Impact of a Predictive Model on Sentinel Lymph Node Biopsy in Initially Lymph Node-positive, HER2-positive Breast Cancer
Study Details
Study Description
Brief Summary
The aim of the study was to develop and validate a nomogram to assess axillary pathological complete response (pCR) in patients with initially lymph node-positive, human epidermal growth factor receptor 2 (HER2)-positive breast cancer and test its performance in guiding patient selection for sentinel lymph node biopsy (SLNB) following neoadjuvant systemic therapy (NST).
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
The investigators retrospectively reviewed the medical records of 597 patients at four institutions from April 1, 2012 to May 30, 2022. Patients from institution 1 (n = 386) served as the training cohort, whereas those from the other institutions (n = 211) served as an external validation cohort. An additional independent cohort of 119 patients was prospectively collected to assess the predictive power of the model. The inclusion criteria included: 1) histologically proven primary breast cancer without distant metastatic lesions, 2) HER2-positive status (defined as immunohistochemistry (IHC) of 3+ overexpression or 2+ expression, and a ratio of ≥ 2.0 by fluorescence in situ hybridization), 3) initial axillary lymph node-positive status confirmed using core- or fine-needle biopsy before NST, 4) a full course of standard neoadjuvant therapy before surgery, and 5) complete clinicopathological characteristics and treatment information. The study was approved by ethics committee of Fujian Medical University Union Hospital. All patients in the training and validation cohorts underwent mastectomy, breast-conserving surgery, radiation, and ALND surgery after completing NST. All patients in the additional independent cohort underwent SLNB followed by ALND, which detected at least 2 SLNs using methylene blue dye alone. SLNs were defined as blue-stained lymph nodes guided directly by blue-stained lymphatic vessels. Methylene blue dye was injected alone at peritumoral or subareolar sites 5-15 min before SLNB. After constructing the nomogram for predicting axillary pCR with the independent predictive factors, the investigators quantified the predictive performance of the model using the AUC of the receiver operating characteristic curve. Calibration plots with bootstrapping and the Hosmer-Lemeshow test were used to illustrate the calibration power of the model, with p > 0.05 indicating a good fit.20 The clinical utility of the model in guiding surgical options was evaluated using decision curve analysis by plotting net benefits.21 Internal validation was estimated using the bootstrap method. The investigators validated the nomogram using an external validation cohort from the other institutions. Following the Youden index, the investigators selected an optimal cutoff probability of predicting axillary pCR as a stratification criterion for identifying patients who underwent SLNB surgery after NST. The investigators additionally examined 119 patients who underwent SLNB with ≥ 2 SLNs removed, followed by ALND, as an independent cohort to evaluate the effect of the nomogram on identifying patients accurately. FNRs of SLNB were compared using two different strategies: performing SLNB in all patients without any selection criteria and performing SLNB in patients selected by the nomogram with the cutoff probability of axillary pCR. These results were compared with those of the two previous tests.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Training cohort Patients (n=386) who accepted neoadjuvant systemic therapy followed surgery were from fujian medical university union hospital from April 1, 2012, to May 30, 2022. |
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| External validation cohort Patients (n=211) who accepted neoadjuvant systemic therapy followed surgery were from Fujian Cancer Hospital, Zhangzhou Affiliated Hospital of Fujian Medical University and No. 900 Hospital of The Joint Logistic Support Force from April 1, 2012, to May 30, 2022. |
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| Test cohort Patients (n=119) who accepted sentinel lymph node biopsy followed axillary lymph node dissection after neoadjuvant systemic therapy was prospectively collected from June 1,2022 to May 30, 2023. |
Procedure: Test cohort
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Outcome Measures
Primary Outcome Measures
- Axillary pCR [10 years]
the percent of patients who achieved axillary pathological complete response after NST.
Secondary Outcome Measures
- the False Negative Rate of SLNB [12 months]
the percent of patients with residual lymph node disease were not identified.
Eligibility Criteria
Criteria
Inclusion Criteria:
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histologically proven primary breast cancer without distant metastatic lesions,
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HER2-positive status (defined as immunohistochemistry (IHC) of 3+ overexpression or 2+ expression, and a ratio of ≥ 2.0 by fluorescence in situ hybridization),
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initial axillary lymph node-positive status confirmed using core- or fine-needle biopsy before NST,
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a full course of standard neoadjuvant therapy before surgery
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complete clinicopathological characteristics and treatment information.
Exclusion Criteria:
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do not plan or are unable to operate;
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with distant metastasis
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do not accept full cycles or standard neoadjuvant systemic therapy
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loss of clinicopathological characteristics and treatment information.
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with serious cardiopulmonary diseases, uncontrolled infectious diseases and other non-tumor related diseases who could not tolerate comprehensive treatment such as surgery and chemotherapy
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Chuan Wang | Fuzhou | Fujian | China | 350001 |
Sponsors and Collaborators
- Fujian Medical University Union Hospital
Investigators
- Principal Investigator: China Fujian, Fujian Medical University Union Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NSFFP-2023Y0020