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Biology of Oestrogen-Receptor Positive Primary of Core Needle Biopsy Samples and Correlation with Clinical Outcome

Parks, Ruth M.; Albanghali, Mohammad; Syed, Binafsha M.; Green, Andrew R.; Ellis, Ian O.; Cheung, Kwok-Leung


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Clinical Research Fellow

Mohammad Albanghali

Binafsha M. Syed


The majority of biological profiling studies use surgical excision (SE) samples, excluding patients receiving nonsurgical and neoadjuvant therapy. We propose using core needle biopsy (CNB) for biological profiling in older women. Over 37 years (1973-2010), 1 758 older (≥70 years) women with operable primary breast cancer attended a dedicated clinic. Of these, 693 had sufficient quality CNB to construct tissue microarray (TMA). The pattern of biomarkers was analysed in oestrogen receptor (ER)-positive cases, using immunohistochemistry and partitional clustering analysis. The biomarkers measured were: progesterone receptor (PgR), Ki67, Epidermal Growth Factor Receptor (EGFR), Human Epidermal Growth Factor Receptor (HER)-2, HER3, HER4, p53, cytokeratins CK5/6 and CK7/8, Mucin (MUC)1, liver kinase B1 (LKB1), Breast Cancer Associated gene (BRCA) 1, B-Cell Lymphoma (BCL)-2, phosphate and tensin homolog (PTEN), vascular endothelial growth factor (VEGF), and Amplified in breast cancer 1 (AIB1). CNB TMA construction was possible in 536 ER-positive cases. Multivariate analysis showed progesterone receptor (PgR) (p = 0.015), Ki67 (p = 0.001), and mucin (MUC)1 (p = 0.033) as independent predictors for breast-cancer-specific survival (BCSS). Cluster analysis revealed three biological clusters, which were consistent with luminal A, luminal B, and lowER luminal. The lowER luminal cluster had lower BCSS compared to luminal A and B. The presence of the lowER luminal cluster unique to older women, identified in a previous study in SE TMAs in the same cohort, is confirmed. This present study is novel in its use of core needle biopsy tissue microarrays to profile the biology of breast cancer in older women.

Journal Article Type Article
Publication Date 2020-08
Journal Cancers
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 12
Issue 8
Article Number 2067
APA6 Citation Parks, R. M., Albanghali, M., Syed, B. M., Green, A. R., Ellis, I. O., & Cheung, K. (2020). Biology of Oestrogen-Receptor Positive Primary of Core Needle Biopsy Samples and Correlation with Clinical Outcome. Cancers, 12(8),
Keywords Cancer Research; Oncology
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