The invention discloses a
gene marker combination, a kit and a
system for
breast cancer lymph node metastasis risk assessment, and belongs to the field of precise medical
big data analysis. The
gene marker combination is composed of 18 genes, namely ACE2, BPIFB1, CLDN19, CT83, FABP7, FGFBP1, KLK7, KLK8, OCA2, PGLYRP4, PI3, PICSAR, PRSS33, ROPN1, ROPN1B, SCRG1, SERPINA11 and SRARP in total. Based on
expression data of the combination, a brand new
breast cancer lymph node metastasis risk assessment system (MRA18) is constructed, and
breast cancer samples can be divided into eight molecular subtypes with different
lymph node metastasis risks. Experiments show that the
typing method has extremely strong category distinguishing ability (
macro AUC
score: 0.981 + / -0.004) and steady comprehensive classification performance (balance accuracy: 0.769 + / -0.027), and survival curves and
lymph node metastasis risk grade distribution between different molecular subtypes have significant differences. The invention further provides a corresponding detection kit and an intelligent
metastasis risk assessment system integrated with the
random forest classification model, and an effective auxiliary
diagnosis tool is provided for accurate assessment of the preoperative
lymph node metastasis risk of the breast
cancer patient and formulation of an individualized operation scheme.