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Prognostic and Predictive Value of Centrally Reviewed Ki-67 Labeling Index in Postmenopausal Women With Endocrine-Responsive Breast Cancer: Results From Breast International Group Trial 1-98 Comparing Adjuvant Tamoxifen With Letrozole

Identifieur interne : 008563 ( Main/Exploration ); précédent : 008562; suivant : 008564

Prognostic and Predictive Value of Centrally Reviewed Ki-67 Labeling Index in Postmenopausal Women With Endocrine-Responsive Breast Cancer: Results From Breast International Group Trial 1-98 Comparing Adjuvant Tamoxifen With Letrozole

Auteurs : Giuseppe Viale [Royaume-Uni] ; Anita Giobbie-Hurder [Royaume-Uni] ; Meredith M. Regan [Royaume-Uni] ; Alan S. Coates [Royaume-Uni] ; Mauro G. Mastropasqua [Royaume-Uni] ; Patrizia Dell'Orto [Royaume-Uni] ; Eugenio Maiorano [Royaume-Uni] ; Gaëtan Macgrogan [Royaume-Uni] ; Stephen G. Braye [Royaume-Uni] ; Christian Öhlschlegel [Royaume-Uni] ; Patrick Neven [Royaume-Uni] ; Zsolt Orosz [Royaume-Uni] ; Wojciech P. Olszewski [Royaume-Uni] ; Fiona Knox [Royaume-Uni] ; Beat Thürlimann [Royaume-Uni] ; Karen N. Price [Royaume-Uni] ; Monica Castiglione-Gertsch [Royaume-Uni] ; Richard D. Gelber [Royaume-Uni] ; Barry A. Gusterson [Royaume-Uni] ; Aron Goldhirsch [Royaume-Uni]

Source :

RBID : PMC:2651094

Abstract

Purpose

To evaluate the prognostic and predictive value of Ki-67 labeling index (LI) in a trial comparing letrozole (Let) with tamoxifen (Tam) as adjuvant therapy in postmenopausal women with early breast cancer.

Patients and Methods

Breast International Group (BIG) trial 1-98 randomly assigned 8,010 patients to four treatment arms comparing Let and Tam with sequences of each agent. Of 4,922 patients randomly assigned to receive 5 years of monotherapy with either agent, 2,685 had primary tumor material available for central pathology assessment of Ki-67 LI by immunohistochemistry and had tumors confirmed to express estrogen receptors after central review. The prognostic and predictive value of centrally measured Ki-67 LI on disease-free survival (DFS) were assessed among these patients using proportional hazards modeling, with Ki-67 LI values dichotomized at the median value of 11%.

Results

Higher values of Ki-67 LI were associated with adverse prognostic factors and with worse DFS (hazard ratio [HR; high:low] = 1.8; 95% CI, 1.4 to 2.3). The magnitude of the treatment benefit for Let versus Tam was greater among patients with high tumor Ki-67 LI (HR [Let:Tam] = 0.53; 95% CI, 0.39 to 0.72) than among patients with low tumor Ki-67 LI (HR [Let:Tam] = 0.81; 95% CI, 0.57 to 1.15; interaction P = .09).

Conclusion

Ki-67 LI is confirmed as a prognostic factor in this study. High Ki-67 LI levels may identify a patient group that particularly benefits from initial Let adjuvant therapy.


Url:
DOI: 10.1200/JCO.2008.17.0829
PubMed: 18981464
PubMed Central: 2651094


Affiliations:


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<title xml:lang="en">Prognostic and Predictive Value of Centrally Reviewed Ki-67 Labeling Index in Postmenopausal Women With Endocrine-Responsive Breast Cancer: Results From Breast International Group Trial 1-98 Comparing Adjuvant Tamoxifen With Letrozole</title>
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<name sortKey="Viale, Giuseppe" sort="Viale, Giuseppe" uniqKey="Viale G" first="Giuseppe" last="Viale">Giuseppe Viale</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
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<name sortKey="Giobbie Hurder, Anita" sort="Giobbie Hurder, Anita" uniqKey="Giobbie Hurder A" first="Anita" last="Giobbie-Hurder">Anita Giobbie-Hurder</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Regan, Meredith M" sort="Regan, Meredith M" uniqKey="Regan M" first="Meredith M." last="Regan">Meredith M. Regan</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Coates, Alan S" sort="Coates, Alan S" uniqKey="Coates A" first="Alan S." last="Coates">Alan S. Coates</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
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<author>
<name sortKey="Mastropasqua, Mauro G" sort="Mastropasqua, Mauro G" uniqKey="Mastropasqua M" first="Mauro G." last="Mastropasqua">Mauro G. Mastropasqua</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Dell Orto, Patrizia" sort="Dell Orto, Patrizia" uniqKey="Dell Orto P" first="Patrizia" last="Dell'Orto">Patrizia Dell'Orto</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Maiorano, Eugenio" sort="Maiorano, Eugenio" uniqKey="Maiorano E" first="Eugenio" last="Maiorano">Eugenio Maiorano</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Macgrogan, Gaetan" sort="Macgrogan, Gaetan" uniqKey="Macgrogan G" first="Gaëtan" last="Macgrogan">Gaëtan Macgrogan</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Braye, Stephen G" sort="Braye, Stephen G" uniqKey="Braye S" first="Stephen G." last="Braye">Stephen G. Braye</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ohlschlegel, Christian" sort="Ohlschlegel, Christian" uniqKey="Ohlschlegel C" first="Christian" last="Öhlschlegel">Christian Öhlschlegel</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Neven, Patrick" sort="Neven, Patrick" uniqKey="Neven P" first="Patrick" last="Neven">Patrick Neven</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Orosz, Zsolt" sort="Orosz, Zsolt" uniqKey="Orosz Z" first="Zsolt" last="Orosz">Zsolt Orosz</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Olszewski, Wojciech P" sort="Olszewski, Wojciech P" uniqKey="Olszewski W" first="Wojciech P." last="Olszewski">Wojciech P. Olszewski</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Knox, Fiona" sort="Knox, Fiona" uniqKey="Knox F" first="Fiona" last="Knox">Fiona Knox</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Thurlimann, Beat" sort="Thurlimann, Beat" uniqKey="Thurlimann B" first="Beat" last="Thürlimann">Beat Thürlimann</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Price, Karen N" sort="Price, Karen N" uniqKey="Price K" first="Karen N." last="Price">Karen N. Price</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Castiglione Gertsch, Monica" sort="Castiglione Gertsch, Monica" uniqKey="Castiglione Gertsch M" first="Monica" last="Castiglione-Gertsch">Monica Castiglione-Gertsch</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Gelber, Richard D" sort="Gelber, Richard D" uniqKey="Gelber R" first="Richard D." last="Gelber">Richard D. Gelber</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Gusterson, Barry A" sort="Gusterson, Barry A" uniqKey="Gusterson B" first="Barry A." last="Gusterson">Barry A. Gusterson</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Goldhirsch, Aron" sort="Goldhirsch, Aron" uniqKey="Goldhirsch A" first="Aron" last="Goldhirsch">Aron Goldhirsch</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
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<idno type="pmid">18981464</idno>
<idno type="pmc">2651094</idno>
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<idno type="doi">10.1200/JCO.2008.17.0829</idno>
<date when="2008">2008</date>
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<title xml:lang="en" level="a" type="main">Prognostic and Predictive Value of Centrally Reviewed Ki-67 Labeling Index in Postmenopausal Women With Endocrine-Responsive Breast Cancer: Results From Breast International Group Trial 1-98 Comparing Adjuvant Tamoxifen With Letrozole</title>
<author>
<name sortKey="Viale, Giuseppe" sort="Viale, Giuseppe" uniqKey="Viale G" first="Giuseppe" last="Viale">Giuseppe Viale</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Giobbie Hurder, Anita" sort="Giobbie Hurder, Anita" uniqKey="Giobbie Hurder A" first="Anita" last="Giobbie-Hurder">Anita Giobbie-Hurder</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Regan, Meredith M" sort="Regan, Meredith M" uniqKey="Regan M" first="Meredith M." last="Regan">Meredith M. Regan</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Coates, Alan S" sort="Coates, Alan S" uniqKey="Coates A" first="Alan S." last="Coates">Alan S. Coates</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Mastropasqua, Mauro G" sort="Mastropasqua, Mauro G" uniqKey="Mastropasqua M" first="Mauro G." last="Mastropasqua">Mauro G. Mastropasqua</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Dell Orto, Patrizia" sort="Dell Orto, Patrizia" uniqKey="Dell Orto P" first="Patrizia" last="Dell'Orto">Patrizia Dell'Orto</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Maiorano, Eugenio" sort="Maiorano, Eugenio" uniqKey="Maiorano E" first="Eugenio" last="Maiorano">Eugenio Maiorano</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Macgrogan, Gaetan" sort="Macgrogan, Gaetan" uniqKey="Macgrogan G" first="Gaëtan" last="Macgrogan">Gaëtan Macgrogan</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Braye, Stephen G" sort="Braye, Stephen G" uniqKey="Braye S" first="Stephen G." last="Braye">Stephen G. Braye</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ohlschlegel, Christian" sort="Ohlschlegel, Christian" uniqKey="Ohlschlegel C" first="Christian" last="Öhlschlegel">Christian Öhlschlegel</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Neven, Patrick" sort="Neven, Patrick" uniqKey="Neven P" first="Patrick" last="Neven">Patrick Neven</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Orosz, Zsolt" sort="Orosz, Zsolt" uniqKey="Orosz Z" first="Zsolt" last="Orosz">Zsolt Orosz</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Olszewski, Wojciech P" sort="Olszewski, Wojciech P" uniqKey="Olszewski W" first="Wojciech P." last="Olszewski">Wojciech P. Olszewski</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Knox, Fiona" sort="Knox, Fiona" uniqKey="Knox F" first="Fiona" last="Knox">Fiona Knox</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Thurlimann, Beat" sort="Thurlimann, Beat" uniqKey="Thurlimann B" first="Beat" last="Thürlimann">Beat Thürlimann</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Price, Karen N" sort="Price, Karen N" uniqKey="Price K" first="Karen N." last="Price">Karen N. Price</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Castiglione Gertsch, Monica" sort="Castiglione Gertsch, Monica" uniqKey="Castiglione Gertsch M" first="Monica" last="Castiglione-Gertsch">Monica Castiglione-Gertsch</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Gelber, Richard D" sort="Gelber, Richard D" uniqKey="Gelber R" first="Richard D." last="Gelber">Richard D. Gelber</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Gusterson, Barry A" sort="Gusterson, Barry A" uniqKey="Gusterson B" first="Barry A." last="Gusterson">Barry A. Gusterson</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Goldhirsch, Aron" sort="Goldhirsch, Aron" uniqKey="Goldhirsch A" first="Aron" last="Goldhirsch">Aron Goldhirsch</name>
<affiliation wicri:level="1">
<nlm:aff id="aff0">From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>From the Division of Pathology and Laboratory Medicine, European Institute of Oncology, University of Milan, Milan; Department of Pathological Anatomy, University of Bari, Bari, Italy; International Breast Cancer Study Group (IBCSG) Statistical Center, Dana-Farber Cancer Institute, Harvard School of Public Health; Frontier Science and Technology Research Foundation, Boston, MA; IBCSG Coordinating Center; Swiss Group for Clinical Cancer Research (SAKK), Bern; Senology Center of Eastern Switzerland, Kantonsspital, St Gallen; Oncology Institute of Southern Switzerland, Bellinzona, Switzerland; University of Sydney, Sydney; Australian New Zealand Breast Cancer Trials Group, University of Newcastle and Anatomical Pathology, Hunter Area Pathology Service, John Hunter Hospital, New South Wales, Australia; Department of Pathology, Institut Bergonié, Bordeaux, France; Department of Gynecologic Oncology and Multidisciplinary Breast Centre, UZ-KU Leuven, Leuven, Belgium; Department of Pathology, National Institute of Oncology, Budapest, Hungary; Center of Oncology-Institute, Warsaw, Poland; Department of Pathology, South Manchester University Hospital, Manchester; and the Division of Cancer Sciences and Molecular Pathology, Glasgow University</wicri:regionArea>
<wicri:noRegion>Glasgow University</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Journal of Clinical Oncology</title>
<idno type="ISSN">0732-183X</idno>
<idno type="eISSN">1527-7755</idno>
<imprint>
<date when="2008">2008</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Purpose</title>
<p>To evaluate the prognostic and predictive value of Ki-67 labeling index (LI) in a trial comparing letrozole (Let) with tamoxifen (Tam) as adjuvant therapy in postmenopausal women with early breast cancer.</p>
</sec>
<sec>
<title>Patients and Methods</title>
<p>Breast International Group (BIG) trial 1-98 randomly assigned 8,010 patients to four treatment arms comparing Let and Tam with sequences of each agent. Of 4,922 patients randomly assigned to receive 5 years of monotherapy with either agent, 2,685 had primary tumor material available for central pathology assessment of Ki-67 LI by immunohistochemistry and had tumors confirmed to express estrogen receptors after central review. The prognostic and predictive value of centrally measured Ki-67 LI on disease-free survival (DFS) were assessed among these patients using proportional hazards modeling, with Ki-67 LI values dichotomized at the median value of 11%.</p>
</sec>
<sec>
<title>Results</title>
<p>Higher values of Ki-67 LI were associated with adverse prognostic factors and with worse DFS (hazard ratio [HR; high:low] = 1.8; 95% CI, 1.4 to 2.3). The magnitude of the treatment benefit for Let versus Tam was greater among patients with high tumor Ki-67 LI (HR [Let:Tam] = 0.53; 95% CI, 0.39 to 0.72) than among patients with low tumor Ki-67 LI (HR [Let:Tam] = 0.81; 95% CI, 0.57 to 1.15; interaction
<italic>P</italic>
= .09).</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Ki-67 LI is confirmed as a prognostic factor in this study. High Ki-67 LI levels may identify a patient group that particularly benefits from initial Let adjuvant therapy.</p>
</sec>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Royaume-Uni</li>
</country>
</list>
<tree>
<country name="Royaume-Uni">
<noRegion>
<name sortKey="Viale, Giuseppe" sort="Viale, Giuseppe" uniqKey="Viale G" first="Giuseppe" last="Viale">Giuseppe Viale</name>
</noRegion>
<name sortKey="Braye, Stephen G" sort="Braye, Stephen G" uniqKey="Braye S" first="Stephen G." last="Braye">Stephen G. Braye</name>
<name sortKey="Castiglione Gertsch, Monica" sort="Castiglione Gertsch, Monica" uniqKey="Castiglione Gertsch M" first="Monica" last="Castiglione-Gertsch">Monica Castiglione-Gertsch</name>
<name sortKey="Coates, Alan S" sort="Coates, Alan S" uniqKey="Coates A" first="Alan S." last="Coates">Alan S. Coates</name>
<name sortKey="Dell Orto, Patrizia" sort="Dell Orto, Patrizia" uniqKey="Dell Orto P" first="Patrizia" last="Dell'Orto">Patrizia Dell'Orto</name>
<name sortKey="Gelber, Richard D" sort="Gelber, Richard D" uniqKey="Gelber R" first="Richard D." last="Gelber">Richard D. Gelber</name>
<name sortKey="Giobbie Hurder, Anita" sort="Giobbie Hurder, Anita" uniqKey="Giobbie Hurder A" first="Anita" last="Giobbie-Hurder">Anita Giobbie-Hurder</name>
<name sortKey="Goldhirsch, Aron" sort="Goldhirsch, Aron" uniqKey="Goldhirsch A" first="Aron" last="Goldhirsch">Aron Goldhirsch</name>
<name sortKey="Gusterson, Barry A" sort="Gusterson, Barry A" uniqKey="Gusterson B" first="Barry A." last="Gusterson">Barry A. Gusterson</name>
<name sortKey="Knox, Fiona" sort="Knox, Fiona" uniqKey="Knox F" first="Fiona" last="Knox">Fiona Knox</name>
<name sortKey="Macgrogan, Gaetan" sort="Macgrogan, Gaetan" uniqKey="Macgrogan G" first="Gaëtan" last="Macgrogan">Gaëtan Macgrogan</name>
<name sortKey="Maiorano, Eugenio" sort="Maiorano, Eugenio" uniqKey="Maiorano E" first="Eugenio" last="Maiorano">Eugenio Maiorano</name>
<name sortKey="Mastropasqua, Mauro G" sort="Mastropasqua, Mauro G" uniqKey="Mastropasqua M" first="Mauro G." last="Mastropasqua">Mauro G. Mastropasqua</name>
<name sortKey="Neven, Patrick" sort="Neven, Patrick" uniqKey="Neven P" first="Patrick" last="Neven">Patrick Neven</name>
<name sortKey="Ohlschlegel, Christian" sort="Ohlschlegel, Christian" uniqKey="Ohlschlegel C" first="Christian" last="Öhlschlegel">Christian Öhlschlegel</name>
<name sortKey="Olszewski, Wojciech P" sort="Olszewski, Wojciech P" uniqKey="Olszewski W" first="Wojciech P." last="Olszewski">Wojciech P. Olszewski</name>
<name sortKey="Orosz, Zsolt" sort="Orosz, Zsolt" uniqKey="Orosz Z" first="Zsolt" last="Orosz">Zsolt Orosz</name>
<name sortKey="Price, Karen N" sort="Price, Karen N" uniqKey="Price K" first="Karen N." last="Price">Karen N. Price</name>
<name sortKey="Regan, Meredith M" sort="Regan, Meredith M" uniqKey="Regan M" first="Meredith M." last="Regan">Meredith M. Regan</name>
<name sortKey="Thurlimann, Beat" sort="Thurlimann, Beat" uniqKey="Thurlimann B" first="Beat" last="Thürlimann">Beat Thürlimann</name>
</country>
</tree>
</affiliations>
</record>

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