Folia Medica Indonesiana
Vol. 61, No. 2

PATHOLOGICAL AND MOLECULAR PARAMETERS SHOW NO SIGNIFICANT ASSOCIATION WITH RESIDUAL CANCER BURDEN IN BREAST CARCINOMA

Rahmanti, Fishella Aprista (Unknown)
Sandhika, Willy (Unknown)
Tjandra, Lusiani (Unknown)



Article Info

Publish Date
24 Dec 2025

Abstract

Residual Cancer Burden (RCB) is a validated scoring system that quantifies the amount of tumour remaining after neoadjuvant chemotherapy (NAC) for breast cancer, providing prognostic information beyond binary outcomes, such as pathologic complete response (pCR). pCR represents a binary endpoint within various NAC response-grading systems, including RCB, rather than a separate reporting system. This study aimed to assess clinicopathological and molecular predictors of RCB class, including histological grade, histopathological type, molecular subtype, and Ki-67 index. A retrospective study was conducted on 68 patients diagnosed with breast carcinoma who underwent NAC. Descriptive statistics and Pearson, Spearman, and chi-square tests were used to evaluate associations between these variables and RCB class. The mean Ki-67 index was 49.9% (standard deviation not specified), and most tumours were grade 2 (48.5%), invasive carcinoma of no special type (79.4%), and luminal B subtype (63.2%). The distribution of RCB classes was RCB III (42.6%), RCB II (35.3%), RCB 0 (13.2%), and RCB I (8.8%). Statistical analysis did not reveal significant associations between histological grade, histopathological type, molecular subtype, or Ki-67 and RCB class (all p > 0.05). No statistically significant associations were identified; however, the study may be insufficiently powered to detect smaller but clinically meaningful relationships. These findings point to the need for larger, multicentre studies with standardised biomarker assessment to improve post-treatment prognostication.

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Journal Info

Abbrev

publication:fk-fmi

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience

Description

Folia Medica Indonesiana, as indicated by its name, focuses on publishing good quality articles about research and education on health science and medicine in Indonesia. However, due to the fast growth of science and knowledge in these fields, we also welcome submitted articles from around the ...