Protocol for Women at Increased Risk of Developing Breast Cancer

Study Overview
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Brief Summary
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The overall goal of this project is to develop an integrative system of breast cancer risk assessment based on epidemiologic and biologic risk variables, as well as to develop or refine risk biomarkers which may be useful in predicting and monitoring response to prevention interventions.

Detailed Description
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To correlate established risk biomarkers such as cytomorphology obtained from random periareolar fine needle aspiration ( RPFNA), mammographic breast density, serum bioavailable estradiol and IGF-1/IGFBP-3 with each other and with 5-10 year Gail risk estimates. Where available, and with appropriate safe guards to maintain status for breast cancer susceptibility genes may be included. To determine the relative predictive value of established risk biomarkers for the development of DCIS and/or invasive cancer. To evaluate potential new breast tissue-based biomarkers including Ki-67, PCNA, ER, COX-2, aromatase, methylation of key tumor suppressor genes (i.e., RAR, p16, etc), proteomic patterns in RPFNA and nipple aspirate fluid (NAF), as well as NAF hormone levels, and correlate them with other risk biomarkers listed in 1. To determine the prevalence of polymorphisms of a panel of genes important in hormone and xenobiotic metabolism as well as DNA repair and correlate these polymorphisms with established risk biomarkers listed in 1, as well as with development of DCIS and invasive cancer. To maintain contact with this initially identified cohort of high risk women, acquire demographic data, biologic specimens and data and follow them prospectively for the development.

Official Title
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High Risk Breast Clinic: Protocol for Women at Increased Risk for Developing Breast Cancer

Conditions
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Breast Cancer

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: women with at least 2 times the normal risk of developing breast cancer between the ages of 30-65 (or within 10 years of youngest age at diagnosis in first degree relative) greater than six months from ingestion of antihormonal therapy greater than 1 year from pregnancy, lactation, or chemotherapy willing to have a mammogram within six months prior to RPFNA willing to discontinue NSAIDS or herbal supplements willing to have blood drawn Exclusion Criteria: no metastatic malignancy of any kind no breast implants or tram flap reconstructions no radiation to both breasts no women who have a current mammogram or clinical breast exam suspicious for cancer

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prediction of risk for developing breast cancer | development of algorithm for predicting risk for developing breast cancer based on random sampling of benign breast tissue. | ongoing | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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breast atypia, fine needle aspiration, high risk for breast cancer, breast epithelial hyperplasia