Robinson cytologic grading of invasive ductal breast carcinoma: Correlation with histologic grading and regional lymph node metastasis

To evaluate the importance of cytologic grading of breast carcinoma and its association with histologic grading and the existence of axillary lymph node metastasis. Aspirates and surgical samples from 100 patients with invasive ductal breast carcinoma not otherwise specified were studied. In 50 pati...

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Veröffentlicht in:Acta cytologica 2005-03, Vol.49 (2), p.149-153
Hauptverfasser: ROBLES-FRIAS, Antonio, GONZALEZ-CAMPORA, Ricardo, MARTINEZ-PARRA, Diego, ROBLES-FRIAS, Maria José, VAZQUEZ-CEREZUELA, Teresa, OTAL-SALAVERRI, Conception, FERNANDEZ-PALACINS, Ana
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container_end_page 153
container_issue 2
container_start_page 149
container_title Acta cytologica
container_volume 49
creator ROBLES-FRIAS, Antonio
GONZALEZ-CAMPORA, Ricardo
MARTINEZ-PARRA, Diego
ROBLES-FRIAS, Maria José
VAZQUEZ-CEREZUELA, Teresa
OTAL-SALAVERRI, Conception
FERNANDEZ-PALACINS, Ana
description To evaluate the importance of cytologic grading of breast carcinoma and its association with histologic grading and the existence of axillary lymph node metastasis. Aspirates and surgical samples from 100 patients with invasive ductal breast carcinoma not otherwise specified were studied. In 50 patients, > or = 1 metastatic nodes were identified. The cytologic grade was evaluated using the Robinson method and the histologic grade using the Elston modification of the Bloom-Richardson method. A study was undertaken to establish the association between histologic and cytologic grades and to compare the various parameters used to evaluate cytologic grade with the presence of axillary node metastasis. A statistically significant association was observed between cytologic and histologic grades (p < 0.0005) and between cytologic grade and presence of axillary metastasis (p < 0.0005). Similarly, cell dissociation (p < 0.0005), cell uniformity (p = 0.0010) and the appearance of nuclear margins (p < 0.0005) all displayed a positive correlation with regional metastasis. Cytologic grade may provide relevant information on the aggressiveness of invasive ductal breast carcinoma and could be a useful parameter to take into consideration when selecting neoadjuvant therapy.
doi_str_mv 10.1159/000326123
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source Karger Journals; MEDLINE
subjects Biological and medical sciences
Biopsy, Fine-Needle - standards
Biopsy, Fine-Needle - statistics & numerical data
Breast Neoplasms - classification
Breast Neoplasms - pathology
Breast Neoplasms - therapy
Carcinoma, Ductal - classification
Carcinoma, Ductal - pathology
Carcinoma, Ductal - therapy
Female
Gynecology. Andrology. Obstetrics
Humans
Investigative techniques, diagnostic techniques (general aspects)
Lymph Nodes - pathology
Mammary gland diseases
Mammary Glands, Human - pathology
Medical sciences
Neoplasm Invasiveness - pathology
Pathology, Surgical - methods
Pathology, Surgical - standards
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Predictive Value of Tests
Prognosis
Retrospective Studies
Tumors
title Robinson cytologic grading of invasive ductal breast carcinoma: Correlation with histologic grading and regional lymph node metastasis
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