Annotation Detail

Information
Associated Genes
PTEN
Associated Variants
PTEN EXPRESSION
PTEN EXPRESSION
Associated Disease
Her2-receptor positive breast cancer
Source Database
CIViC Evidence
Description
Case report of a 44-year-old patient with recurrent HER2-positive breast cancer. The primary tumor was HR positive; however, the metastatic tumor was HR negative. The patient was resistant to classical chemotherapeutic agents and anti-HER2 treatment. Thus, the combination of everolimus and fulvestrant was administered. The patient experienced stable disease and PFS of 10 months. Genetic testing of pleural effusion after disease progression revealed a PIK3CA H1047R gene mutation but was positive for PTEN expression (IHC).
Variant Origin
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1624
Gene URL
https://civic.genome.wustl.edu/links/genes/41
Variant URL
https://civic.genome.wustl.edu/links/variants/313
Rating
1
Evidence Type
Predictive
Disease
Her2-receptor Positive Breast Cancer
Evidence Direction
Supports
Drug
Fulvestrant,Everolimus
Evidence Level
C
Clinical Significance
Resistance
Pubmed
27445490
Drugs
Drug NameSensitivitySupported
EverolimusResitance or Non-Reponsetrue
FulvestrantResitance or Non-Reponsetrue