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Old 07-12-2007, 06:18 PM   #35
Hopeful
Senior Member
 
Join Date: Aug 2006
Posts: 3,380
Terri,

Most of the time, I am just fairly good at remembering where I read something.

Just to throw a wrinkle into things, there is some evidence that, for at least some Her2+ ER+ patients, Tamoxifen acts as an agonist, rather than an antagonist. My personal belief is that this is one of the reasons virtually all Her2+ patients score highly on the Oncotype Dx test, which was validated (retrospectively) in a set of patients ER+ node negative treated only with Tamoxifen. (I want to stress that this is my personal opinion only; I haven't seen anything written on it).

As to the PR- phenotype, there are a lot of articles written about it; it tends to be Tamoxifen resistant; if you google "Tamoxifen resistance" you will get a lot of hits on articles that discuss it.

I am providing links to some older threads where a lot of these issues have been discussed:

http://her2support.org/vbulletin/sho...&highlight=PR-

http://her2support.org/vbulletin/sho...&highlight=PR-

http://her2support.org/vbulletin/sho...&highlight=PR-

http://her2support.org/vbulletin/sho...&highlight=PR-

The last link above contains some research I did some months back concerning the prognostic significance of PR+ vs. PR-, ER+ bc. I am ER+ (80%) and PR+ (50%). I am not familiar with Dr. Lee's books.

Hopeful
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