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I have recently read of uPA short for urokinase plasminogen activator and its inhibitor PA1-1. About 45 percent of breast cancer patients have high levels of these proteins .These women have also higher rates of cancer spread.Has anyone monitored uPA levels in early stage setting to evaluate risk for disease progression? Increased uPA levels are reported to be a stronger prognostic variable than tumor size, nodal status ,tumor grade, ER,PR, p53, AND her2 status.
Also, has anyone who is ER, PR negative her2 positive with early stage cancer had any reliable genomic testing done to define their genetic signature? A bad genetic signature along with a bad primary tumor signature are unfavorable features which work together causing cancer progression.
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