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. 2009;11(3):R37.
doi: 10.1186/bcr2322. Epub 2009 Jun 18.

HER-2 positive breast cancer: decreasing proportion but stable incidence in Finnish population from 1982 to 2005

Katri Köninki  1 , Minna Tanner, Anssi Auvinen, Jorma Isola
Affiliations

HER-2 positive breast cancer: decreasing proportion but stable incidence in Finnish population from 1982 to 2005

Katri Köninki et al. Breast Cancer Res. 2009.

Abstract

Introduction: Classification of breast cancers according to the HER-2 oncogene status is of central importance in the selection of post-surgical therapies. A decrease in the proportion of HER-2-positive breast cancer has been suspected, but no data on the incidence trends at population level have been reported.

Methods: We studied the proportion of HER-2-positive breast cancers by chromogenic in situ hybridization (CISH) in three cohorts (years 1982 to 1986 (n = 310), 1989 to 1992 (n = 108), and 2004 to 2005 (n = 713)) in the population of the Pirkanmaa hospital district (approximately 220,000 women). Cancer incidence rates were age-adjusted to the world standard population.

Results: The proportion of HER-2-positive breast cancer declined from 21.6% (average in 1982 to 1986) to 13.6% (average in 2004 to 2005). However, during the same time period the age-adjusted incidence of all invasive breast cancers had increased by 40%. These opposite trends balanced each other and indicated that the incidence of HER-2-positive breast cancer has remained unchanged (Poisson regression coefficient for time trend 1.000; 95% CI = 0.989 to 1.012). In contrast, the incidence of HER-2-negative cancer showed 2% annual increase (Poisson regression coefficient 1.021, 95% CI = 1.016 to 1.026). Although HER-2-negative cancers were more likely to be diagnosed by mammography screening, the changes were more likely to be explained by etiological risk factors favoring HER-2-negative (and hormone receptor-positive) disease such as menopausal hormone therapy.

Conclusions: These results document a significant decrease in the proportion of HER-2-positive breast cancer. However, the incidence of HER-2-positive cancer at the population level was found to be unchanged.

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Figures

Figure 1
Figure 1
Time trends of age-adjusted breast cancer incidence and proportion of HER-2-positive breast cancer in the Pirkanmaan Hospital district from 1982 to 2005. Bullets = overall breast cancer incidence; rings = estimated incidence of human epidermal growth factor receptor 2 (HER-2)-negative breast cancer; closed squares = estimated incidence of HER-2-positive breast cancer; open squares = proportion of HER-2-positive breast cancer.
See this image and copyright information in PMC

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