ESR1 and breast carcinoma: The main prognostic factors of breast cancer are age, clinical performance, menopausal status, tumor stage [7], histological type, tumor differentiation, gene expression signature [8, 9], molecular subtype [10, 11], expression of estrogen (ER) [12, 13] and progesterone receptors (PR) [14], HER2 oncoprotein (HER2) [15] and cellular proliferation index Ki67 (Ki-67) [16–18].