NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

Semi-quantitative RT-PCR assessment of molecular markers in breast large-core needle biopsies.

Author(s): Pohlodek K, Galbavý S, Bartosová M, Mucha V, Holomán K, Pastorek J, Pastoreková S

Publication: Neoplasma, 2004, Vol. 51, Page 415-21

PubMed ID: 15640949 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effect of using large core needle biopsy (LCNB) rather than surgically excised (SE) specimens for assessment of molecular marker status of breast tumors.

Conclusion of Paper

The authors report that tumor stage and grade from LCNB specimens corresponded with those in SE specimens. A concordance of 70.9% was found between estrogen receptor (ER) status determined by immunohistochemistry (IHC) of formalin-fixed paraffin-embedded (FFPE) SE and RT-PCR of frozen SE specimens. Concordance of ER, progesterone receptor (PR), human epidermal growth factor receptor- 2 (HER-2), -3 (HER-3) and CD44 status between frozen LCNB and SE specimens by RT-PCR was greater than 70%, with most of the discordance coming from positive LCNB specimens and negative SE specimens.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effect of using LCNB rather than SE specimens for the determination of molecular marker status of breast tumors. Positive IHC staining was considered to be staining of more than 5% of neoplastic cells. Positive RT-PCR results were when levels of the marker were greater than 5% of the levels of beta 2 microglobulin (B2-M).

    Summary of Findings:

    The authors report that tumor stage and grade from LCNB specimens corresponded with those in SE specimens. For ER status, a concordance of 70.9% was found between IHC staining of FFPE SE and RT-PCR of frozen SE specimens. Concordance rates of ER, PR, HER-2, HER-3 and CD44 status between LCNB and SE frozen specimens by RT-PCR were 73.9%, 78%, 78%, 78% and 82%, respectively. The LCNB specimen was negative while the SE specimen was positive in only 1 case of less for all markers. The rest of the discordance came from positive LCNB specimens and negative SE specimens.

    Biospecimens
    Preservative Types
    • Frozen
    • Formalin
    Diagnoses:
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    Protein Immunohistochemistry
    RNA RT-PCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Preservation Type of fixation/preservation Formalin (buffered)
    Frozen
    RT-PCR Specific Technology platform IHC
    RT-PCR Specific Targeted nucleic acid ER
    B2-M
    PR
    HER-2
    HER-3
    CD44
    Immunohistochemistry Specific Targeted peptide/protein ER
    Biospecimen Acquisition Method of tissue acquisition Core needle biopsy
    Surgical resection

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