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Effective Ki-67 Reduction by Pre-Surgery Short-Term Administration of Letrozole in (Hormone-Positive) Breast Cancer Publisher



Eslami B1 ; Alipour S1, 2 ; Golfam F3 ; Jahabnin B4 ; Omranipour R1, 5
Authors
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Authors Affiliations
  1. 1. Breast Diseases Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Surgery, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Mostafa Khomeini Hospital, Shahed University, Tehran, Iran
  4. 4. Department of Pathology Cancer Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Surgical Oncology, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Pathology Published:2024


Abstract

Background & Objective: Antigen Ki-67 (histone-based nuclear protein) is a static marker of tumor cell proliferation and growth and is commonly measured to indicate the effect of treatment in breast cancer patients. This single-arm trial study aimed to evaluate the effect of short-term endocrine therapy (letrozole) on Ki-67 levels in menopausal women with early hormone-positive breast cancer who were referred to two university hospitals. Methods: Patients with a pre-treatment Ki67 of 5% or less were excluded from the study. Participants (n=25) received oral letrozole (2.5 mg daily) seven days before surgery. Ki-67% on both biopsies and the surgical specimens were measured and compared. Results and Conclusion: The mean age of patients was 62±9.4 (48-83 years). Our result indicated that pre-surgery consumption of letrozole for hormone-positive breast cancer can significantly decrease the of Ki-67 labeling index (23.24±9.74 vs. 16.92±9.55, P=0.001 by paired t-test), with no drug-related adverse events. This study was carried out according to the World Medical Association Declaration of Helsinki, and the ethics committee of Tehran University of Medical Sciences approved it (IR.TUMS.VCR.REC.1398.966). Informed consent was obtained from all participants. © 2024, Iranian Society of Pathology. All rights reserved.