Invasive Breast Cancer
Conditions
Brief summary
* This is a prospective, single-center, non-randomized, non-controlled study. * The estrogen receptor (ER), progesterone receptor (PgR), HER2 status and Ki67 index of CNB specimen are critical biomarkers for making neoadjuvant therapy strategy in invasive breast cancer. The concordance of these biomarkers between CNB and surgical specimen was varied in previous retrospective reports. The aim of this study is to determine the discordance of these biomarkers between CNB and surgical specimen and the influence of making treatment strategy by the discordance.
Interventions
Patients with invasive breast cancer diagnosed by core needle biopsy (CNB) and not to receive neoadjuvant system therapy are eligible for this study. ER, PR, Her-2 and Ki67 are determined by immunohistochemistry (IHC) in CNB and surgical specimen. FISH analysis will be carried out in all HER2 2+ samples.
Sponsors
Study design
Eligibility
Inclusion criteria
* • histologically confirmed primary invasive breast cancer by core needle biopsy
Exclusion criteria
* • pathological diagnosed ductal carcinoma in situ or microinvasive breast cancer by core needle biopsy * patient plans to receive neo-adjuvant system therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The accuracy of ER, PgR, Her-2 and Ki67 for core needle biopsy (CNB) using the surgical specimens as reference, respectively. | within 4 weeks after obtaining the post-surgery pathological results | The accuracy of ER, PgR, Her-2 and Ki67 for core needle biopsy (CNB) will be assessed by four parameters respectively, which are sensitivity, specificity, the negative predictive values and the positive predictive values, using the surgical specimens as reference. |
Secondary
| Measure | Time frame |
|---|---|
| Discordance of system therapy strategies between using biomarkers of CNB and surgical specimens. | within 4 weeks after obtaining the post-surgery pathological results |
Countries
China