Biomedical

Single Hormone Receptor–Positive Breast Cancer—Signal or Noise?


  Peer Reviewed

Abstract

Key Questions and Answers

1. What did Li and colleagues' study examine?

The study analyzed the relationship between estrogen receptor (ER) and progesterone receptor (PR) status in breast cancer survival, using data from the SEER database.

2. What is the controversy surrounding the ER-negative/PR-positive subtype?

The ER-negative/PR-positive subtype is debated, as it is biologically unusual and might be an artifact due to misclassification, though survival differences suggest it could be a legitimate category.

The study by Li and colleagues explores the relationship between estrogen receptor (ER) and progesterone receptor (PR) status in breast cancer survival, finding small survival differences between subtypes. The controversial ER-negative/PR-positive subtype is debated due to its biological plausibility, with the possibility of misclassification. If valid, this subtype might require alternative treatments like antiprogesterone therapy. The study raises questions about treatment personalization and highlights limitations in data, such as the lack of information on antiestrogen therapies and ERBB2 status.

3. How might this affect treatment decisions?

If ER-negative/PR-positive is a valid subtype, alternative therapies like antiprogesterone treatment might be considered, as tamoxifen may not be effective for these patients.