Evidence map›Paper›PMID 40999271›Full record

ArticleBreast cancer (Tokyo, Japan)2026

Pathological homogeneity and utility in the genetic diagnosis of paired mirror samples from breast cancer 10G-vacuum-assisted biopsies using a novel longitudinal dividing device.

Akira Watanabe, Sae Kitano, Chikage Kato, Ryo Tsunashima, Chise Matsui, Saya Matsumoto, Ikoi Omatsu, Eiichi Konishi, Yoshiaki Sota, Takumi Shiraishi and 5 more

Abstract read
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Article in Breast cancer (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Akira WatanabeDepartment of Endocrine and Breast Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID http://orcid.org/0000-0003-0496-5945
Sae KitanoDepartment of Endocrine and Breast Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID http://orcid.org/0009-0008-6896-3088
Chikage KatoDepartment of Endocrine and Breast Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Ryo TsunashimaMedical Empower Institute, Osaka, Japan.ORCID http://orcid.org/0000-0003-2663-0142
Chise MatsuiDepartment of Endocrine and Breast Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Saya MatsumotoDepartment of Endocrine and Breast Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Ikoi OmatsuDepartment of Surgical Pathology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Eiichi KonishiDepartment of Surgical Pathology, Kyoto Saiseikai Hospital, Kyoto, Japan.
Yoshiaki SotaDepartment of Breast and Endocrine Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0001-5963-652X
Takumi ShiraishiDepartment of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID http://orcid.org/0000-0001-8529-8915
Masayoshi OkumiDepartment of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID http://orcid.org/0000-0001-7443-2621
Midori MoritaDepartment of Endocrine and Breast Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID http://orcid.org/0000-0003-4083-4432
Koichi SakaguchiDepartment of Endocrine and Breast Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Osamu UkimuraDepartment of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID http://orcid.org/0000-0003-3443-3210
Yasuto NaoiDepartment of Endocrine and Breast Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. naoi@koto.kpu-m.ac.jp.ORCID http://orcid.org/0000-0002-6090-0137

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe growing need for immunohistochemical and genetic testing often results in shortage of breast cancer vacuum-assisted biopsy (VAB) samples. Their value has become increasingly important with improvements in neoadjuvant chemotherapy outcomes. To enhance diagnostic utility, the longitudinal division of a single VAB sample can provide matched "mirror samples." We adapted a prostate biopsy tissue divider for use with 10G-VAB breast cancer specimens and evaluated its feasibility for pathological and molecular analyses.

methodsA total of 100 10G-VAB specimens from 32 patients were longitudinally bisected using the dividing tool. The pathological concordance between the paired mirror samples was assessed by histological examination. Their suitability for DNA and mRNA analyses was also evaluated by next-generation gene panel sequencing and microarray-based gene expression profiling.

resultsOf the 72 samples confirmed to contain malignant tissue, 70 (97.2%) exhibited high pathological concordance between the mirror pairs. The remaining two samples (2.8%), derived from the tumor margins, exhibited discordant histological findings. Moreover, gene panel testing (n = 8) and comprehensive gene expression profiling using microarray (n = 8) were successfully performed on all of the mirror samples (n = 16).

conclusionThe longitudinal division of breast cancer VAB tissue using a specialized dividing device results in anatomically matched mirror samples with high pathological fidelity. These specimens are suitable for advanced molecular diagnostics, thus providing a valuable tool for clinical practice and translational studies.

Indexed as

Breast NeoplasmsAdultAgedBiomarkers, TumorFemaleGene Expression ProfilingHigh-Throughput Nucleotide SequencingHumansMiddle AgedVacuumBiomarkers, TumorBreast cancerGene panel testMicroarraymRNAVacuum-assisted biopsy

Identifiers

PMID40999271

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.