Clinical Evaluation of Tissue Sampling Bias in Histologic Evaluation of Sentinel Lymph Nodes in Breast Cancer

Study Overview
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Brief Summary
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This is a study to evaluate the incidence of sampling bias during pathologic assessment of sentinel lymph nodes (SLN) when they are cut at a certain thickness (1 mm) and the tissue slices are completely analyzed by histopathology (at 200 µm sections). The sponsor and investigators would like to determine how often small cancer deposits are present in one slice but not the other. The data will provide an empirical estimate of the incidence of tissue sampling bias inherent in using different tissue sections for analysis. The data will also show how varying degrees of detail in evaluating the sentinel lymph nodes (SLN) with histopathology methods will impact the degree of agreement.

Official Title
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Tissue Sampling Bias in Histologic Evaluation of Sentinel Lymph Nodes in Breast Cancer

Conditions
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Breast Neoplasms, Breast Diseases

Intervention / Treatment
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* Device: Sysmex's 5-blade lymph node cutter


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male or female 18 years of age or older Diagnosed pre-surgically with T1 or T2 breast cancer and scheduled for surgery including sentinel lymph node dissection Subjects (or the subject's legal representative) who have read, understood (to the best of their ability) and signed the informed consent form. Exclusion Criteria: Subjects diagnosed pre-surgically with large or locally advanced (T3 & T4) breast cancer Pregnant subjects, confirmed by interview with either subject or treating physician Subjects diagnosed with inflammatory breast cancer Subjects diagnosed with ductal carcinoma in situ (DCIS) when breast conservation is to be done Subjects with clinically suspicious, palpable axillary lymph nodes Subjects previously treated for or previously diagnosed with another type of invasive cancer. Subjects with skin cancer (basal cell and squamous cell carcinoma) may be included, except for subjects diagnosed with melanoma Subjects who have received pre-operative systemic therapy Subjects who are incapable of providing written informed consent Subjects who have been judged to be an inappropriate candidate by any medical care provider (e.g., surgeon, oncologist or pathologist).

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Sysmex's 5-blade cutter.<br> | Device: Sysmex's 5-blade lymph node cutter<br>* A maximum of 3 dissected sentinel lymph nodes (SLN) per subject will be included in this study. Lymph nodes will be sliced at 1 mm intervals with Sysmex's 5-blade lymph node cutter. Alternate slices will be allocated to either reference histopathology or test histopathology. Three serial sections will be cut every 200 µm (level): the 1st section per level for hematoxylin & eosin (H&E), the middle section of the 3rd level for Immunohistochemistry (IHC)(pan- cytokeratin antibody clone AE1/AE3). All other sections will be blanks in case further analysis is needed.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prospectively assess the agreement of histopathology results on tissue sections taken from different slices of SLNs removed using standard SLN biopsy procedures. |  | 9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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metastasis