Cuzick et al [6] have proposed the IHC4 score based on four IHC markers (ER, progesterone receptor (PR), HER2, and Ki67), commonly used in breast cancer, and suggested that the amount of prognostic information provided by the IHC4 was similar to that in the mRNA-based, 21-gene Genomic Health recurrence score. Here, ESR1 is linked to breast carcinoma.