Health Condition 1: C50- Malignant neoplasm of breast
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Newly diagnosed invasive breast cancer (all histological types), histologically confirmed by core needle biopsy or excision biopsy. 2. Presentation either screen-detected (via the tomosynthesis mammography programme at Chennai Breast Centre) or symptomatic. 3. Complete IHC panel available or planned: ER, PR, HER2 (with reflex ISH if HER2 2+), Ki-67. 4. No prior systemic or local treatment for the current breast cancer. 5. No known prior invasive cancer in the preceding 5 years (non-melanoma skin cancer excepted). 6. Willing and able to provide written informed consent in Tamil or English.
Exclusion criteria
Exclusion criteria: 1. Ductal carcinoma in situ (DCIS) without invasive component. (May be retained as a separate sub-analysis if numbers permit.) 2. Pregnancy or active lactation at time of diagnosis. 3. Established Type 1 Diabetes Mellitus (independent metabolic distortion not comparable to MetS). 4. Active systemic disease independently distorting metabolic parameters: renal failure on dialysis, hepatic cirrhosis (Child B/C), active SLE on high-dose steroids. 5. Long-term medications with major metabolic effects: oral corticosteroids ( >3 months), antipsychotics (clozapine, olanzapine), or immunosuppressants that cause metabolic syndrome. 6. Inability to undergo DEXA scan (implants that interfere; extreme body habitus beyond scanner table limit). 7. Incomplete IHC panel after repeat attempt (subtype cannot be assigned).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Homeostatic Model Assessment of Insulin ResistanceTimepoint: 1 year | — |
Secondary
| Measure | Time frame |
|---|---|
| Prognostication of disease based on primary end pointTimepoint: 24 months | — |
Countries
India
Contacts
Chennai Breast Centre Private Limited