ER-/PR+HER2- IS THIS POSSIBLE

gentianviolet
gentianviolet Member Posts: 316

I have been reading threads about IDC for two years now and I have never seen a diagnosis of ER-/PR+ HER2-.  Is there anyone out there with this diagnosis, or is it even possible?

Comments

  • otter
    otter Member Posts: 6,099
    edited October 2011

    Barbara, it is possible for a tumor to be ER- PR+ (and HER2-) but the combination of ER- and PR+ is uncommon.  I've even read that some oncologists consider it a lab error.

    Here's a discussion about the problems of false-negative results with either the ER or the PR part of the hormone receptor tests:  http://www.medscape.com/viewarticle/589766

    Although there are skeptics, many oncologists do recognize the ER- PR+ phenotype as real (not a lab artifact).  It accounts for around 8% of BC tumors here in the U.S., according to the studies I've seen  Here's a short article written for the general public:  http://foodforbreastcancer.com/articles/er--slash-pr%2b-breast-cancer

    Here's an abstract from the 2007 ASCO meeting that discusses the variations of ER, PR, and HER2 subtypes (including ER- PR+ HER2-) among BC cases diagnosed in California:  http://www.asco.org/ascov2/Meetings/Abstracts?&vmview=abst_detail_view&confID=52&abstractID=40116

    That's just a quick survey of some of the info.  So, yes, it's possible, although I don't know anyone with that dx.

    otter

  • gentianviolet
    gentianviolet Member Posts: 316
    edited October 2011

    Otter, thanks for taking the time to list this information.  I guess I am wondering if a woman were to use bioidentical progesterone, but not estrogen, would that be a way to protect her or hinder her?  I have read that being progesterone positive is a better diagnosis, yet no oncologists seem to be able to answer the question of just why progesterone is tested or what it means.  Any insight?

  • kal21
    kal21 Member Posts: 77
    edited October 2011

     I posted somewhere else that my pathology report said 60% + but onco test was neg for PR.

    I also did alot of ? but if ER+ they do tamoxifen. I am learning now that tamoxifen may not work if PR -.

    We need more research in that area.. I go back in Dec and I will ? this again.

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