Multiscale approach to provide a better physicochemical description of women breast microcalcifications

Despite the incidence of breast cancer among women, mammography and anatomopathol-ogy investigations are still the gold standard method for preventive screening and diagnosis. Several criteria are used to diagnose precisely the severity of the pathology like the distribution and shape of breast microcalcifications (BMCs). However, the link between the different chemical phases of BMCs and the cancer stage remains unclear. As BMCs physicochemical speciation has the potential to help clinicians during their diagnosis, this study aims to propose a methodology using advanced spectroscopical analysis techniques to finely characterize BMCs and uncover the relationship between mineralization processes and breast cancer. A state of the art in the domain is first proposed to high-light the role of BMCs and the importance of extensive analytical analysis using electron microscopy and vibrational techniques. Secondly, a detailed methodology for BMCs multiscale analysis is pro-posed and the relevance of each technique illustrated through the study of a biopsy from a patient suffering of an infiltrating low-grade ductal carcinoma: scanning electron microscopy analysis was used for the morphological description of BMCs, infrared micro and nanospectroscopy techniques for their chemical speciation at the micrometric and sub-micrometric scales.