1981
DOI: 10.1038/bjc.1981.205
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Oestrogen-receptor status and sites of metastasis in breast cancer

Abstract: Summary.-The oestrogen receptor (RE) status of the primary tumour has been assessed in 466 of a consecutive series of 550 patients with primary operable breast cancer.All patients were followed up (without treatment) until the development of recurrence or metastases. Distant metastases have so far occurred in 124 patients and 82 have had symptomatic local or regional recurrence.A significant correlation exists between the RE status of the primary tumour and subsequent patterns of metastasis.Symptomatic metasta… Show more

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Cited by 78 publications
(26 citation statements)
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“…The reasons for the preferential dissemination of breast cancer to bone marrow are unknown, but it is thought that simple explanations such as anatomy or blood supply are insufficient (Price, 1994). However, it is known that primary tumours that express oestrogen receptors (ER), monomeric laminin receptors, elevated levels of parathyroid-related protein or lack of c-erb-B2 are more likely to metastasize to bone (Campbell et al, 1981;Kallioniemi et al, 1991;Bundred et al, 1992;Ménard et al, 1994).…”
mentioning
confidence: 99%
“…The reasons for the preferential dissemination of breast cancer to bone marrow are unknown, but it is thought that simple explanations such as anatomy or blood supply are insufficient (Price, 1994). However, it is known that primary tumours that express oestrogen receptors (ER), monomeric laminin receptors, elevated levels of parathyroid-related protein or lack of c-erb-B2 are more likely to metastasize to bone (Campbell et al, 1981;Kallioniemi et al, 1991;Bundred et al, 1992;Ménard et al, 1994).…”
mentioning
confidence: 99%
“…The degree of tumour differentiation is a strong correlate of tumour ER (Fisher et al, 1981;Alanko et al, 1984) and is another indicator of tumour aggressiveness. ER content has also been found to relate to the site of initial metastases (Campbell et al, 1981;Williams et al, 1987). It is likely that well differentiated ER + tumours will maintain a low growth rate even after the establishment of a metastasis, which is more often in bone, and tend to have a less aggressive course than metastases to visceral organs (Coleman & Rubens, 1987).…”
Section: Discussionmentioning
confidence: 99%
“…These tumors may spread more easily, show higher osteolytic activity in vitro (34), and may be associated more frequently with bone metastases (33 (35)(36)(37)(38).…”
Section: Discussionmentioning
confidence: 99%