Clinico-pathological spectrum of breast cancer patients with reference to Nottingham Prognostic index
Clinico-pathological spectrum of breast cancer patients with reference to Nottingham Prognostic index
DOI:
https://doi.org/10.70284/njirm.v10i3.2507Keywords:
Breast carcinoma, clinical features, Grade, NPI, pathological featuresAbstract
Background & objectives: Breast cancer is one the major causes of cancer related deaths in women worldwide. It has variable clinical, pathological and prognostic determinants. Nottingham modification of Bloom Richardson grading and Nottingham Prognostic Index have significant impact on the prognostication of breast carcinoma. The present study is conducted to evaluate the clinico-pathological features and to study their association with Modified Bloom Richardson grade and Nottingham Prognostic Index in patients attending a Tertiary care hospital in North Karnataka. Methods: Operated specimens of 136 cases of breast carcinoma were evaluated for clinico-pathological features. The association between these variables and Bloom Richardson grades and Nottingham Prognostic Index were calculated using Chi-square test. P value of </=0.05 was considered significant. Results: Size, lymphovascular invasion, necrosis, lymphocytic infiltration showed significant association with higher grades. Menopausal status, Hindu religion, Fixation to chest, lymphovasular invasion, necrosis, lymphnode positivity showed significant association with poor indices of NPI scores. conclusion: Evaluation of the clinicopathological features of breast carcinoma along with modified Bloom Richardson grade and Nottingham prognostic Index may help in planning and making therapeutic decisions in patients with breast carcinoma. [Hungund B Natl J Integr Res Med, 2019; 10(3):20-28]
References
2. Weigelt B, Geyer FC, Reis –Felho JS.Histological types of breast cancer: how special are they?Molecular oncology 2010;4:192-208.
3. Khokar A. Breast cancer in India: Where do we stand and where do we go?Asian Pacific Journal of Cancer Prevention; 2012:13(10):4861-66
4. Rakha EA, El-Syed ME,Lee AHS,Elston CW, Grainage MJ, Hodi Z, Blamey RW, Ellis IO. Prognostic Significance of Nottingham Histologic grade in invasive breast carcinoma.Journal of Clinical oncology 2008;26(19):3153-8.
5. Kwatra A, Aggarwal D,Gupta R, Chaturvedi AK, Kudesia M,Singh S.Correlation of various histopathological prognostic factors with Nottinham prognostic index and microvessel density in invasive breast carcinoma:A study of 100 cases.Indian J cancer 2015;52:110-3)
6 .Galea MH, Blamey RW, Elston CE, Ellis IO. The Nottingham Prognostic Index in primary breast cancer. Breast Cancer Research & Treatment 1992;22(3):207-19
7. Blamey RW, Ellis IO,Pinder SE, Lee AH, Macmillan RD, Morgan DA, et alSurvival of invasive breast canceraccording to Nottingham prognostic index in cases diagnosed in 1990-1999. Eur J Cancer.2007;43(10):1548-55
8. Aquino RPF,Pinheiro LGP,Ferreira MVP, cavecante DIM,Oliviera ALS, Gomes NN etal Ducatal carcinoma of the breast:Morphological aspects according to age. J Bras Patol Med 2015;51(4):252-7.
9. Rakha EA, Reis-Filho JS, Baehner F, Dabb DJ, Decker T, Eusebi V et al. breast cancer prognostic classification in the molecular era: The role of histological grade. Breast cancer research 2010;12:207)
10. Pervin MM, Nath HD,Bahar MM,Alam A, Bhowmik J.Study o clinical presentation of breast carcinoma of 50 cases.Chattagram Maa-O-Shishu Hospital Medical College Journal 2013;13(2):8-11
11. Kaur M,Kaur H,Manjari M, Rai V, Kaur K. Assessment of Clinical parameters and histopathological gradingof breast cancer. International Journal of Contemporary Medical Research 2016;3(10):2938-41) l
12. Saleh F, Abeen S. Pathobiological features of Breast tumours in state of Kuwait: A comprehensive analysis.J Carcinog.2007;6:12
13. Fatima N, Zaman MU,Maqbool A, Khan RH, Riaz N.Lower incidence but more aggressive behaviourof rightsided breast cancer in Pakistani women: does right deserve more respect?Asian Pac J Cancer Prev.2013;14:43-5
14. Amer MH . Genetic factors and breast cancer laterality.Cancer Manag Res.2014;6:191-203
15. Lee AH. Why carcinoma of breast is more frequent in upper outer quadrants?A case series based on needle core biopsy diagnosis. Breast 2005;14(2):151-2
16. Deo V, Dhir M, Gupta SD, Hazrah P, Parshad R. Prognostic significance of location of Primary Tumor in operable breast cancers.Indian journal of cancer.2009:46(2):139-45.)
17. Saha K, Raychaudhuri G, Chattopadhyay BK. Clinico-pathological study of breast carcinoma: A prospective two-year study in a tertiary care hospital. Clin Cancer Investig J 2013;2:34-40
18. Taucher S, Rudas M, Mader RM, Gnant M, Dubsky P, Bachleitner T. Do we need Her -2/ neu testing for all patients with primary Breast carcinoma?. Cance 2003;98:547-53
19. Mudholkar VG, Kawade SB, Mashal SN . Histopathological Study of neoplastic lesions of Breast.Indian medical Gazette.2012;353-64
20..Li CI, Uribe DJ, Daling JR. Clinical characteristics of different histological types of breast cancer. British Journal of cancer2005;93:1046-1052.
21. Weigelt B, Geyer CG, Reis- Filho JS.Histological types of breast cancer: How special are they?Molecular Oncology 2010;4(2):192-208)
22. Bhagat VM,Jha BM,Patel PR.correlation of hormonal receptor and Her-2/neuexpressio in brest cancer:Astudy at a tertiary care hospital in South Gujarath.National Journal of medical Research2012;2(3):295-8
23. Geetamala K, Murthy Srinivas, Vani BR, Rao S.Histopathological grade versus hormone receptor status in Breast carcinoma_treasure the past.Internatinal Journal of biomedical research.2015,;6(7):466-71.
24. Ghosh J, Gupta S, Desai S, Shet T, Radhakrishnan S, Suryavanshi P, Parmar V, Jalali R, Goyal G, Hawaldar R, Patil A, Nair N, Badwe R A. Estrogen, progesterone and HER2 receptor expression in breast tumors of patients, and their usage of HER2-targeted therapy, in a tertiary care centre in India. Indian J Cancer 2011;48:391-6
25. Hamza AA, Idris SA, Al-haj MB, Mohammed AA. Prognostication of breast cancer using Nottingham Prognostic Index in Sudanese patients. International Journal of Public health Research 2014;2(1):1-5
26. Revez E, Khan SA.What Are Safe Margins of Resection for Invasive and In Situ Breast Cancer?Oncology2011.url www.cancernetwork.com/.../what-are-safe-margins-resection-invasive-and-situ-breast
27. Duraker N, Cayanak ZC, Turkoz K. Perineural invasion has no prognostic value in breast carcinoma. The Breast.2006; 15(5):629-34