[GEFPICS' guidelines for management of breast cancer tissue samples in the neoadjuvant setting].

Fiche publication


Date publication

juin 2019

Journal

Annales de pathologie

Auteurs

Membres identifiés du Cancéropôle Est :
Dr ARNOULD Laurent, Dr BRABENCOVA Eva, Pr CHENARD Marie-Pierre, Dr GARBAR Christian


Tous les auteurs :
Maran-Gonzalez A, Franchet C, Duprez-Paumier R, Antoine M, Barlier C, Becette V, Berghian A, Blanc-Fournier C, Brabencova E, Charafe-Jauffret E, Chenard MP, Dauplat MM, Delrée P, Fleury C, Garbar C, Ghnassia JP, Haudebourg J, MacGrogan G, Mathieu MC, Michenet P, Penault-Llorca F, Poulet B, Robin Y, Roger P, Russ E, Treilleux I, Valent A, Verriele V, Vincent-Salomon A, Arnould L, Lacroix-Triki M,

Résumé

Neoadjuvant therapy is an increasing treatment option in the management of breast cancer. The tumor response to neoadjuvant therapy, especially the pathological complete response, is a validated endpoint frequently used in clinical trials. However, there is still a lack of standardization for the surgical specimen management in the neoadjuvant setting. This leads to heterogeneity in the specimen handling and might lead to significant bias for the prognostic assessment of patients or in clinical trials. The GEFPICS group, composed of expert breast cancer pathologists, herein presents guidelines for the management of breast and axillary specimen before treatment (management of biopsy, items of the pathological report) and after neoadjuvant therapy (specimen handling, histological assessment of response, items of the pathological report and response grading systems).

Mots clés

Breast cancer, Cancer du sein, Guidelines, Neoadjuvant, Néoadjuvant, Pathological response, Prélèvement, Recommandations, Réponse pathologique, Tissue sample

Référence

Ann Pathol. 2019 Jun 27;: