p53 tumor-suppressor gene mutation and p53 protein over-expression have been reported with higher frequency in early-onset breast carcinomas (EOBC). Given the role attributed to normal p53 protein in DNA-repair mechanisms, other somatic genomic alterations would be expected to be associated with this abnormality. Amplification of the cerbB-2 (HER-2/neu) oncogene and over-expression of the corresponding p185erbB-2 protein have been linked to prognosis and response to therapy in breast cancer. In a retrospective study of 62 formalin-fixed paraffin-embedded invasive EOBC (diagnosed at 35 years or less), the amplification status of the c-erbB-2 gene detected by fluorescence in situ hybridization (FISH) using a unique sequence probe was compared with p53 protein accumulation measured by immunohistochemistry (IHC) and phenotypic features. p185erbB2-protein expression was also detected by immunohistochemistry, together with estrogen-receptor (ER) and progesteronereceptor (PR) expression. The data for a sub-set of 33 node-negative EOBC cases were compared with 70 nodenegative tumors diagnosed in women above 36 years of age. Compared with node-negative BC in older women, nodenegative EOBC was significantly more likely to feature high grade, high proliferation rate, negative ER and/or PR and p53 over-expression (p F 0.05). A trend toward a higher incidence of c-erbB-2 amplification in EOBC (21% vs. 9%) reached near-significance (p ؍ 0.07). In EOBC, c-erbB-2 amplification and p53 over-expression were not associated with high tumor grade or high cell-proliferation rate, in contrast to the significant associations of these markers in tumors in older women. Abnormalities in tumor markers, including c-erbB-2 gene amplification and p53-protein over-expression, occur at different rates in women with EOBC as compared with BC developing in older women. This finding may reflect a different pathogenesis for EOBC, and warrants further investigation. Int. J. Cancer (Pred. Oncol.) 84:511-515, 1999.1999 Wiley-Liss, Inc.Although the incidence of breast cancer in France is 1 of 14 women, the proportion of cases diagnosed under the age of 30 years is only 0.7 to 2% and for those under 40 is 5.6 to 7.3% (Marcus et al., 1994). Young age is generally considered as predictive of poorer outcome in breast cancer (De la Rochefordière et al., 1993;Albain et al., 1994;Chung et al., 1996;Holli and Isola, 1997;Bertheau et al., 1998). A higher frequency of somatic p53-protein accumulation has been reported in early-onset breast cancer (EOBC) (Albain et al., 1994;Walker et al., 1996). Others features specific for EOBC include abnormal DNA index profiles and geno-phenotype relationships specific to young age (Remvikos et al., 1995) and inherited germline abnormalities, even without a documented family history of breast cancer (Claus, 1994;Krainer et al., 1997). The frequency and role of these genetic abnormalities, and their possible interactions with other somatic genes/oncogenes known to be involved in breast carcinogenesis, remain unclear.Given the...