Centre Antoine Lacassagne 36, voie romaine. 06054-Nice Cedex, France.Summary The oestradiol (RE) and progesterone (RP) receptor levels were analyzed in 26 tumour fragments (200-500mg) from breast cancer patients. After pulverization of tissue, one part was analyzed by the routine dextran-coated charcoal (DCC) The measurement of steroid hormone receptors is now a well-recognized common laboratory procedure (McGuire, 1980). This is due to the fact that breast cancer patients whose tumours contain both oestradiol (RE) and progesterone receptors (RP) are likely to respond in 75% of cases to endocrine treatment (Osborne & McGuire, 1979) whereas this proportion is only 10% for tumours without such receptors (McGuire, 1980).The most common measurement technique involving the use of dextran-coated charcoal (DCC) (McGuire, 1977) has certain intrinsic limits: a separate cytosol fraction is required for measurement of each receptor (Allegra et al., 1979). This necessitates a relatively large quantity of material that can only be obtained from a surgical specimen. This constraint considerably limits the applicability of receptor measurements, especially for the study of tumours in situ, despite the fact that the cellular heterogeneity of breast cancer is well-known (Hawkins et al., 1977). Although several authors have described the possibility of measuring steroid receptors in needle biopsy samples, it is difficult to evaluate several receptors in a single sample (Poulsen et al., 1979;Delarue et al., 1981). A recent method has been described for the simultaneous measurement of both RE this method difficult to utilize on a routine basis (Thibodeau et al., 1981). A combination of the DCC technique and high pressure liquid chromatography (HPLC) has also been reported (Magdalenat, 1979). We adopted this last technique and attempted to determine its validity by correlation with the routine DCC technique and evaluation of its reproducibility.
Materials and methodsCollection of samples The present study is based on the analysis of RE and RP measurements obtained by two methods: the method developed by us and the classical DCC method of McGuire et at. (1977) realized for RP by Pichon & Milgrom (1977) and used here on a routine basis. Following histological examination, fragments of the various tumours are divided into two parts; one was used for the simultaneous measurement of RE and RP receptors which provides an immediate result for the clinician; the other (200-500 mg) was rapidly placed in liquid nitrogen for later use in the comparative study.Samples were selected on the basis of the initial results in order to provide objective coverage of the range of values generally observed. The comparative study thus covered tumours from 26 patients. At the time of assay, tumour fragments were assessed by the two methods: the classical method used previously (in order to avoid a bias in results caused by freezing and thawing) and the micromethod described herein.(C) The