PAM50 is the well-known and established 50-gene classifier that divides breast cancer into four intrinsic subtypes: Luminal A, Luminal B, HER2-enriched, and Basal-like. Each subtype is associated with distinct biological behaviors and responses to treatment. A core component of the Prosigna Breast Risk of Recurrence test is the gene expression analysis of the subtypes combined with clinical pathological information (tumor size, nodal status, proliferation score). This combination provides an accurate, reliable ROR score, 10-year probability of distant recurrence, and prediction of chemotherapy benefit.