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Research ArticleClinical Studies

Clinicopathological Significance and Predictive Value of High Intratumoral Tumor Budding in Patients With Breast Carcinoma Treated With Neoadjuvant Chemotherapy

JINAH CHU, HYUN-SOO KIM and SUNG-IM DO
Anticancer Research May 2023, 43 (5) 2323-2332; DOI: https://doi.org/10.21873/anticanres.16397
JINAH CHU
1Department of Pathology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea;
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HYUN-SOO KIM
2Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
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  • For correspondence: hyun-soo.kim@samsung.com
SUNG-IM DO
1Department of Pathology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea;
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  • For correspondence: sungim.do@samsung.com
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Abstract

Background/Aim: The clinicopathological significance and predictive value of tumor budding (TB) in patients with breast carcinoma (BC) treated with neoadjuvant chemotherapy (NAC) have not been fully elucidated. This study aimed to evaluate the role of TB in predicting the response to NAC in patients with BC. Patients and Methods: We reviewed the pre-NAC biopsy slides obtained from 81 patients with BC and assessed the number of intratumoral TB. The association between TB and response to NAC and clinicopathological characteristics was evaluated. Results: High TB (≥10 per 20× objective field), which was associated with more frequent lymph node metastasis and lower pathological complete response (pCR) rate, was observed in 57 (70.2%) cases. Multivariate logistic regression analysis revealed that high TB independently predicted non-pCR. Conclusion: High TB is associated with adverse features of BC. High TB on pre-NAC biopsy can be used as a predictive biomarker for non-pCR in NAC-treated patients with BC.

Key Words:
  • Breast carcinoma
  • tumor budding
  • neoadjuvant chemotherapy
  • pathological complete response
  • Received February 3, 2023.
  • Revision received February 13, 2023.
  • Accepted February 14, 2023.
  • Copyright © 2023 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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Anticancer Research: 43 (5)
Anticancer Research
Vol. 43, Issue 5
May 2023
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Clinicopathological Significance and Predictive Value of High Intratumoral Tumor Budding in Patients With Breast Carcinoma Treated With Neoadjuvant Chemotherapy
JINAH CHU, HYUN-SOO KIM, SUNG-IM DO
Anticancer Research May 2023, 43 (5) 2323-2332; DOI: 10.21873/anticanres.16397

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Clinicopathological Significance and Predictive Value of High Intratumoral Tumor Budding in Patients With Breast Carcinoma Treated With Neoadjuvant Chemotherapy
JINAH CHU, HYUN-SOO KIM, SUNG-IM DO
Anticancer Research May 2023, 43 (5) 2323-2332; DOI: 10.21873/anticanres.16397
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Keywords

  • breast carcinoma
  • tumor budding
  • neoadjuvant chemotherapy
  • pathological complete response
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