Lack of prognostic significance of DNA ploidy and S phase fraction in breast cancer

DNA Ploidy and S phase fraction (SPF) were measured in Stage I and II breast cancers from patients with at least 8 years of follow-up, to assess the prognostic significance of these data. Disaggregated sections of formalin-fixed, paraffin-embedded tumour were analysed by flow cytometry. SPF was calc...

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Veröffentlicht in:British journal of cancer 1992-11, Vol.66 (5), p.925-929
Hauptverfasser: STANTON, P. D, COOKE, T. G, OAKES, S. J, WINSTANLEY, J, HOLT, S, GEORGE, W. D, MURRAY, G. D
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container_end_page 929
container_issue 5
container_start_page 925
container_title British journal of cancer
container_volume 66
creator STANTON, P. D
COOKE, T. G
OAKES, S. J
WINSTANLEY, J
HOLT, S
GEORGE, W. D
MURRAY, G. D
description DNA Ploidy and S phase fraction (SPF) were measured in Stage I and II breast cancers from patients with at least 8 years of follow-up, to assess the prognostic significance of these data. Disaggregated sections of formalin-fixed, paraffin-embedded tumour were analysed by flow cytometry. SPF was calculated using a rectangular model of S phase, after subtraction of background debris using an exponential model. 64% of tumours were DNA aneuploid. The median SPF was 4.5% for DNA diploid, and 10.9% for DNA aneuploid tumours. There were small reductions in survival at 10 years for DNA aneuploid tumours, and for tumours with above median SPF, but these were not statistically significant. The relative hazard for DNA aneuploid tumours was 1.20 (95% CI 0.81-1.76), and for high SPF was 1.31 (95% CI 0.87-1.98). Neither factor was statistically correlated with survival in multivariate analysis. Technical and theoretical factors limit the accuracy and reproducibility of flow cytometric data, and may explain the lack of prognostic information given.
doi_str_mv 10.1038/bjc.1992.387
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source MEDLINE; Springer Nature - Complete Springer Journals; Nature Journals Online; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Biological and medical sciences
Breast Neoplasms - genetics
Breast Neoplasms - pathology
Cohort Studies
DNA, Neoplasm - genetics
Female
Follow-Up Studies
Gynecology. Andrology. Obstetrics
Humans
Mammary gland diseases
Medical sciences
Multivariate Analysis
Neoplasm Staging
Ploidies
Prognosis
S Phase - physiology
Tumors
title Lack of prognostic significance of DNA ploidy and S phase fraction in breast cancer
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