scholarly journals Factors correlating with lymph node metastases in patients with T1 ductal invasive breast cancer

2006 ◽  
Vol 14 (1-2) ◽  
pp. 19-22 ◽  
Author(s):  
Tatjana Ivkovic-Kapicl ◽  
Milana Panjkovic ◽  
Dejan Nincic ◽  
Slavica Knezevic-Usaj

BACKGROUND: Identification of reliable predictors of axillary lymph node metastases (ALNM) may be useful in selecting appropriate management for patients with T1-size breast cancer. This study was undertaken to determine the association between ALNM and several variables, including age, tumor size, grade, estrogen receptor status, progesterone receptor status, p53 and c-erbB2 protein expression, and Ki-67 proliferative index. METHODS: In a retrospective study, 74 patients with pT1b and pT1c ductal invasive breast carcinoma and with known nodal status were analyzed. The size of the infiltrating tumor was microscopically evaluated. The histological grading was performed using the modified criteria of Bloom and Richardson, as described by Elston and Ellis. The immunophenotype of the tumor was determined as: the expression of estrogen (ER) and progesterone (PR) receptors, p53, c-erbB2 and Ki-67. The patients were grouped by age as follows: <50, 50-70, and >70 years old. RESULTS: Twenty six patients (35%) were node positive. Tumor size was related directly to nodal positivity. Nodal positivity was significantly related to negative PR status, p53 protein overexpression and high Ki-67 index (p<0.05). No significant association was found between nodal positivity and patient age, tumor grade, ER status, and c-erbB2 expression. CONCLUSION: These data suggest that PR status, Ki-67 proliferation index, and p53 protein expression might provide additional information to the lymph node status in T1 ductal breast carcinomas.

2010 ◽  
Vol 1 (6) ◽  
pp. 1067-1071 ◽  
Author(s):  
LUIZA KANCZUGA-KODA ◽  
MARIUSZ KODA ◽  
JAKUB TOMASZEWSKI ◽  
KATARZYNA JARZABEK ◽  
JOANNA LOTOWSKA ◽  
...  

Surgery Today ◽  
1994 ◽  
Vol 24 (6) ◽  
pp. 512-517 ◽  
Author(s):  
Masakuni Noguchi ◽  
Hirohisa Kitagawa ◽  
Kazuo Kinoshita ◽  
Michael Thomas ◽  
Itsuo Miyazaki ◽  
...  

The Breast ◽  
2016 ◽  
Vol 30 ◽  
pp. 87-91 ◽  
Author(s):  
Fabinshy Thangarajah ◽  
Wolfram Malter ◽  
Stefanie Hamacher ◽  
Matthias Schmidt ◽  
Stefan Krämer ◽  
...  

Author(s):  
Mariusz Koda ◽  
Stanislaw Sulkowski ◽  
Luiza Kanczuga-Koda ◽  
Eva Surmacz ◽  
Mariola Sulkowska

2007 ◽  
Author(s):  
Mariusz Koda ◽  
Mariola Sulkowska ◽  
Luiza Kanczuga-Koda ◽  
Jakub Tomaszewski ◽  
Waldemar Kucharczuk ◽  
...  

2015 ◽  
Vol 68 (6) ◽  
pp. 484-487 ◽  
Author(s):  
Neda A Moatamed ◽  
Annie Wu ◽  
Khaled Sarah ◽  
Sophia K Apple

Cytokeratin 7 (CK 7) negative breast tumours are reported to occur rarely. We studied 14 CK 7 negative cases of primary invasive ductal carcinoma (IDC) detected during sentinel lymph node metastases work-up and immunohistochemistry panel in the work-up of metastatic carcinoma of unknown origin. Axillary lymph node metastases were present in seven patients (50%). Oestrogen receptor (ER) was strongly positive in all cases: progesterone receptor in 78%, Her-2/neu in 7% and high proliferation index with Ki-67 >20% was seen in 71% of the cases.Metastatic and/or recurrence were found in 8 of 14 patients (57%) with the mean clinical follow-up of 55 months. Metastatic sites include multiple bones, brain, spinal cord, liver, pancreas, ovary, lung, lymph node other than ipsilateral axillary and skin. 12 of 14 patients received adjuvant chemotherapy. All 14 patients received hormonal therapy and radiation therapy. Morphologically, IDC with neuroendocrine features was noted in 57%. Synaptophysin stain was positive in 57% and chromogranin was positive in 21% of the cases. In conclusion, these CK 7 negative breast carcinomas were ER positive, mostly Her-2/neu negative, had high Ki-67 and frequently showed neuroendocrine differentiation. More than half of these cases had a poor outcome.


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