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Table 4 Treatment and follow-up of 12 cases with major discrepancies

From: Suboptimal concordance in testing and retesting results of triple-negative breast carcinoma cases among laboratories: one institution experience

Case ID

Diagnosis

Stage

Treatment

Pathologic response (if NACT)

Follow-up year (diagnosis)

Impact

1

IDC

pT1c N0

Surgery

Adjuvant chemotherapy

Radiation

N/A

4 (free of disease)

No hormonal therapy

2

IDC

ypT1a N0

NACT

surgery

Adjuvant radiation

Hormone therapy

Partial

3 (free of disease)

Hormonal therapy

3

ILC

ypT3N3a

NACT

surgery

Adjuvant radiation

Partial

3 (developed TN Chest wall recurrence)

No hormonal therapy

4

IDC

ypT1cN1a

NACT

surgery

Adjuvant radiation

Almost complete

3 (free of disease)

No hormonal therapy

5

IDC

pT1cN0

Surgery

Adjuvant chemotherapy

N/A

3 (free of disease)

No hormonal therapy

6

IDC

ypT1aN2a

NACT

surgery

Adjuvant radiation

Partial

1 (progressive metastatic disease and lost to follow-up)

No hormonal therapy

7

IDC

cT2N3M1

Palliative chemotherapy (un-resectable disease)

N/A

1 (progressive disease and lost to follow-up)

No hormonal therapy

8

IDC

pT3N0

Surgery

Adjuvant chemotherapy

radiation

N/A

2 (progressive TN disease)

No hormonal therapy

(ER, PR, and HER2 repeated at excision were negative)

9

IDC

cT2N0

NACT (outside hospital)

N/A

N/A (lost to follow-up/

transferred care)

 

10

IDC

cT2N1M1

Chemotherapy radiation (bone met)

 

3 (progressive ER+ disease)

Hormonal therapy

(Primary breast carcinoma ER: 10%, PR: 0%)

11

IDC

ypT2N1

NACT

surgery

Adjuvant radiation

 

3 (local recurrence

TN progressive disease)

No hormonal therapy

12

IDC

ypT2N1mi

NACT

surgery

Adjuvant radiation

 

2 (metastasis

progressive disease: ER, PR, HER2 unknown)

No hormonal therapy

  1. ER estrogen receptor, HER2 human epidermal growth factor receptor 2, IDC invasive ductal carcinoma, ILC invasive lobular carcinoma, N/A not applicable, NACT neoadjuvant chemotherapy, TN triple negative