Tumor size and axillary metastasis, a correlative occurrence in 1244 cases of breast cancer between 1980 and 1995
A review of 1244 breast cancer cases from the Tumor Registry of Northwest Community Hospital between 1980 and 1995 was carried out to investigate the incidence of axillary metastasis. There were 442 patients (35.45%) with positive nodes. The small lesions were graded to ascertain if size and grade o...
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| Veröffentlicht in: | European journal of surgical oncology 1997-04, Vol.23 (2), p.139-141 |
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| container_title | European journal of surgical oncology |
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| creator | Shetty, M.R. Reiman, Herbert M. |
| description | A review of 1244 breast cancer cases from the Tumor Registry of Northwest Community Hospital between 1980 and 1995 was carried out to investigate the incidence of axillary metastasis. There were 442 patients (35.45%) with positive nodes. The small lesions were graded to ascertain if size and grade of small tumors can be used to predict axillary metastasis. One hundred and seventy-nine cases of ⩽1.0 cm were retrospectively reviewed by one pathologist. Tumors |
| doi_str_mv | 10.1016/S0748-7983(97)80007-8 |
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There were 442 patients (35.45%) with positive nodes. The small lesions were graded to ascertain if size and grade of small tumors can be used to predict axillary metastasis. One hundred and seventy-nine cases of ⩽1.0 cm were retrospectively reviewed by one pathologist. Tumors <0.4 cm had negative nodes. Those with nuclear and histologic grades of 1 had 3% positive nodes, the remainder had positive nodes ranging from 11% to 19%. Infiltrating duct cancers of nuclear grade 3, histologic grade 2, and positive nodes, showed a 40% mortality. Eighteen patients died in the 0.5–1.0 cm tumor size range, mostly of histologic grade 2 and nuclear grade 3. Nuclear and histologic grade 1 tumors with infiltrating duct cancers had negative nodes and showed a good prognosis. Based on this study, node dissection can be omitted in these patients and in those with tumors ⩽0.4 cm. For all other lesions, full axillary node dissection and detailed pathologic examination is still the gold standard for evaluating the axilla.</description><identifier>ISSN: 0748-7983</identifier><identifier>EISSN: 1532-2157</identifier><identifier>DOI: 10.1016/S0748-7983(97)80007-8</identifier><identifier>PMID: 9158188</identifier><identifier>CODEN: EJSOE7</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Adenocarcinoma - pathology ; Adenocarcinoma - secondary ; Adenocarcinoma - surgery ; Axilla ; axillary dissection ; Biological and medical sciences ; breast cancer ; Breast Neoplasms - pathology ; Breast Neoplasms - surgery ; Carcinoma - pathology ; Carcinoma - secondary ; Carcinoma - surgery ; Carcinoma in Situ - pathology ; Carcinoma in Situ - secondary ; Carcinoma in Situ - surgery ; Carcinoma, Ductal, Breast - pathology ; Carcinoma, Ductal, Breast - secondary ; Carcinoma, Ductal, Breast - surgery ; Cause of Death ; Female ; Forecasting ; Gynecology. Andrology. Obstetrics ; Hospitals, Community ; Humans ; Incidence ; Lymph Node Excision ; Lymphatic Metastasis - pathology ; Mammary gland diseases ; Mastectomy, Modified Radical ; Mastectomy, Segmental ; Medical sciences ; Neoplasm Invasiveness ; node metastasis ; Prognosis ; Registries ; Retrospective Studies ; Survival Rate ; Tumors</subject><ispartof>European journal of surgical oncology, 1997-04, Vol.23 (2), p.139-141</ispartof><rights>1997 W.B. Saunders Company Limited</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-5447407c413f82c675c58868f0587cea992c9368af86d8ec273fc27ad738beec3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0748798397800078$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2659121$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9158188$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shetty, M.R.</creatorcontrib><creatorcontrib>Reiman, Herbert M.</creatorcontrib><title>Tumor size and axillary metastasis, a correlative occurrence in 1244 cases of breast cancer between 1980 and 1995</title><title>European journal of surgical oncology</title><addtitle>Eur J Surg Oncol</addtitle><description>A review of 1244 breast cancer cases from the Tumor Registry of Northwest Community Hospital between 1980 and 1995 was carried out to investigate the incidence of axillary metastasis. There were 442 patients (35.45%) with positive nodes. The small lesions were graded to ascertain if size and grade of small tumors can be used to predict axillary metastasis. One hundred and seventy-nine cases of ⩽1.0 cm were retrospectively reviewed by one pathologist. Tumors <0.4 cm had negative nodes. Those with nuclear and histologic grades of 1 had 3% positive nodes, the remainder had positive nodes ranging from 11% to 19%. Infiltrating duct cancers of nuclear grade 3, histologic grade 2, and positive nodes, showed a 40% mortality. Eighteen patients died in the 0.5–1.0 cm tumor size range, mostly of histologic grade 2 and nuclear grade 3. Nuclear and histologic grade 1 tumors with infiltrating duct cancers had negative nodes and showed a good prognosis. Based on this study, node dissection can be omitted in these patients and in those with tumors ⩽0.4 cm. For all other lesions, full axillary node dissection and detailed pathologic examination is still the gold standard for evaluating the axilla.</description><subject>Adenocarcinoma - pathology</subject><subject>Adenocarcinoma - secondary</subject><subject>Adenocarcinoma - surgery</subject><subject>Axilla</subject><subject>axillary dissection</subject><subject>Biological and medical sciences</subject><subject>breast cancer</subject><subject>Breast Neoplasms - pathology</subject><subject>Breast Neoplasms - surgery</subject><subject>Carcinoma - pathology</subject><subject>Carcinoma - secondary</subject><subject>Carcinoma - surgery</subject><subject>Carcinoma in Situ - pathology</subject><subject>Carcinoma in Situ - secondary</subject><subject>Carcinoma in Situ - surgery</subject><subject>Carcinoma, Ductal, Breast - pathology</subject><subject>Carcinoma, Ductal, Breast - secondary</subject><subject>Carcinoma, Ductal, Breast - surgery</subject><subject>Cause of Death</subject><subject>Female</subject><subject>Forecasting</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hospitals, Community</subject><subject>Humans</subject><subject>Incidence</subject><subject>Lymph Node Excision</subject><subject>Lymphatic Metastasis - pathology</subject><subject>Mammary gland diseases</subject><subject>Mastectomy, Modified Radical</subject><subject>Mastectomy, Segmental</subject><subject>Medical sciences</subject><subject>Neoplasm Invasiveness</subject><subject>node metastasis</subject><subject>Prognosis</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Survival Rate</subject><subject>Tumors</subject><issn>0748-7983</issn><issn>1532-2157</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1r3DAQhkVp2G7S_oQFHUppIE4ly7JGp1BC0wQWcsj2LLTjMajY60Sykya_vtoP9hoQEsP7zEh6GFtIcSmFrH88CFNBYSyo79acgxDCFPCBzaVWZVFKbT6y-RH5xE5T-psZq4ydsZmVGiTAnD2tpn6IPIU34n7TcP8vdJ2Pr7yn0ae8QrrgnuMQI3V-DM_EB8QpVxskHjZcllXF0SdKfGj5OlLuynVOI1_T-EKUGQtiN11aqz-zk9Z3ib4czjP25-bX6vq2WN7_vrv-uSyw0nosdFWZShispGqhxNpo1AA1tEKDQfLWlmhVDb6FugHC0qg2b74xCtZEqM7Yt_3cxzg8TZRG14eElH-3oWFKzlihtNY2g3oPYhxSitS6xxj67MBJ4baq3U6123p01ridage5b3G4YFr31By7Dm5z_vWQ-4S-a2OWEtIRK2ttZSkzdrXHKMt4DhRdwrC124RIOLpmCO885D_iCJlI</recordid><startdate>19970401</startdate><enddate>19970401</enddate><creator>Shetty, M.R.</creator><creator>Reiman, Herbert M.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970401</creationdate><title>Tumor size and axillary metastasis, a correlative occurrence in 1244 cases of breast cancer between 1980 and 1995</title><author>Shetty, M.R. ; Reiman, Herbert M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-5447407c413f82c675c58868f0587cea992c9368af86d8ec273fc27ad738beec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adenocarcinoma - pathology</topic><topic>Adenocarcinoma - secondary</topic><topic>Adenocarcinoma - surgery</topic><topic>Axilla</topic><topic>axillary dissection</topic><topic>Biological and medical sciences</topic><topic>breast cancer</topic><topic>Breast Neoplasms - pathology</topic><topic>Breast Neoplasms - surgery</topic><topic>Carcinoma - pathology</topic><topic>Carcinoma - secondary</topic><topic>Carcinoma - surgery</topic><topic>Carcinoma in Situ - pathology</topic><topic>Carcinoma in Situ - secondary</topic><topic>Carcinoma in Situ - surgery</topic><topic>Carcinoma, Ductal, Breast - pathology</topic><topic>Carcinoma, Ductal, Breast - secondary</topic><topic>Carcinoma, Ductal, Breast - surgery</topic><topic>Cause of Death</topic><topic>Female</topic><topic>Forecasting</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hospitals, Community</topic><topic>Humans</topic><topic>Incidence</topic><topic>Lymph Node Excision</topic><topic>Lymphatic Metastasis - pathology</topic><topic>Mammary gland diseases</topic><topic>Mastectomy, Modified Radical</topic><topic>Mastectomy, Segmental</topic><topic>Medical sciences</topic><topic>Neoplasm Invasiveness</topic><topic>node metastasis</topic><topic>Prognosis</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Survival Rate</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shetty, M.R.</creatorcontrib><creatorcontrib>Reiman, Herbert M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shetty, M.R.</au><au>Reiman, Herbert M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tumor size and axillary metastasis, a correlative occurrence in 1244 cases of breast cancer between 1980 and 1995</atitle><jtitle>European journal of surgical oncology</jtitle><addtitle>Eur J Surg Oncol</addtitle><date>1997-04-01</date><risdate>1997</risdate><volume>23</volume><issue>2</issue><spage>139</spage><epage>141</epage><pages>139-141</pages><issn>0748-7983</issn><eissn>1532-2157</eissn><coden>EJSOE7</coden><abstract>A review of 1244 breast cancer cases from the Tumor Registry of Northwest Community Hospital between 1980 and 1995 was carried out to investigate the incidence of axillary metastasis. There were 442 patients (35.45%) with positive nodes. The small lesions were graded to ascertain if size and grade of small tumors can be used to predict axillary metastasis. One hundred and seventy-nine cases of ⩽1.0 cm were retrospectively reviewed by one pathologist. Tumors <0.4 cm had negative nodes. Those with nuclear and histologic grades of 1 had 3% positive nodes, the remainder had positive nodes ranging from 11% to 19%. Infiltrating duct cancers of nuclear grade 3, histologic grade 2, and positive nodes, showed a 40% mortality. Eighteen patients died in the 0.5–1.0 cm tumor size range, mostly of histologic grade 2 and nuclear grade 3. Nuclear and histologic grade 1 tumors with infiltrating duct cancers had negative nodes and showed a good prognosis. Based on this study, node dissection can be omitted in these patients and in those with tumors ⩽0.4 cm. For all other lesions, full axillary node dissection and detailed pathologic examination is still the gold standard for evaluating the axilla.</abstract><cop>Amsterdam</cop><pub>Elsevier Ltd</pub><pmid>9158188</pmid><doi>10.1016/S0748-7983(97)80007-8</doi><tpages>3</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adenocarcinoma - pathology Adenocarcinoma - secondary Adenocarcinoma - surgery Axilla axillary dissection Biological and medical sciences breast cancer Breast Neoplasms - pathology Breast Neoplasms - surgery Carcinoma - pathology Carcinoma - secondary Carcinoma - surgery Carcinoma in Situ - pathology Carcinoma in Situ - secondary Carcinoma in Situ - surgery Carcinoma, Ductal, Breast - pathology Carcinoma, Ductal, Breast - secondary Carcinoma, Ductal, Breast - surgery Cause of Death Female Forecasting Gynecology. Andrology. Obstetrics Hospitals, Community Humans Incidence Lymph Node Excision Lymphatic Metastasis - pathology Mammary gland diseases Mastectomy, Modified Radical Mastectomy, Segmental Medical sciences Neoplasm Invasiveness node metastasis Prognosis Registries Retrospective Studies Survival Rate Tumors |
| title | Tumor size and axillary metastasis, a correlative occurrence in 1244 cases of breast cancer between 1980 and 1995 |
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