A 55-year-old woman presents with a breast mass. Core biopsy shows invasive carcinoma that is ER+, PR+, HER2−. Which molecular subtype does this correspond to?
- A HER2-enriched subtype
- B Triple-negative (basal-like) subtype
- C Luminal B subtype
- D Luminal A subtype ✓
Correct answer: D. Luminal A subtype
Explanation
Luminal A breast cancer is ER+, PR+, HER2−, and has low Ki-67 proliferation index. It has the best prognosis among breast cancer subtypes and is treated with endocrine therapy alone in most cases. Luminal B is also ER+ but HER2+ or has high Ki-67. HER2-enriched is ER−, PR−, HER2+. Triple-negative (basal-like) is ER−, PR−, HER2−.
Reference: Robbins & Cotran Pathologic Basis of Disease, 10th ed.
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