Molecular Subtype | Gene expression pattern | Clinical features | Common treatment options | Potential reclassification |
---|---|---|---|---|
Luminal A | ER+ and/or PR+, HER2−, and low Ki67 | 30–70% prevalence; Tumor grade of 1 or 2 | Endocrine therapy; Aromatase inhibitors; Standard chemotherapy; Best prognosis of the four tumor types | Further research required |
Luminal B | ER+ and/or PR+ and HER2+ or –; High Ki67 | 10–20% prevalence; Often younger age of diagnosis; Higher grade and worse prognosis than luminal A | Endocrine therapy; Aromatase inhibitors; Standard chemotherapy | Further research required |
HER-2-enriched | ER−, PR−, and HER2+ | 5–15% prevalence; Likely to be high grade and LN+; Poor prognosis | Trastuzumab; Pertuzumab; T-DM1; lapatinib; TKIs; anthracycline-based chemotherapy | SR +/−; CC +/−; IR +/−; ECM +/− (Teschendorff et al. [22]); (Staaf et al. [21]) |
Triple negative/basal-like | ER−, PR−, HER2− | 15–20% prevalence; High grade and proliferation; Often BRCA-1 related; | Radiation; Platinum-based chemotherapy; PARP inhibitors | CC +/−; IR +/−; ECM +/− (Teschendorff et al. [22]); BL1, BL2, IM, MSL, LAR (Lehmann et al. [23]) |