Flow cytometry was used to evaluate the expression levels of CD326+CD44+CD24-/low, p-Akt473, PTEN, IGFR1 (CD221) and their combinations in fresh frozen breast cancer samples from 59 patients who developed distant metastasis....We observed higher frequency of G allele of IGFR1 rs2016347 among patients who did not benefit from tamoxifen treatment compare to tamoxifen sensitive patients (P=0.046).