Table 2. (A) Concordance calculation between RT-qPCR and IHC for the biomarkers studied, (B) Methodologic discrepancies in receptor conversion recognition.
A) Concordance of RT-qPCR and IHC | ER/ESR1 | PR/PGR |
Primary breast cancer (PT) | 81% κ 0.51 | 70% κ 0.10 |
Metastatic breast cancer (MT) | 84% κ 0.34 | 78% κ−0.32 |
B) Hormone receptor conversion | RT-qPCR | IHC |
Total: | 19 (20)*/55° | 21 (22)*/53† |
Both neg to both pos | 0 | 1 |
Both pos to both neg | 4 | 4 |
ER neg to pos/PR neg | 1 | 1 |
ER neg to pos/PR pos | 1 | 3 |
ER pos to neg/PR neg | 2 | 0 |
ER pos to neg/PR pos | 1 | 1 |
PR neg to pos/ER neg | (1)* | 1 |
PR neg to pos/ER pos | 0 | 1 |
PR pos to neg/ER neg | 0 | 1 |
PR pos to neg/ER pos | 8 | 8 (9)* |
*One patient had 2 MT biopsies for one PT, but only one MT biopsy showed a shift, thus the value including the shifting sample in brackets.
°RT-qPCR total comprises 55 patients as % tumor cells were insufficient for accurate statement of hormone receptor positivity/negativity in 11 MT and 1 PT.
†IHC total comprises 53 samples as immunohistochemistry was missing for 14 samples.