RT Book, Section A1 Lautner, Meeghan A1 Parker, Catherine A1 Bedrosian, Isabelle A2 Morita, Shane Y. A2 Balch, Charles M. A2 Klimberg, V. Suzanne A2 Pawlik, Timothy M. A2 Posner, Mitchell C. A2 Tanabe, Kenneth K. SR Print(0) ID 1145760451 T1 Breast Cancer Subtypes Identified by Gene Expression Profiles and Molecular Markers T2 Textbook of Complex General Surgical Oncology YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9780071793315 LK hemonc.mhmedical.com/content.aspx?aid=1145760451 RD 2023/03/27 AB In 2000, the era of genomic medicine in breast cancer was introduced when Perou et al1 identified the “molecular portraits” of breast cancer. By analyzing the gene expression patterns of 8102 genes from 65 breast tumors, these authors identified four broad groups of tumors: (i) estrogen receptor (ER) positive/luminal-like, (ii) basal-like, (iii) ErbB-2 positive, and (iv) normal breast. These subtypes appeared biologically distinct as evidenced by their distinct genetic makeups and clinically distinct as evidenced by significant differences in outcome across the four groups. These initial subtypes have since been further refined by a number of groups, including The Cancer Genome Atlas Network,2 and a consensus has emerged that there are four important subtypes, often referred to as luminal A, luminal B, HER2/neu positive, and basal-like, each with distinct features and clinical behavior.