The subgross morphology of breast carcinomas: a single-institution series of 2033 consecutive cases documented in large-format histology slides.

作者: Tibor Tot , Maria Gere , Syster Hofmeyer , Annette Bauer , Ulrika Pellas

DOI: 10.1007/S00428-019-02641-6

关键词:

摘要: A large-format histology technique represents the most convenient method for documenting and assessing subgross morphological prognostic parameters of breast cancer (i.e., distribution tumor’s invasive in situ components, disease extent, tumor size), especially when used conjunction with systematic radiological–pathological correlation. Here we report a consecutive series 2033 carcinomas operated on Dalarna, Sweden, particular focus these parameters. We separately analyzed distributions components tumors then combined into an aggregate pattern both were present. found that 40% had simple (unifocal) morphology, while 60% complex morphology presenting multifocal or diffuse components. Extensive (occupying total volume tissue greatest dimension being ≥ 40 mm) more common cases, occurring 66% cases 88% compared only 5% unifocal cases. Compared luminal A–like tumors, HER2-expressing exhibited significantly larger extent. Triple-negative basal-like tended to have size (based largest focus). In this report, discuss impact necessity their correct assessment diagnostic routine.

参考文章(32)
TNM classification of malignant tumours Published in <b>2010</b> in Chichester, West Sussex, UK ;Hoboken, NJ by Wiley-Blackwell. ,(1987) , 10.1007/978-3-642-82982-6
T. Tot, G. Viale, E. Rutgers, E. Bergsten-Nordström, A. Costa, Optimal breast cancer pathology manifesto. European Journal of Cancer. ,vol. 51, pp. 2285- 2288 ,(2015) , 10.1016/J.EJCA.2015.06.127
Alessandro Neri, Daniele Marrelli, Tiziana Megha, Francesca Bettarini, Damiana Tacchini, Lorenzo De Franco, Franco Roviello, “Clinical significance of multifocal and multicentric breast cancers and choice of surgical treatment: a retrospective study on a series of 1158 cases” BMC Surgery. ,vol. 15, pp. 1- 10 ,(2015) , 10.1186/1471-2482-15-1
Francisco E Vera-Badillo, Marc Napoleone, Alberto Ocana, Arnoud J Templeton, Bostjan Seruga, Mustafa Al-Mubarak, Hashem AlHashem, Ian F Tannock, Eitan Amir, None, Effect of multifocality and multicentricity on outcome in early stage breast cancer: a systematic review and meta-analysis Breast Cancer Research and Treatment. ,vol. 146, pp. 235- 244 ,(2014) , 10.1007/S10549-014-3018-3
Tibor Tot, Vincenzo Eusebi, Julio A. Ibarra, Large-Format Histology in Diagnosing Breast Carcinoma International journal of breast cancer. ,vol. 2012, pp. 618796- 618796 ,(2012) , 10.1155/2012/618796
Alice P. Chung, Kelly Huynh, Travis Kidner, Parisa Mirzadehgan, Myung-Shin Sim, Armando E. Giuliano, Comparison of Outcomes of Breast Conserving Therapy in Multifocal and Unifocal Invasive Breast Cancer Journal of The American College of Surgeons. ,vol. 215, pp. 137- 146 ,(2012) , 10.1016/J.JAMCOLLSURG.2012.05.006
Maria P. Foschini, Alberto Righi, Maria C. Cucchi, Teresa Ragazzini, Stefano Merelli, Bruna Santeramo, Vincenzo Eusebi, The impact of large sections and 3D technique on the study of lobular in situ and invasive carcinoma of the breast. Virchows Archiv. ,vol. 448, pp. 256- 261 ,(2006) , 10.1007/S00428-005-0116-Y