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Surgical oncology

Why biopsying metastatic breast cancer should be routine

Currently, acquisition of tissue from presumed metastatic deposits in breast cancer is not routine. Instead therapeutic decisions in this setting are based on the features of the tumor at initial diagnosis. As biopsies are diagnostic and changes can occur between the primary and the secondary tumors, the routine biopsy of suspected metastatic deposits needs to be considered. Such biopsies will also be key to translational research, which will underpin future therapeutic advances.

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References

  1. Kamangar, F., Dores, G. M. & Anderson, W. F. Patterns of cancer incidence, mortality, and prevalence across five continents: Defining priorities to reduce cancer disparities in different geographic regions of the world. J. Clin. Oncol. 24, 2137–2150 (2006).

    Article  Google Scholar 

  2. Cardoso, F. et al. Clinical application of the 70-gene profile: the MINDACT trial. J. Clin. Oncol. 26, 729–735 (2008).

    Article  Google Scholar 

  3. Sparano, J. A. & Paik, S. Development of the 21-gene assay and its application in clinical practice and clinical trials. J. Clin. Oncol. 26, 721–728 (2008).

    Article  Google Scholar 

  4. Simmons, C. et al. Does confirmatory tumor biopsy alter the management of breast cancer patients with distant metastases? Ann. Oncol. 20, 1499–1504 (2009).

    Article  CAS  Google Scholar 

  5. Li, B. D., Byskosh, A., Molteni, A. & Duda, R. B. Estrogen and progesterone receptor concordance between primary and recurrent breast cancer. J. Surg. Oncol. 57, 71–77 (1994).

    Article  CAS  Google Scholar 

  6. Wang, B. et al. Discordance of estrogen receptor (ER), progestin receptor (PR), and HER-2 receptor statuses between primary and metastatic focuses of breast cancer. Ai Zheng. 23, 1710–1713 (2004).

    CAS  PubMed  Google Scholar 

  7. Lipton, A. et al. Serum HER-2/neu conversion to positive at the time of disease progression in patients with breast carcinoma on hormone therapy. Cancer 104, 257–263 (2005).

    Article  CAS  Google Scholar 

  8. Kuukasjarvi, T., Kononen, J., Helin, H., Holli, K. & Isola, J. Loss of estrogen receptor in recurrent breast cancer is associated with poor response to endocrine therapy. J. Clin. Oncol. 14, 2584–2589 (1996).

    Article  CAS  Google Scholar 

  9. Liedtke, C. et al. Prognostic impact of discordance between triple-receptor measurements in primary and recurrent breast cancer. Ann. Oncol. 20, 1953–1958 (2009).

    Article  CAS  Google Scholar 

  10. Weigelt, B. et al. Molecular portraits and 70-gene prognosis signature are preserved throughout the metastatic process of breast cancer. Cancer Res. 65, 9155–9158 (2005).

    Article  CAS  Google Scholar 

Download references

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Correspondence to Carlo Palmieri.

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Sharma, A., Crook, T., Thompson, A. et al. Why biopsying metastatic breast cancer should be routine. Nat Rev Clin Oncol 7, 72–74 (2010). https://doi.org/10.1038/nrclinonc.2009.222

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