F
authors: Guillén Grima
mesh_terms: D001943:Breast Neoplasms / Q000145:classification* / Q000401:mortality / Q000473:pathology*; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D008875:Middle Aged; D025202:Molecular Diagnostic Techniques; D011379:Prognosis; D015996:Survival Rate