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The two main objectives of this prospective study are:
The secondary objective is to better understand the interactions between the imaging parameters of FDG PET-CT-scan and biological and histological features of breast cancer .
This is a non-interventional study. Two PET-CT-scans are performed, one before starting treatment, and the other after 2 cycles of neoadjuvant chemotherapy. The two PET-CT-scans are prescribed by oncologists from the center of breast diseases Unit at St. Louis hospital, in Paris, France. Oncologists provide clear information to the patients on the purpose of the examination. The examinations are performed in the nuclear medicine department at St. Louis hospital. PET-CT-scans data, tumor characteristics, results of other imaging and biological tests, results of surgery and patient's follow-up are summarized in a "de-identified" file. This file has been declared to the National Commission on Informatics and Liberties (CNIL). The data in this file are established prospectively and secondary analyzed to assess the precise role of PET-CT-scans in the initial staging of breast cancer and to determine the optimal PET-CT-scans criteria to evaluate response to neoadjuvant treatment early.
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| Measure | Description | Time Frame |
|---|---|---|
| Pathological complete response in M0 patients at baseline PET (stage II-III) | Absence of residual cancer cells in the primary breast tumor and in axillary lymph nodes | 18 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Number of distant metastases (M1 patients at baseline PET) | Detection of distant metastases by FDG PET-CT | 2 weeks |
| Number of metastatic nodes at baseline PET (axillary and extra-axillary) | Detection of metastatic axillary and extra-axillary nodes by FDG PET-CT |
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Inclusion Criteria :
Exclusion Criteria :
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Women with large breast cancer treated with neo-adjuvant chemotherapy regimen.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| David Groheux, MD-PHD | Contact | 630603009 | +33 | david.groheux@sls.aphp.fr |
| Patricia de Cremoux, MD-PHD | Contact | 142499385 | +33 | patricia.de-cremoux@sls.aphp.fr |
| Name | Affiliation | Role |
|---|---|---|
| Matthieu Resche-Rigon, MD-PHD | DRCD APHP Paris | Study Chair |
| David Groheux, MD-PhD | APHP, IUH, University Paris Diderot, Paris 7, SPC | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hopital siant-Louis | Recruiting | Paris | Paris | 75010 | France |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| 2 weeks |
| Standard uptake value on the FDG-PET (Fluorodeoxyglucose positron emission tomography) | 2 weeks |
| Patients overall survival | 5 years |
| event free survival | 5 years |
| Patients overall survival | 3 years |
| event free survival | 3 years |
| Patients overall survival | 2 years |
| event free survival | 2 years |
| Total lesion glycolysis on the FDG-PET (Fluorodeoxyglucose positron emission tomography) | 2 weeks |
| Metabolic tumor volume on the FDG-PET (Fluorodeoxyglucose positron emission tomography) | 2 weeks |
| Tumor heterogeneity determined on the FDG-PET (Fluorodeoxyglucose positron emission tomography) | 2 weeks |
| D017437 |
| Skin and Connective Tissue Diseases |