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Prediction of pCR by Preoperative Biopsy in Breast Cancer With cCR After Neoadjuvant Chemotherapy.

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Seoul National University

Status

Completed

Conditions

Breast Neoplasm

Treatments

Procedure: wide excision
Procedure: Minimally-invasive biopsy

Study type

Interventional

Funder types

Other

Identifiers

NCT03273426
SNUHBCC002

Details and patient eligibility

About

The purpose of this study is to evaluate the ability of preoperative biopsy to predict correctly pathologic complete response in breast cancer patients with complete clinical response after neoadjuvant chemotherapy.

Full description

Breast cancer patients who received neoadjuvant chemotherapy and is predicted to have achieved pathologic complete response (pCR) on MRI will enrolled. The enrolled patients will undergo either US-guided multiple core needle biopsy or US-guided vacuum-assisted biopsy of the tumor bed where it had been marked with an indicator (clip). The patient will undergo subsequent wide excision of the tumor bed. Histopathologic findings of the biopsy and the surgical specimen will be compared for pCR, and the ability of preoperative biopsies to predict pCR will be evaluated.

Enrollment

40 patients

Sex

Female

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients

  • with unilateral primary cancer pathologically confirmed before neoadjuvant chemotherapy (NAC)
  • who received NAC
  • with detectable lesion / clip marker on ultrasound
  • with cT1-T3 tumors
  • clinical and imaging complete or near-complete response on MRI
  • with informed consent

Exclusion criteria

  • Multifocal cancer
  • Residual microcalcification
  • Contralateral breast cancer

Trial design

Primary purpose

Diagnostic

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

40 participants in 2 patient groups

Core needle Biopsy
Experimental group
Description:
Ultrasound-guided core needle biopsy (14G, ≥5 cores recommended) for complete clinical response (cCR) or near-cCR predicted by MRI.
Treatment:
Procedure: Minimally-invasive biopsy
Procedure: wide excision
Vacuum-assisted biopsy
Experimental group
Description:
Vacuum-assisted biopsy (10G, ≥5 cores recommended) for complete clinical response (cCR) or near-cCR predicted by MRI.
Treatment:
Procedure: Minimally-invasive biopsy
Procedure: wide excision

Trial documents
2

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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