RELATIONSHIP BETWEEN VASCULAR, LYMPHATIC INFILTRATION AND AXILLARY LYMPH NODE STATUS OF INVASIVE BREAST CANCER

Nguyễn Tiến Quang

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Abstract

Evaluation of axillary lymph node metastasis in breast cancer is extremely important in the treatment and prognosis. Additionally, vascular and lymphatic infiltration is an important criterion for the prediction of early recurrence and distal metastasis, especially in patients without lymph node metastasis. Purpose: Assessment of the relationship between vascular, lymphatic infiltration and axillary lymph nodes status of invasive breast cancer. Methods: 300 breast cancer patients were assessed for vascular and lymphatic invation through IHC staining with CD31, D2-40 and evaluated for association with axillary lymph node condition. Results: In breast cancer group of 3 metastatic lymph nodes and the positive blood vessel infiltration, percentage was the highest (54.7%). Similarly, the group of 3 lymph node metastasis and present lymphatic infiltration also accounted for the highest percentage (47.3%). On the contrast, 70.9% of cases were not lymph node metastasis and vascular infiltration and 73.9% were not lymph node metastasis and lymphatic invation (p<0.001). Conclusion: Vascular and or lymphatic infiltration is strongly associated with axillary lymph node status.

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References

1. McGuire WL và Clark GM326 (1992), Prognostic factors and treatment decisions in axillary node negative breast cancer, N Engl J Med, 1756-61
2. Bettelheim R, Penman HG (1984). Prognostic significance of peritumoral vascular invasion in breast cancer, Br J Cancer, 50,771-77.
3. Tạ văn Tờ (2004), Nghiên cứu hình thái học hóa mô miễn dịch và giá trị tiên lượng của chúng trong ung thư biểu mô tuyến vú, Luận án tiến sỹ y học, Trường đại học Y Hà Nội.
4. Saigo PE, Braun DW, et al (1981), Predictors of recurrence in stage I (T1N0M0) breast carcinoma, Ann surg, 193, 15-25.
5. Weigand RA, Isenberg WM, Russo J et al (1992). Blood vessel invasion and axillary lymph node invovement as prognostic indicator for human breast cancer, Cancer, 50(5), 962-9.
6. Đặng Công Thuận (2007), Ứng dụng chỉ số Nottingham và một số yếu tố khác trong phân nhóm tiên lượng ung thư biểu mô tuyến vú xâm nhập, Luận án Tiến sỹ, Trường Đại học Y Hà Nội.
7. Kahn HJ và Marks A (2002). A new monoclonal antibody, D2-40, for detection of lymphatic invasion in primary tumors, 1255–1257.
8. Truong T. Pauline, Lee J at al (2005). Locoregional recurren risks in elderly breast cancer patient treated with mastectomy without adjuvant radiotherapy, Eur J Cancer,41, 1267-1277.
9. Filho, H.R.O, Dória M.T et al (2015). Criteria for prediction of metastatic axillary lymph nodes in early-stage breast cancer. Rev Bras Ginecol Obstet, 37(7):308-13.