ASSESSMENT OF TUMOR BUDDING IN INVASIVE DUCTAL BREAST CARCINOMA BY DIGITAL PATHOLOGY
Main Article Content
Abstract
In invasive breast carcinoma, tumor budding, high-grade correlates with tumor size, lymphavascular invasion, lymph node metastasis, and reduced 5-year survival of breast cancer patients. Purpose: (1) Determination of the tumor budding rates in invasive ductal breast carcinoma. (2) Commenting on some relationships between tumor budding levels and pathological characteristics. Methods: Tumor samples of 232 patients with invasive ductal breast cancer were digitized the conventional slides to identify Bds according to ITBCC 2016 by computer virtual microscope software and evaluated the relationship with some pathological features. Results: The rate of high-grade Bd of the grade III was 35.1%, higher than high-grade Bd of the grade I and II of 20.3%. Similarly, in high-grade Bd, breast cancer with lymph node metastasis was 41.8%, twices higher than the group without metastasis (20.3%). The rate of high-grade Bd in the pT3 tumors was 63.6%, higher than the pT1 & pT2 (25.8%). In the tumors with lymphavascular invasion, high-grade Bd was 35.6%, which was 1.5 times higher than that in the group without lymphatic infiltration of 22.5% (p<0.05). Conclusion: There is a strong correlation between high-grade Bd and large tumor, axillary lymph node metastasis, high grade, and lymphavascular invasion.
Article Details
Keywords
Tumor budding, Histopathology, Breast cancer, Digital pathology
References
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