Summary.-The reproducibility of measurements of oestrogen-receptor activity has been examined in multiple specimens from a rabbit uterus, a rat mammary tumour and human breast tumours. The relationship between receptor concentration and tumour histology has also been investigated in 11 large primary tumours.In the animal tissues, receptor measurements were relatively reproducible (co- In the 11 primary breast cancers selected for study, the level of receptor activity was related to menopausal status and the tumour content of the specimen.We conclude that the receptor activity detected varies within a tumour and depends upon the tumour content of the biopsy specimen. Predictions based on precise quantitation of receptor concentrations may therefore necessitate replicate tumour sampling and correction for the fraction of non-tumour tissue in each sample.CURRENTLY, the best index of the hormonal sensitivity of a breast cancer is the concentration of oestrogen-receptor protein in the cytoplasm of the tumour. (Folca, Glascock and Irvine 1961;Jensen et al., 1971;McGuire et al., 1975). We have, therefore, investigated the reproducibility of receptor measurements and the role of morphological factors in determiining variations in receptor concentration.
MATERIALS AND METHODSTissues.-To examine the precision of the receptor assay, multiple (4-8) portions were cut at 0-40C, from each of 4 tissues selected for their apparent homogeneity. These tissues 'were the uterus from a non-pregnant rabbit, a rat mammary carcinoma (generated by the intragastric administration of 30 mg dimethylbenz(a)anthracene at 50 days of age) a large, cellular, intracanalicular fibroadenoma removed surgically from a 59-year-old woman, and a lymplh node which had been largely replaced by anaplastic breast carcinoma from a 75-year-old woman. Each portion of tissue was assayed for oestrogen-receptor activity.To examine the reproducibility of receptor measurements in human breast cancer an(d relate this to morphology, 11 mastectomy specimens containing large, primary breast cancers were collected on ice. Each tumour wTas excised from the breast, measured and sectioned into 2-3 cubes. Each cube was divided into 2, one portion being used for histological examination, the other for oestrogen-receptor assay.Oe8trogen-receptor activity was determined by the method of Hawkins, Hill and Freedman (1975). A portion (160 >mg) of fat-free tumour was homogenized in tris buffer (0-25 M sucrose, 10 mM tris and 1 mM ethylene diamine tetra-acetate) at the rate of 100 mg/ml for 3 x 15 s, with intervals for cooling between periods of homogenization.