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sample_id
stringlengths
12
12
population
stringclasses
7 values
region
stringclasses
5 values
is_SSA
bool
2 classes
is_reference_panel
bool
2 classes
sex
stringclasses
2 values
age_years
float64
18
90
stage_at_diagnosis
stringclasses
4 values
tumor_subtype
stringclasses
5 values
first_metastasis_site
stringclasses
5 values
therapy_class
stringclasses
5 values
primary_n_mutations
int64
20
145
metastasis_n_mutations
int64
45
209
shared_n_mutations
int64
20
126
primary_private_n_mutations
int64
0
42
metastasis_private_n_mutations
int64
11
162
primary_met_jaccard_index
float64
0.13
0.7
primary_ESR1_mut
bool
2 classes
primary_PIK3CA_mut
bool
2 classes
primary_HER2_amp
bool
2 classes
primary_TP53_mut
bool
2 classes
primary_RB1_loss
bool
2 classes
met_ESR1_mut
bool
2 classes
met_PIK3CA_mut
bool
2 classes
met_HER2_amp
bool
2 classes
met_TP53_mut
bool
2 classes
met_RB1_loss
bool
2 classes
has_clinical_resistance
bool
2 classes
resistance_mechanism
stringclasses
7 values
DP_PAT_00001
SSA_West
West
true
false
Female
25.6
IV
Basal_like
Brain
Chemo_only
80
148
80
0
68
0.541
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00002
SSA_West
West
true
false
Female
50.3
III
Basal_like
Brain
Chemo_only
92
129
78
14
51
0.545
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00003
SSA_West
West
true
false
Female
44.1
IV
Basal_like
Liver
HER2_targeted
95
124
77
18
47
0.542
false
false
false
true
true
false
false
true
true
true
true
HER2_amp_gain_resistance
DP_PAT_00004
SSA_West
West
true
false
Female
37.6
IV
Luminal_A
Brain
Chemo_only
64
103
64
0
39
0.621
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00005
SSA_West
West
true
false
Female
23.1
III
Basal_like
Lung
Chemo_only
84
130
75
9
55
0.54
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00006
SSA_West
West
true
false
Female
58.4
I
Luminal_A
Bone
CDK4_6_plus_endocrine
79
180
79
0
101
0.439
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00007
SSA_West
West
true
false
Female
41.6
III
Basal_like
Liver
Chemo_only
97
119
76
21
43
0.543
false
true
false
true
false
false
true
false
true
false
false
None
DP_PAT_00008
SSA_West
West
true
false
Female
52.9
IV
Basal_like
Liver
Chemo_only
74
110
65
9
45
0.546
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00009
SSA_West
West
true
false
Female
57.7
III
Basal_like
Brain
Chemo_only
87
151
84
3
67
0.545
false
true
false
true
false
false
true
false
true
false
false
None
DP_PAT_00010
SSA_West
West
true
false
Female
53.2
IV
Basal_like
Bone
Chemo_plus_endocrine
82
146
80
2
66
0.541
false
true
true
true
false
true
true
true
true
false
false
None
DP_PAT_00011
SSA_West
West
true
false
Female
47.8
IV
Basal_like
Lung
HER2_targeted
136
137
96
40
41
0.542
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00012
SSA_West
West
true
false
Female
57.2
III
Basal_like
Brain
Chemo_only
87
121
73
14
48
0.541
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00013
SSA_West
West
true
false
Female
55.7
III
Luminal_A
Other
Endocrine_only
87
172
87
0
85
0.506
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00014
SSA_West
West
true
false
Female
56.6
III
Basal_like
Brain
Chemo_plus_endocrine
82
148
81
1
67
0.544
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00015
SSA_West
West
true
false
Female
31.8
I
Basal_like
Lung
CDK4_6_plus_endocrine
89
110
70
19
40
0.543
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00016
SSA_West
West
true
false
Female
45.7
II
Luminal_A
Lung
CDK4_6_plus_endocrine
65
101
65
0
36
0.644
false
false
false
true
false
false
false
false
true
true
true
RB1_loss_CDK4_6_resistance
DP_PAT_00017
SSA_West
West
true
false
Female
42.5
I
Luminal_A
Bone
Chemo_plus_endocrine
75
109
75
0
34
0.688
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00018
SSA_West
West
true
false
Female
82.3
II
Basal_like
Other
Chemo_only
67
155
67
0
88
0.432
false
true
false
false
false
false
true
false
false
false
false
None
DP_PAT_00019
SSA_West
West
true
false
Female
42.7
II
Basal_like
Brain
Chemo_only
73
74
52
21
22
0.547
false
false
false
false
false
false
false
false
false
true
false
None
DP_PAT_00020
SSA_West
West
true
false
Female
63.8
IV
HER2_enriched
Bone
HER2_targeted
78
104
68
10
36
0.596
false
true
true
false
false
false
true
true
false
false
true
PI3K_pathway_HER2_resistance
DP_PAT_00021
SSA_West
West
true
false
Female
31.5
III
Basal_like
Brain
HER2_targeted
80
136
76
4
60
0.543
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00022
SSA_West
West
true
false
Female
45.6
II
HER2_enriched
Brain
HER2_targeted
89
131
82
7
49
0.594
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00023
SSA_West
West
true
false
Female
34.2
II
Basal_like
Liver
Chemo_only
103
109
75
28
34
0.547
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00024
SSA_West
West
true
false
Female
52.1
IV
Luminal_A
Brain
Endocrine_only
91
112
83
8
29
0.692
false
false
true
false
false
false
false
true
false
false
false
None
DP_PAT_00025
SSA_West
West
true
false
Female
69.9
IV
Luminal_B
Bone
Chemo_only
119
145
106
13
39
0.671
false
false
false
true
true
false
false
false
true
true
false
None
DP_PAT_00026
SSA_West
West
true
false
Female
40.2
IV
Luminal_A
Other
Chemo_only
64
102
64
0
38
0.627
false
true
false
false
false
false
true
false
false
false
false
None
DP_PAT_00027
SSA_West
West
true
false
Female
58.7
III
Luminal_A
Bone
Chemo_plus_endocrine
67
194
67
0
127
0.345
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00028
SSA_West
West
true
false
Female
58.5
IV
Luminal_A
Bone
Chemo_plus_endocrine
80
140
80
0
60
0.571
false
true
false
false
false
false
true
false
false
false
false
None
DP_PAT_00029
SSA_West
West
true
false
Female
57
III
Basal_like
Lung
Chemo_only
81
82
57
24
25
0.538
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00030
SSA_West
West
true
false
Female
47.5
III
Luminal_A
Bone
Endocrine_only
79
117
79
0
38
0.675
false
false
false
false
true
false
false
false
false
true
false
None
DP_PAT_00031
SSA_West
West
true
false
Female
48.3
IV
Basal_like
Lung
CDK4_6_plus_endocrine
77
165
77
0
88
0.467
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00032
SSA_West
West
true
false
Female
51.5
III
Luminal_B
Bone
Endocrine_only
55
92
55
0
37
0.598
false
true
false
false
false
false
true
false
false
false
false
None
DP_PAT_00033
SSA_West
West
true
false
Female
52.3
III
Basal_like
Bone
Chemo_only
109
140
88
21
52
0.547
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00034
SSA_West
West
true
false
Female
51.7
II
Basal_like
Liver
Chemo_only
82
92
61
21
31
0.54
false
false
false
true
true
false
false
false
true
true
false
None
DP_PAT_00035
SSA_West
West
true
false
Female
58.6
III
Luminal_B
Bone
Endocrine_only
71
121
71
0
50
0.587
false
true
false
false
false
false
true
false
false
false
false
None
DP_PAT_00036
SSA_West
West
true
false
Female
48.6
III
Luminal_A
Bone
CDK4_6_plus_endocrine
57
122
57
0
65
0.467
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00037
SSA_West
West
true
false
Female
56
III
Luminal_B
Brain
Chemo_plus_endocrine
62
108
62
0
46
0.574
false
true
false
false
false
false
true
false
false
false
false
None
DP_PAT_00038
SSA_West
West
true
false
Female
53.3
II
Luminal_A
Bone
Chemo_plus_endocrine
93
123
88
5
35
0.688
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00039
SSA_West
West
true
false
Female
37.7
III
Basal_like
Lung
Chemo_only
116
124
85
31
39
0.548
false
false
false
true
true
false
false
false
true
true
false
None
DP_PAT_00040
SSA_West
West
true
false
Female
39.9
III
Luminal_A
Other
Endocrine_only
34
108
34
0
74
0.315
false
false
false
true
false
true
false
false
true
false
true
ESR1_mutation_acquired
DP_PAT_00041
SSA_West
West
true
false
Female
56.2
III
HER2_enriched
Brain
HER2_targeted
111
158
100
11
58
0.592
false
false
true
true
false
false
false
true
true
false
false
None
DP_PAT_00042
SSA_West
West
true
false
Female
55.3
III
Luminal_A
Lung
Chemo_only
56
87
56
0
31
0.644
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00043
SSA_West
West
true
false
Female
61.9
II
Basal_like
Lung
CDK4_6_plus_endocrine
81
82
57
24
25
0.538
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00044
SSA_West
West
true
false
Female
25.4
I
Luminal_A
Bone
CDK4_6_plus_endocrine
118
128
101
17
27
0.697
false
false
true
true
false
false
false
true
true
false
false
None
DP_PAT_00045
SSA_West
West
true
false
Female
56.8
IV
Luminal_A
Liver
Chemo_only
91
129
90
1
39
0.692
false
true
false
false
false
false
true
false
false
false
false
None
DP_PAT_00046
SSA_West
West
true
false
Female
23.5
III
Luminal_B
Bone
Endocrine_only
95
113
84
11
29
0.677
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00047
SSA_West
West
true
false
Female
49.4
III
Basal_like
Other
Chemo_plus_endocrine
71
72
50
21
22
0.538
false
false
false
false
true
false
false
false
false
true
false
None
DP_PAT_00048
SSA_West
West
true
false
Female
22.7
II
Luminal_B
Bone
Endocrine_only
78
113
77
1
36
0.675
false
true
false
false
false
true
true
false
false
false
true
ESR1_mutation_acquired
DP_PAT_00049
SSA_West
West
true
false
Female
64.8
II
Luminal_A
Bone
Endocrine_only
72
112
72
0
40
0.643
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00050
SSA_West
West
true
false
Female
40.6
III
Luminal_A
Bone
Endocrine_only
62
107
62
0
45
0.579
false
true
false
true
false
false
true
false
true
false
false
None
DP_PAT_00051
SSA_West
West
true
false
Female
73.9
III
Basal_like
Liver
Chemo_only
144
145
102
42
43
0.545
false
false
false
false
false
false
false
false
false
true
false
None
DP_PAT_00052
SSA_West
West
true
false
Female
52.3
IV
Luminal_B
Liver
Endocrine_only
93
94
75
18
19
0.67
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00053
SSA_West
West
true
false
Female
59.3
IV
Basal_like
Other
Chemo_only
44
51
33
11
18
0.532
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00054
SSA_West
West
true
false
Female
56.3
III
Luminal_A
Bone
Chemo_plus_endocrine
74
94
69
5
25
0.697
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00055
SSA_West
West
true
false
Female
69.8
II
Basal_like
Bone
Chemo_only
81
150
81
0
69
0.54
false
false
false
true
true
false
false
false
true
true
false
None
DP_PAT_00056
SSA_West
West
true
false
Female
49.7
II
Luminal_A
Other
Endocrine_only
74
119
74
0
45
0.622
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00057
SSA_West
West
true
false
Female
37.4
III
Basal_like
Liver
Chemo_plus_endocrine
71
153
71
0
82
0.464
false
false
false
true
true
false
false
false
true
true
false
None
DP_PAT_00058
SSA_West
West
true
false
Female
37
IV
Luminal_B
Liver
Chemo_only
71
140
71
0
69
0.507
false
true
false
false
false
false
true
false
false
false
false
None
DP_PAT_00059
SSA_West
West
true
false
Female
39.9
III
Basal_like
Other
Chemo_plus_endocrine
59
120
59
0
61
0.492
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00060
SSA_West
West
true
false
Female
50.6
II
Basal_like
Lung
CDK4_6_plus_endocrine
98
99
69
29
30
0.539
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00061
SSA_West
West
true
false
Female
53.9
III
Basal_like
Brain
Chemo_only
89
132
78
11
54
0.545
false
false
false
false
false
false
true
false
false
false
false
None
DP_PAT_00062
SSA_West
West
true
false
Female
47.1
III
Luminal_A
Bone
CDK4_6_plus_endocrine
68
138
68
0
70
0.493
false
false
false
false
true
false
false
false
false
true
true
RB1_loss_CDK4_6_resistance
DP_PAT_00063
SSA_West
West
true
false
Female
51.7
IV
Basal_like
Lung
Chemo_only
83
117
70
13
47
0.538
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00064
SSA_West
West
true
false
Female
67.1
III
Basal_like
Lung
Chemo_plus_endocrine
98
135
82
16
53
0.543
false
false
false
true
false
true
false
false
true
false
false
None
DP_PAT_00065
SSA_West
West
true
false
Female
30.5
III
Basal_like
Brain
Chemo_plus_endocrine
64
118
64
0
54
0.542
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00066
SSA_West
West
true
false
Female
43.9
II
Luminal_B
Bone
CDK4_6_plus_endocrine
108
145
102
6
43
0.675
false
true
false
false
false
false
true
false
false
false
false
None
DP_PAT_00067
SSA_West
West
true
false
Female
61.3
IV
Luminal_B
Liver
Endocrine_only
116
117
94
22
23
0.676
false
true
false
true
false
false
true
false
true
false
false
None
DP_PAT_00068
SSA_West
West
true
false
Female
38.3
III
Basal_like
Liver
Chemo_only
90
145
83
7
62
0.546
false
false
false
true
true
false
false
false
true
true
false
None
DP_PAT_00069
SSA_West
West
true
false
Female
61.4
III
Luminal_B
Other
Chemo_plus_endocrine
83
169
83
0
86
0.491
false
false
true
false
false
true
false
true
false
false
true
ESR1_mutation_acquired
DP_PAT_00070
SSA_West
West
true
false
Female
45.3
III
Luminal_A
Liver
CDK4_6_plus_endocrine
83
173
83
0
90
0.48
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00071
SSA_West
West
true
false
Male
43.6
III
Basal_like
Lung
Chemo_plus_endocrine
50
117
50
0
67
0.427
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00072
SSA_West
West
true
false
Female
47.9
II
Basal_like
Brain
Chemo_only
60
84
51
9
33
0.548
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00073
SSA_West
West
true
false
Female
51.9
II
Luminal_B
Other
Endocrine_only
109
110
88
21
22
0.672
false
false
true
true
false
false
true
true
true
false
true
PIK3CA_mutation_acquired
DP_PAT_00074
SSA_West
West
true
false
Female
46.2
IV
Luminal_A
Bone
Endocrine_only
115
116
95
20
21
0.699
false
true
false
false
false
false
true
false
false
false
false
None
DP_PAT_00075
SSA_West
West
true
false
Female
66.7
III
Basal_like
Liver
Chemo_only
106
114
78
28
36
0.549
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00076
SSA_West
West
true
false
Female
46
III
Luminal_A
Bone
Endocrine_only
111
115
93
18
22
0.699
false
true
false
false
true
false
true
false
false
true
false
None
DP_PAT_00077
SSA_West
West
true
false
Female
63.2
II
HER2_enriched
Bone
HER2_targeted
61
170
61
0
109
0.359
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00078
SSA_West
West
true
false
Female
62.1
II
Luminal_A
Bone
Endocrine_only
55
102
55
0
47
0.539
false
false
false
false
false
true
false
false
false
false
true
ESR1_mutation_acquired
DP_PAT_00079
SSA_West
West
true
false
Female
47.8
IV
Basal_like
Other
Chemo_plus_endocrine
98
157
90
8
67
0.545
false
true
false
false
false
false
true
false
false
false
false
None
DP_PAT_00080
SSA_West
West
true
false
Female
65.4
I
Luminal_A
Bone
Endocrine_only
95
126
91
4
35
0.7
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00081
SSA_West
West
true
false
Female
70.3
IV
Basal_like
Liver
CDK4_6_plus_endocrine
87
141
80
7
61
0.541
false
false
false
true
false
true
false
false
true
false
false
None
DP_PAT_00082
SSA_West
West
true
false
Female
57.3
IV
Luminal_A
Bone
Chemo_plus_endocrine
72
103
72
0
31
0.699
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00083
SSA_West
West
true
false
Female
59.8
III
Basal_like
Lung
Chemo_only
107
120
80
27
40
0.544
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00084
SSA_West
West
true
false
Female
30.9
II
Luminal_B
Bone
Chemo_plus_endocrine
48
145
48
0
97
0.331
false
false
false
false
false
false
false
true
false
false
false
None
DP_PAT_00085
SSA_West
West
true
false
Female
56.7
II
Luminal_A
Bone
CDK4_6_plus_endocrine
107
116
91
16
25
0.689
false
true
false
false
false
false
true
false
true
false
false
None
DP_PAT_00086
SSA_West
West
true
false
Female
62.5
II
HER2_enriched
Liver
HER2_targeted
90
174
90
0
84
0.517
false
false
true
true
false
false
false
true
true
false
false
None
DP_PAT_00087
SSA_West
West
true
false
Female
70.5
III
HER2_enriched
Bone
CDK4_6_plus_endocrine
66
130
66
0
64
0.508
false
false
true
false
false
false
false
true
false
false
false
None
DP_PAT_00088
SSA_West
West
true
false
Female
45.4
III
Luminal_A
Bone
Endocrine_only
102
108
86
16
22
0.694
false
false
true
true
false
false
false
true
true
false
false
None
DP_PAT_00089
SSA_West
West
true
false
Female
52.7
IV
Luminal_A
Bone
CDK4_6_plus_endocrine
123
124
101
22
23
0.692
false
false
false
false
false
false
false
false
false
false
false
None
DP_PAT_00090
SSA_West
West
true
false
Female
63.6
III
Luminal_A
Liver
Endocrine_only
72
133
72
0
61
0.541
false
false
true
true
false
false
false
true
true
false
false
None
DP_PAT_00091
SSA_West
West
true
false
Female
42.7
III
Basal_like
Lung
Chemo_only
55
117
55
0
62
0.47
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00092
SSA_West
West
true
false
Female
57.3
II
Basal_like
Bone
Chemo_plus_endocrine
69
175
69
0
106
0.394
false
false
true
true
true
true
false
true
true
true
false
None
DP_PAT_00093
SSA_West
West
true
false
Female
18.1
II
Luminal_A
Liver
CDK4_6_plus_endocrine
110
111
91
19
20
0.7
false
false
false
true
false
false
false
false
true
true
true
RB1_loss_CDK4_6_resistance
DP_PAT_00094
SSA_West
West
true
false
Female
56.9
III
Basal_like
Liver
Chemo_only
101
158
91
10
67
0.542
false
false
false
false
true
false
false
false
false
true
false
None
DP_PAT_00095
SSA_West
West
true
false
Female
32.3
IV
Basal_like
Other
Chemo_plus_endocrine
93
145
84
9
61
0.545
false
false
false
true
false
false
false
false
true
false
false
None
DP_PAT_00096
SSA_West
West
true
false
Female
31.9
III
Luminal_A
Brain
Chemo_plus_endocrine
94
114
85
9
29
0.691
false
true
false
false
false
false
true
false
false
false
false
None
DP_PAT_00097
SSA_West
West
true
false
Female
46.6
III
Luminal_B
Liver
HER2_targeted
88
179
88
0
91
0.492
false
false
true
false
true
false
false
true
false
true
false
None
DP_PAT_00098
SSA_West
West
true
false
Female
44.6
II
Basal_like
Bone
Chemo_plus_endocrine
84
85
59
25
26
0.536
false
false
false
true
false
true
false
false
true
false
false
None
DP_PAT_00099
SSA_West
West
true
false
Female
50
II
Basal_like
Other
Endocrine_only
59
133
59
0
74
0.444
false
true
false
true
false
true
true
false
true
false
false
None
DP_PAT_00100
SSA_West
West
true
false
Female
22.2
III
HER2_enriched
Other
HER2_targeted
76
156
76
0
80
0.487
false
false
true
false
false
false
false
true
false
false
false
None
End of preview. Expand in Data Studio

SSA Breast Disease Progression (Tumour Evolution & Resistance, Synthetic)

Dataset summary

This module provides a synthetic tumour evolution dataset focused on:

  • Primary → metastatic genomic divergence (shared vs private mutations, Jaccard index).
  • Clonal evolution under systemic therapy (dominant truncal clone, sensitive subclones, resistant clones).
  • Resistance mechanism development (e.g., ESR1 mutations, PIK3CA mutations, HER2 amplification, RB1 loss).

The design is grounded in large-scale genomic studies of primary and metastatic breast cancer and in conceptual work on clonal evolution and therapy resistance. All records are fully synthetic.

Cohort design

Sample size and populations

  • Baseline patients: 4,000.
  • Populations:
    • SSA_West: 800
    • SSA_East: 800
    • SSA_Central: 600
    • SSA_Southern: 600
    • AAW (African American women): 600
    • EUR: 400
    • EAS: 200

Key baseline variables

  • sex: mostly Female (~99%), with a small Male fraction.
  • age_years: 18–90, with slightly younger ages in SSA cohorts than EUR/EAS.
  • stage_at_diagnosis: I–IV, with later stages more common in SSA, matching other modules.
  • tumor_subtype (PAM50-like):
    • Luminal_A, Luminal_B, HER2_enriched, Basal_like, Normal_like, with higher basal-like prevalence in SSA and AAW.
  • first_metastasis_site:
    • Bone, Liver, Lung, Brain, Other, with patterns such as bone-dominant metastases in luminal disease and more lung/brain in basal-like disease.
  • therapy_class:
    • Endocrine_only
    • Chemo_only
    • Chemo_plus_endocrine
    • HER2_targeted
    • CDK4_6_plus_endocrine

Therapy distributions depend on subtype (e.g., more endocrine and CDK4/6 in luminal, more HER2-targeted in HER2-enriched, chemo-dominant in basal-like).

Primary → metastatic genomic divergence

For each patient, the baseline table includes summary mutation counts and divergence metrics:

  • primary_n_mutations
  • metastasis_n_mutations
  • shared_n_mutations
  • primary_private_n_mutations
  • metastasis_private_n_mutations
  • primary_met_jaccard_index – Jaccard index of the mutation sets.

The generator is tuned so that, on average:

  • Metastases have higher mutation burden than primaries.
  • Jaccard indices are high but not perfect (most drivers shared, additional private events in metastasis), with typical mean values by subtype inspired by Yates et al. (Cancer Cell 2017):
    • Luminal A/B: ~0.7
    • HER2-enriched: ~0.6
    • Basal-like: ~0.55

These Jaccard targets are validated in the report.

Driver events and resistance mechanisms

We model a small panel of recurrent driver alterations:

  • ESR1_mut
  • PIK3CA_mut
  • HER2_amp
  • TP53_mut
  • RB1_loss

For each gene we provide:

  • primary_<event> (e.g., primary_ESR1_mut)
  • met_<event> (e.g., met_ESR1_mut)

Primary prevalences are subtype-specific. Metastatic lesions can gain additional events with probabilities that depend on therapy class, reflecting selection under treatment (e.g., ESR1 and PIK3CA under endocrine therapy, RB1 loss under CDK4/6 inhibition, HER2/PI3K pathway changes under HER2-targeted therapy).

At the patient level we summarise resistance as:

  • has_clinical_resistance (boolean)
  • resistance_mechanism – e.g.:
    • ESR1_mutation_acquired
    • PIK3CA_mutation_acquired
    • RB1_loss_CDK4_6_resistance
    • HER2_amp_gain_resistance
    • PI3K_pathway_HER2_resistance
    • TP53_mutation_chemo_resistance
    • None

The overall fraction of patients with any annotated resistance falls in a target range (≈30–80%), and among ER+ patients on endocrine-based therapy, ESR1-mediated resistance occurs in ~15–40%, in line with clinical sequencing studies.

Clonal time-series under treatment

The clonal time-series table describes clone-level fractions over time:

  • Time points: time_months ∈ {0, 6, 12, 24}.
  • Each patient has:
    • A dominant truncal clone (clone_type = "Truncal").
    • 0–3 sensitive subclones (clone_type = "Sensitive").
    • 0–1 resistant clones (clone_type = "Resistant") when a resistance mechanism is present.

Per row:

  • sample_id
  • population
  • tumor_subtype
  • therapy_class
  • resistance_mechanism (patient-level)
  • clone_id (e.g., C0, S1, R1)
  • clone_type
  • clone_resistance_mechanism (for resistant clones)
  • time_months
  • clone_fraction (fractions per patient/timepoint sum to ≈1.0)

Trajectories are constructed so that, typically:

  • Truncal clone: starts dominant (~70%) and gradually declines.
  • Sensitive subclones: shrink under treatment.
  • Resistant clones: start at low frequency and expand over time, often becoming dominant by 24 months.

The validator checks that:

  • Most resistant clones have increasing fractions.
  • Most sensitive clones have decreasing fractions.

Files and schema

Baseline table

Files:

  • disease_progression_baseline.parquet
  • disease_progression_baseline.csv

Columns (per patient):

  • Identifiers & demographics:
    • sample_id, population, region, is_SSA, is_reference_panel, sex, age_years.
  • Tumour & metastasis context:
    • stage_at_diagnosis, tumor_subtype, first_metastasis_site, therapy_class.
  • Genomics & divergence:
    • primary_n_mutations, metastasis_n_mutations, shared_n_mutations,
    • primary_private_n_mutations, metastasis_private_n_mutations,
    • primary_met_jaccard_index.
  • Driver events:
    • primary_ESR1_mut, met_ESR1_mut,
    • primary_PIK3CA_mut, met_PIK3CA_mut,
    • primary_HER2_amp, met_HER2_amp,
    • primary_TP53_mut, met_TP53_mut,
    • primary_RB1_loss, met_RB1_loss.
  • Resistance summary:
    • has_clinical_resistance, resistance_mechanism.

Clonal time-series table

Files:

  • disease_progression_clones.parquet
  • disease_progression_clones.csv

Columns (per clone × timepoint):

  • sample_id, population, tumor_subtype, therapy_class, resistance_mechanism (patient-level).
  • clone_id, clone_type, clone_resistance_mechanism.
  • time_months.
  • clone_fraction.

Generation

The dataset is generated using:

  • disease_progression/scripts/generate_disease_progression.py

with configuration:

  • disease_progression/configs/disease_progression_config.yaml

and literature inventory:

  • disease_progression/docs/LITERATURE_INVENTORY.csv

The generator:

  1. Builds a multi-ancestry baseline cohort with stage, subtype, metastasis site, and therapy.
  2. Simulates primary vs metastatic mutation counts and Jaccard indices by subtype.
  3. Assigns driver events at baseline and in metastasis, with therapy-dependent gain probabilities.
  4. Annotates resistance mechanisms based on acquired events and treatment.
  5. Constructs clone-level trajectories with truncal, sensitive, and resistant clones and normalised fractions over time.

Validation

Validation is performed with:

  • disease_progression/scripts/validate_disease_progression.py

and summarized in:

  • disease_progression/output/validation_report.md

Checks include:

  • C01–C02: Sample size and population counts vs configuration.
  • C03: Mean primary→metastasis Jaccard index by subtype vs targets.
  • C04: Metastasis mutation burden greater than primary in most patients.
  • C05: Overall fraction of patients with any annotated resistance in a plausible range.
  • C06: ESR1-mediated resistance fraction among ER+ endocrine-treated patients within a literature-informed window.
  • C07: Clonal dynamics: resistant clones increase, sensitive clones decrease.
  • C08: Missingness in key baseline and clone-level variables.

Intended use

This dataset is intended for:

  • Developing and benchmarking tumour evolution and clonal dynamics models.
  • Exploring primary→metastasis divergence and resistance mechanism inference.
  • Teaching about clonal evolution, late dissemination, and therapy-driven selection in breast cancer.

It is not intended for:

  • Estimating true frequencies of specific resistance mechanisms in any real population.
  • Evaluating particular clinical regimens.
  • Direct clinical decision-making.

Ethical considerations

  • All data are synthetic and not derived from individual patients.
  • Population and subtype distributions are inspired by published cohorts but do not represent any single registry.
  • Resistance labels and clonal patterns are for methodological exploration only.

License

  • License: CC BY-NC 4.0.
  • Free for non-commercial research, method development, and education with attribution.

Citation

If you use this dataset, please cite:

Electric Sheep Africa. "SSA Breast Disease Progression (Tumour Evolution & Resistance, Synthetic)." Hugging Face Datasets.

and foundational work on breast cancer metastasis and clonal evolution (e.g., Yates et al. 2017, Ng et al. 2019, Greaves & Maley 2012, Jeselsohn et al. 2015).

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