Biobanking multifocal breast carcinomas: sample adequacy with regard to histology and DNA content

AimsTo determine the volume of tumoral and normal breast tissue containing sufficient DNA (>2g/sample) for genetic platforms and biobanking, with a focus on multifocality, tumoral heterogeneity, and factors that critically influence sample acceptability. Methods and resultsWe examined 57 breast surgical specimens with multifocal (46/57) and unifocal (11/57) cancers. Punch biopsies were obtained from tissue slices under multimodal radiological guidance, and the colour-coded sampling sites were identified in large-format histology slides. The study comprised 415 DNA isolations from tumour (n=105) and normal (n=283) tissue, including skin (n=27) samples. A single 2-mm core from invasive tumour contained sufficient DNA in 91.4% (96/105) of cases, depending on tumour type (3.8-108.2g/sample), number and size of additional foci in multifocal cases (P=0.001), tumour consistency, and degree of necrosis. Three biopsies obtained with a 4-mm device were required from normal breast tissue, at least 10mm from the tumour. Cold ischaemia for up to 82min did not influence the yield of DNA. ConclusionsRadiological disease mapping is useful for guiding optimal specimen slicing and for targeting breast lesions. A single 2-mm core from tumour and multiple 4-mm cores from normal breast tissue yield adequate DNA in the majority of samples.