In contrast, among the 212 patients who received adjuvant trastuzumab treatment, we found that patients with the Val/Ile or the Val/Val genotype had a significantly better 5-year DFS and 5-year DDFS than did those with the Ile/Ile genotype (5-year DFS, 100% versus 83%; P = 0.008; 5-year DDFS, 100% versus 89%; P = 0.031)