In a univariate analysis of all invasive breast cancers (n = 584), a shorter DFS was associated with HSL negativity (p = 0.024) and acyl-CoA oxidase 1 positivity (p = 0.028), whereas a shorter overall survival (OS) was associated only with acyl-CoA oxidase 1 positivity (p = 0.027) (Table 5). Here, ACOX1 is linked to invasive breast carcinoma.