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Precise pathologic diagnosis and individualized treatment improve the outcomes of invasive micropapillary carcinoma of the breast: a 12-year prospective clinical study
- Source :
- Modern Pathology. 31:956-964
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Invasive micropapillary carcinoma of the breast is a histologic subtype of breast cancer and associated with high incidence of lymphovascular invasion, lymph node metastasis and poor prognosis. The aim of this prospective study was to investigate the impact of precise pathologic diagnosis and individualized treatment on the outcomes of invasive micropapillary carcinoma of the breast. The study group included 2299 women with invasive micropapillary carcinoma diagnosed at Tianjin Medical University Cancer Institute and Hospital between January 2004 and December 2015. In the study group, specimens were examined with the method of whole-specimen orientation and serial sectioning, and patients received precise pathological diagnosis and individualized treatment. The control group of invasive micropapillary carcinoma consisted of 163 cases, identified through a retrospectively review of 9056 invasive carcinomas diagnosed at our institution between January 1989 and December 2003 using the standard pathology-evaluation method (i.e., not using the whole-specimen orientation and serial-sectioning method). The clinicopathological features, treatments and outcomes were compared between the two groups. The incidence of invasive micropapillary carcinoma in the study group was 6% (2299/39,714 cases), significantly higher than that of the control group (2%; 163/9056 cases). The 5-year disease-free survival in the study group was significantly higher than that in the control group (83.8 vs.45.4%; p
- Subjects :
- 0301 basic medicine
Oncology
Pathology
medicine.medical_specialty
Lymphovascular invasion
medicine.medical_treatment
Breast Neoplasms
Premises
Disease-Free Survival
Pathology and Forensic Medicine
03 medical and health sciences
0302 clinical medicine
Breast cancer
Internal medicine
medicine
Carcinoma
Humans
Prospective Studies
Precision Medicine
Prospective cohort study
Survival rate
Mastectomy
business.industry
Cancer
Middle Aged
Prognosis
medicine.disease
Carcinoma, Papillary
Survival Rate
030104 developmental biology
Chemotherapy, Adjuvant
030220 oncology & carcinogenesis
Female
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 08933952
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- Modern Pathology
- Accession number :
- edsair.doi.dedup.....2ffd090e4cdf1ba43b8788109f430b5c