Research Article

Novel Molecular Markers of Malignancy in Histologically Normal and Benign Breast

Table 4

TOP2A, MCM2, and BUB1B protein expression scores in IDCs, molecularly low-risk and molecularly high risk, histologically normal breast tissues.

Case no.Breast tissue specimen category (based on gene expression profiling)Histologic tumor type on initial biopsy/lumpectomyFinal pathologic diagnosis on mastectomyHistopathologic findings on archival tissue sections selected for IHC validationTopoisomerase II-alpha (TOP2A) index (%)MCM2-index (%)BUB1B protein expression score (H-score)

1CarcinomaIDCIDC, DCISInvasive Cancer2530170
2CarcinomaIDCInvasive papillary CA with a focus of IDCInvasive Cancer3030135
3CarcinomaIDCIDCInvasive cancer1580145
4CarcinomaIDCIDCInvasive Cancer356080
5CarcinomaIDCIDCInvasive Cancer2550165
6CarcinomaIDC, ILCIDC w/ lobular featuresInvasive cancer3030200

HNB tissues with low-grade molecular abnormality (HNB-LGMA)

7HNB-LGMA 1IDCIDCBenign breast tissue2.5221
8HNB-LGMA 2IDCIDCBenign breast tissue2.5620
9HNB-LGMA 3IDCIDCBenign breast tissue2.51222
10HNB-LGMA 4Mucinous carcinomaNo residual mucinous carcinomaBenign breast tissue1215
11HNB-LGMA 5DCISResidual DCIS, multifocalBenign breast tissue1110
12HNB-LGMA 6IDCNo residual IDCBenign breast tissue1118
13HNB-LGMA 7DCISResidual DCISBenign breast tissue2215
14HNB-LGMA 8DCISNo residual DCISBenign breast tissue3811
15HNB-LGMA 9DCISResidual DCISBenign breast tissue1117

HNB tissues with high-grade molecular abnormality (HNB-HGMA)

16HNB-HGMA 1Adenoid cystic carcinomaNo residual adenoid cystic carcinomaBenign breast tissue81233
17HNB-HGMA 2DCISDCIS, multifocalBenign breast tissue12.52064
18HNB-HGMA 3Intracystic carcinomaNo residual intracystic carcinomaBenign breast tissue12.5835
19HNB-HGMA 4IDCIDC focal papillary featuresBenign breast tissue930113
20HNB-HGMA 5IDCIDCBenign breast tissue21246
21HNB-HGMA 6IDCNo residual IDCBenign breast tissue153046
22HNB-HGMA 7No prior biosy performedBenign breast tissue-patient BRCA1+, strong family history of BCBenign breast tissue1025106
23HNB-HGMA 8DCISNo residual DCISBenign breast tissue41243
24HNB-HGMA 9IDC, ILCNo residual invasive carcinomaBenign breast tissue303594