Background: \- Researchers want to learn more about breast cancer in Latin American women. They also want to learn how and why women respond differently to standard treatment. Tissue and blood samples from women with breast cancer are needed to study this disease in order to find new ways to prevent, diagnose, and treat it. Objective: \- To learn more about the biology and genetics of breast cancer in Latin American women. Eligibility: \- Latin American women age 18 and older of all ethnic backgrounds who have clinical stage II or III breast cancer. They must still be active and able to self-care. Design: * Participants are only agreeing to have extra tissue or blood samples collected. They are also letting tissue left over from surgery be used for research. No procedures outside of standard care will be done. * Participants may have a medical history, physical exam, and blood tests. They may have a pregnancy test. They may have an ultrasound, mammogram, and other scans. They may have an intravenous needle placed in an arm vein. * Participants may have a core biopsy. For this, a needle is inserted into the breast. A piece of tissue is extracted. * Participants who have chemotherapy may have blood taken after treatment/before surgery. Tissue may also be collected. * Participants will complete a questionnaire. It will ask about their social and economic background. It will ask about their family history of cancer. It will also ask about access to diagnosis and treatment of breast cancer. * Participants may be followed for up to 5 years.
The primary objective of this study is to characterize the distribution of molecular profiles in Latin American women with AJCC 7 clinical stage II or III breast cancer. The molecular profiles will be correlated with epidemiological, histological, and clinical characteristics, including pathologic response to standard neoadjuvant chemotherapy. Moreover, this study intends to define a molecular signature that will predict response to neoadjuvant therapy in breast cancer. This is a prospective cohort study in which no investigational drugs will be administered to participants. The study will be conducted at participating institutions in Argentina, Brazil, Chile, Mexico, and Uruguay.
Study Type
OBSERVATIONAL
Enrollment
1,334
Instituto Leloir
Buenos Aires, Argentina
Instituto Nacional de Cancer (INCA)
Rio de Janeiro, Brazil
Instituto do C(SqrRoot) ncer do Estado de S(SqrRoot) o Paulo
São Paulo, Brazil
Instituto de Salud Publica
Santiago, Chile
Instituto Jalisciense de Cancerologia
Guadalajara, Mexico
Universidad de Guadalajara
Guadalajara, Mexico
Universidad de Sonora
Sonora, Mexico
Institito Nacional de C(SqrRoot)(Degree)ncer
Montevideo, Uruguay
Instituto Pasteur de Montevideo
Montevideo, Uruguay
Characterize distribution of invasive breast cancer stage II and III molecular profiles
This project will provide valuable information on the effectiveness of standard chemotherapy in Latin American women.
Time frame: 2 years post accrual closure
Association of molecular profile with tumor histological type, size,lymph node status and surrogate markers
Time frame: 2 years post accrual closure
Proportion of participants in each molecular profile who achieve pCR to neoadjuvant chemotherpay
Time frame: 2 years post accrual closure
RCB following neoadjuvant chemotherapy
Time frame: 2 years post accrual closure
Predictive and prognostic gene expression signatures
Time frame: 2 years post accrual closure
Survival-OS, DFS, and TFF
Time frame: 2 years post accrual closure
Demographic and epidemiological characteristics of the population by molecular profile
Time frame: 2 years post accrual closure
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