Comparison of bone marrow, disseminated tumour cells and blood-circulating tumour cells in breast cancer patients after primary treatment
2009

Comparison of Tumor Cells in Breast Cancer Patients

Sample size: 51 publication Evidence: moderate

Author Information

Author(s): Slade M J, Payne R, Riethdorf S, Ward B, Zaidi S A A, Stebbing J, Palmieri C, Sinnett H D, Kulinskaya E, Pitfield T, McCormack R T, Pantel K, Coombes R C

Primary Institution: Imperial College

Hypothesis

Do primary breast cancer patients show evidence of circulating tumor cells during follow-up as an alternative to monitoring disseminated bone marrow tumor cells?

Conclusion

A significant proportion of poor prognosis primary breast cancer patients have evidence of circulating tumor cells on follow-up.

Supporting Evidence

  • 39% of low-risk patients had circulating tumor cells.
  • 70% of high-risk patients had circulating tumor cells.
  • 8% of low-risk patients had disseminated tumor cells.
  • 70% of high-risk patients had disseminated tumor cells.
  • 30% of high-risk patients showed no evidence of circulating tumor cells.

Takeaway

This study looked at breast cancer patients to see if they had tumor cells in their blood after treatment. It found that many patients at higher risk had these cells, which could help doctors monitor their health better.

Methodology

Patients were tested for circulating tumor cells using the CellSearch system and for disseminated tumor cells by immunocytochemistry and RT-PCR over a period of 2 years.

Potential Biases

Potential bias due to the small number of patients and the specific selection criteria for low and high-risk groups.

Limitations

The study had a small sample size and was limited to specific patient cohorts.

Participant Demographics

The study included 51 primary breast cancer patients, with 18 in the low-risk group and 33 in the high-risk group.

Statistical Information

P-Value

0.042

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604773

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