The utility of estrogen receptor, progesterone receptor, and Her-2/neu status to predict survival in patients undergoing hepatic resection for breast cancer metastases

Steve R. Martinez, Shawn E. Young, Armando E. Giuliano, Anton J. Bilchik

Research output: Contribution to journalArticle

40 Scopus citations

Abstract

Background: Hepatic metastases from breast cancer signal a dismal prognosis, with a median survival of 9.5 months. Methods: Twenty breast cancer patients with liver metastases underwent hepatic resection, biopsy, or ablation between 1995 and 2004. Hormone receptor status and Her-2/neu expression of primary and metastatic tumors were correlated with overall survival. Results: At a mean follow-up of 39 months after hepatic resection, median survival was 32 months. Patients undergoing anatomic resection with or without ablation lived significantly longer than those undergoing more limited resections (46 vs. 25 months, P = .016). Survival was significantly greater in patients with estrogen receptor (ER)-positive primary (P = .02) and metastatic (P < .004) tumors, Her-2/neu-positive metastases (P = .02), ≤2 hepatic metastases (P < .002), and age >50 years at metastasectomy (P = .02). Conclusions: The ER status of the primary tumor and ER and Her-2/neu status of hepatic metastases, in addition to other clinical factors, may help select patients who would benefit from hepatic metastasectomy.

Original languageEnglish (US)
Pages (from-to)281-283
Number of pages3
JournalAmerican Journal of Surgery
Volume191
Issue number2
DOIs
StatePublished - Feb 2006
Externally publishedYes

Keywords

  • Breast cancer
  • Estrogen receptor
  • Her-2/neu
  • Liver
  • Metastasectomy
  • Metastasis
  • Progesterone receptor

ASJC Scopus subject areas

  • Surgery

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