Source:http://linkedlifedata.com/resource/pubmed/id/14614045
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
2003-11-17
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pubmed:abstractText |
The prognostic relevance of mitotic activity was analyzed in a series of 306 patients with node-negative breast cancer treated with locoregional therapy alone, until early relapse. Mitotic activity was evaluated as the number of mitotic figures per 10 high-power fields (mitotic activity index) or per 1000 tumor cells (mitotic index). Counting was carried out blindly by two observers. A high correlation was observed between the two determinations (r(s) =.96, P <.001). For clinical analysis, three mitotic activity index subgroups (mitotic figures/field </= 9, 10-19 and more than 19, according to grading criteria) and three mitotic index subgroups (percentage of mitotic figures less than 0.10, 0.11-0.50 and more than 0.50, according to tertile criteria) were considered. No relation was observed between mitotic variables and 6-year disease-free survival, whereas distant disease-free survival was strongly related to mitotic figures per 10 fields (85%, 89% and 70%, P =.012) and to the percentage of mitotic figures out of a total 1000 tumor cells (87%, 86% and 75%, P =.017). Similarly, both mitotic indices were significantly related to 6-year overall survival (99%, 95% and 77%, P <.001, for mitotic figures per 10 fields and 99%, 93% and 82%, P <.001, for the percentage of mitotic figures). These findings were particularly evident in patients with tumors of 1-2 cm. In conclusion, a high number of mitotic figures is associated with a higher probability of developing distant metastases and a shorter survival. The critical point remains the standardization of the preanalytical and analytical steps within quality control programs.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0893-3952
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pubmed:author |
pubmed-author:AmadoriDinoD,
pubmed-author:GiunchiDonata CasadeiDC,
pubmed-author:MangiaAnnitaA,
pubmed-author:MedriLauraL,
pubmed-author:NanniOrianaO,
pubmed-author:PadovaniFrancoF,
pubmed-author:ParadisoAngeloA,
pubmed-author:SchittulliFrancescoF,
pubmed-author:SilvestriniRosellaR,
pubmed-author:VecciAnna MariaAM,
pubmed-author:VitoAlfredoA,
pubmed-author:VolpiAnnalisaA,
pubmed-author:ZitoAlfredoA
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pubmed:issnType |
Print
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pubmed:volume |
16
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1067-75
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:14614045-Adult,
pubmed-meshheading:14614045-Aged,
pubmed-meshheading:14614045-Breast Neoplasms,
pubmed-meshheading:14614045-Female,
pubmed-meshheading:14614045-Humans,
pubmed-meshheading:14614045-Likelihood Functions,
pubmed-meshheading:14614045-Lymph Nodes,
pubmed-meshheading:14614045-Middle Aged,
pubmed-meshheading:14614045-Mitotic Index,
pubmed-meshheading:14614045-Neoplasm Recurrence, Local,
pubmed-meshheading:14614045-Prognosis,
pubmed-meshheading:14614045-Reproducibility of Results,
pubmed-meshheading:14614045-Survival Analysis
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pubmed:year |
2003
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pubmed:articleTitle |
Prognostic relevance of mitotic activity in patients with node-negative breast cancer.
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pubmed:affiliation |
Pathology Unit, Division of Oncology and Diagnostics, Pierantoni Hospital, Forlì, Italy.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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