Poster display session: Breast cancer - early stage, locally advanced & metastatic, CNS tumours, Developmental therapeutics, Genitourinary tumours - prostate & non-prostate, Palliative care, Psycho-oncology, Public health policy, Sarcoma, Supportive care Poster Display session

203P - Molecular subtyping of breast cancer by dedicated breast PET

Presentation Number
203P
Lecture Time
12:45 - 12:45
Speakers
  • Satoshi Sueoka (Hiroshima, JP)
Location
Hall A3 - Poster Area Networking Hub, ICM M√ľnchen, Munich, Germany
Date
22.10.2018
Time
12:45 - 13:45

Abstract

Background

Therapeutic strategies for treating breast cancer differ according to molecular subtype. We investigated whether dedicated breast PET (DbPET), a high-resolution molecular breast imaging system, could stratify breast cancer by subtype.

Methods

We included 390 patients with invasive breast cancer who underwent ring-type DbPET between January 2016 and March 2018. The association between SUVmax and various tumor characteristics such as size, nuclear grade, estrogen receptor (ER) status, human epidermal growth factor receptor 2 (HER2) status, and Ki-67 labeling index, were assessed. Tumor subtypes were classified as luminal A-like, luminal B-like, ER+/HER2+, ER-/HER2+, or triple negative on the basis of the St. Gallen International Expert Consensus.

Results

The median patient age was 57 years, the median tumor size was 1.5 cm, and the median SUVmax on DbPET was 6.9. The number of patients with each subtype was luminal A-like in 113, luminal B-like in 185, ER+/HER2+ in 40, and ER-/HER2+ in 12, and triple negative in 40 patients. SUVmax significantly correlated with tumor size (P < 0.001), nuclear grade (P < 0.001), ER status (P = 0.004), HER2 status (P < 0.001), and Ki-67 labeling index (P < 0.001). The median SUVmax values of the luminal A-like, luminal B-like, ER+/HER2+, ER-/HER2+, and triple negative subtypes were 4.6, 8.2, 9.5, 16.1, and 10.4, respectively (Table, all values of P < 0.001 relative to luminal A-like). Thus, DbPET distinguished luminal A-like tumor subtype from other subtypes.

SUVmax on dedicated breast PET according to molecular subtypes.
SubtypesMedian SUVmax (IQR)P value reffered to luminal A-like
Luminal A-like4.6 (3.0-6.8)
Luminal B-like8.2 (4.6-12.4)< 0.001
ER+/HER2+9.5 (5.5-16.6)< 0.001
ER-/HER2+16.1 (7.5-20.2)< 0.001
Triple negative10.4 (4.2-17.0)< 0.001

Conclusions

DbPET can be used to classify breast cancer into molecular subtypes, which may help determine the necessity of adjuvant chemotherapy. SUVmax, as assessed on DbPET, may thus contribute to the selection of proper therapeutic strategies in invasive breast cancer.

Legal entity responsible for the study

Hiroshima University Hospital.

Funding

Has not received any funding.

Disclosure

All authors have declared no conflicts of interest.

Collapse