Research Article

Ki-67 Expression is a Significant Prognostic Factor Only When Progesterone Receptor Expression is Low in Estrogen Receptor-Positive and HER2-Negative Early Breast Cancer

Table. 1

Clinical and histopathologic characteristics.

CharacteristicsStudy population (n = 1848)
PgR low (n = 895)PgR high (n = 953) valueKi-67 low (n = 1625)Ki-67 high (n = 223) value

Age, mean (range)52.2 (20–81)49.2 (22–85)<0.00150.9 (22–82)48.6 (20–85)<0.001
Menopausal status<0.0010.191
 Premenopausal413 (46.2)604 (63.4)884 (54.4)133 (59.6)
 Postmenopausal463 (51.7)324 (34.0)704 (43.3)83 (37.2)
 Unknown19 (2.1)25 (2.6)37 (2.3)7 (3.1)
Histologic type0.1470.183
 IDCa830 (92.7)860 (90.2)1479 (91.0)211 (94.6)
 ILCa30 (3.4)46 (4.8)71 (4.4)5 (2.2)
 Others35 (3.9)47 (4.9)75 (4.6)7 (3.1)
Tumor size (cm)<0.001<0.001
 ≤2452 (50.5)564 (59.2)919 (56.6)97 (43.5)
 >2443 (49.5)389 (40.8)706 (43.4)126 (56.5)
LN metastasis<0.0010.007
 Negative541 (60.4)693 (72.7)1103 (67.9)131 (58.7)
 Positive354 (39.6)260 (27.3)522 (32.1)92 (41.3)
Histologic grade<0.001<0.001
 Low (I, II)565 (66.6)727 (76.3)1243 (76.5)80 (35.9)
 High (III)299 (33.4)226 (23.7)382 (23.5)143 (64.1)
Breast operation0.0010.443
 Partial mastectomy511 (57.1)618 (64.8)998 (61.4)131 (58.7)
 Total mastectomy384 (42.9)335 (35.2)627 (38.6)92 (41.3)
Axilla operation<0.0010.290
 Sentinel node biopsy491 (54.9)643 (67.5)1005 (61.8)129 (57.8)
 Axilla node dissection404 (45.1)303 (31.8)613 (37.7)94 (42.2)
 Not done0 (0.0)7 (0.7)7 (0.4)0 (0.0)
Recurrence0.043<0.001
 No861 (96.2)935 (98.1)1589 (97.8)207 (92.8)
 Locoregional6 (0.7)4 (0.4)7 (0.4)3 (1.3)
 Distant28 (3.1)14 (1.5)29 (1.8)13 (5.8)
Death0.0220.009
 No885 (98.9)951 (99.8)1618 (99.6)218 (97.8)
 Yes9 (1.0)2 (0.2)6 (0.4)5 (2.2)
 Unknown1 (0.1)0 (0.0)1 (0.1)0 (0.0)

PgR: progesterone receptor, IDCa: invasive ductal carcinoma, ILCa: invasive lobular carcinoma, and LN: lymph node. Patient outcomes according to Ki-67 and PgR expression.