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Breast Cancer Research and Treatment

, Volume 169, Issue 1, pp 25–32 | Cite as

GATA-3 is superior to GCDFP-15 and mammaglobin to identify primary and metastatic breast cancer

  • Yun-Bi Ni
  • Julia Y. S. Tsang
  • Mu-Min Shao
  • Siu-Ki Chan
  • Sai-Yin Cheung
  • Joanna Tong
  • Ka-Fai To
  • Gary M. Tse
Preclinical study
  • 252 Downloads

Abstract

Purpose

Despite numerous studies on the utility of GATA-3 as breast cancer marker, its comparison with other breast markers, its concordance between primary and metastatic tumors and its expression in primary cancers from sites with frequent breast metastases remains unclear.

Methods

To address these questions, totally 993 invasive breast cancers (IBC), 254 paired nodal metastases, 23 distant metastases, and 208 lung carcinomas were included. GATA-3 expression was analyzed by immunohistochemistry and compared to other breast markers [gross cystic disease fluid protein 15 (GCDFP-15) and mammaglobin (MGB)].

Results

GATA-3 was expressed in 82.5% of IBC, predominantly in luminal (93.9%), and lower in non-luminal cancers [59.6% of HER2 overexpressing (HER2-OE) and 38.1% of triple negative breast cancer (TNBC) subtypes]. GATA-3 identified more IBC than GCDFP-15 (23.9%) and MGB (46.6%). However, MGB showed a comparable sensitivity for non-luminal cancers to GATA-3. Combining MGB and GATA-3 improved sensitivity for both HER2-OE (80.8%) and TNBC cases (55.4%). GATA-3 showed a high sensitivity for nodal metastases and distant metastases, with good concordance with primary tumors. GATA-3 was expressed in 1.0% of lung carcinomas, with sensitivity and specificity of 82.5 and 99.0% in differentiating IBC and lung carcinoma.

Conclusions

GATA-3 expression was the highest in luminal breast carcinomas, and showed higher sensitivity than GCDFP-15 and MGB. However, in the poorly differentiated IBC, its utility was still limited. One should be aware of the possible GATA-3 expression in lung carcinomas.

Keywords

GATA-3 GCDFP-15 Mammaglobin Breast Lung 

Notes

Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflicts of interest.

Supplementary material

10549_2017_4645_MOESM1_ESM.docx (4.1 mb)
Supplementary material 1 (DOCX 4168 kb)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Yun-Bi Ni
    • 1
  • Julia Y. S. Tsang
    • 1
  • Mu-Min Shao
    • 2
  • Siu-Ki Chan
    • 3
  • Sai-Yin Cheung
    • 4
  • Joanna Tong
    • 1
  • Ka-Fai To
    • 1
  • Gary M. Tse
    • 1
  1. 1.Department of Anatomical and Cellular PathologyPrince of Wales Hospital, The Chinese University of Hong KongShatinHong Kong
  2. 2.Department of PathologyShenzhen Affiliated Hospital, Guangzhou University of Traditional Chinese MedicineShenzhenChina
  3. 3.Department of PathologyKwong Wah HospitalHong KongHong Kong
  4. 4.Department of PathologyTuen Mun HospitalHong KongHong Kong

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