Molecular Subtype Classification Is a Determinant of Non-Sentinel Lymph Node Metastasis in Breast Cancer Patients with Positive Sentinel Lymph Nodes
Identifieur interne : 004109 ( Main/Exploration ); précédent : 004108; suivant : 004110Molecular Subtype Classification Is a Determinant of Non-Sentinel Lymph Node Metastasis in Breast Cancer Patients with Positive Sentinel Lymph Nodes
Auteurs : Wenbin Zhou ; Zhongyuan He ; Jialei Xue ; Minghai Wang ; Xiaoming Zha ; Lijun Ling ; Lin Chen ; Shui Wang ; Xiaoan LiuSource :
- PLoS ONE [ 1932-6203 ] ; 2012.
Abstract
Previous studies suggested that the molecular subtypes were strongly associated with sentinel lymph node (SLN) status. The purpose of this study was to determine whether molecular subtype classification was associated with non-sentinel lymph nodes (NSLN) metastasis in patients with a positive SLN.
Between January 2001 and March 2011, a total of 130 patients with a positive SLN were recruited. All these patients underwent a complete axillary lymph node dissection. The univariate and multivariate analyses of NSLN metastasis were performed. In univariate and multivariate analyses, large tumor size, macrometastasis and high tumor grade were all significant risk factors of NSLN metastasis in patients with a positive SLN. In univariate analysis, luminal B subgroup showed higher rate of NSLN metastasis than other subgroup (
Except for other factors, molecular subtype classification was a determinant of NSLN metastasis in patients with a positive SLN. The predictive accuracy of mathematical models including molecular subtype should be determined in the future.
Url:
DOI: 10.1371/journal.pone.0035881
PubMed: 22563412
PubMed Central: 3338552
Affiliations:
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Molecular Subtype Classification Is a Determinant of Non-Sentinel Lymph Node Metastasis in Breast Cancer Patients with Positive Sentinel Lymph Nodes</title>
<author><name sortKey="Zhou, Wenbin" sort="Zhou, Wenbin" uniqKey="Zhou W" first="Wenbin" last="Zhou">Wenbin Zhou</name>
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<author><name sortKey="He, Zhongyuan" sort="He, Zhongyuan" uniqKey="He Z" first="Zhongyuan" last="He">Zhongyuan He</name>
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<author><name sortKey="Wang, Minghai" sort="Wang, Minghai" uniqKey="Wang M" first="Minghai" last="Wang">Minghai Wang</name>
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<author><name sortKey="Zha, Xiaoming" sort="Zha, Xiaoming" uniqKey="Zha X" first="Xiaoming" last="Zha">Xiaoming Zha</name>
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<author><name sortKey="Ling, Lijun" sort="Ling, Lijun" uniqKey="Ling L" first="Lijun" last="Ling">Lijun Ling</name>
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<author><name sortKey="Chen, Lin" sort="Chen, Lin" uniqKey="Chen L" first="Lin" last="Chen">Lin Chen</name>
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<author><name sortKey="Wang, Shui" sort="Wang, Shui" uniqKey="Wang S" first="Shui" last="Wang">Shui Wang</name>
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<author><name sortKey="Liu, Xiaoan" sort="Liu, Xiaoan" uniqKey="Liu X" first="Xiaoan" last="Liu">Xiaoan Liu</name>
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<series><title level="j">PLoS ONE</title>
<idno type="eISSN">1932-6203</idno>
<imprint><date when="2012">2012</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Previous studies suggested that the molecular subtypes were strongly associated with sentinel lymph node (SLN) status. The purpose of this study was to determine whether molecular subtype classification was associated with non-sentinel lymph nodes (NSLN) metastasis in patients with a positive SLN.</p>
</sec>
<sec><title>Methodology and Principal Findings</title>
<p>Between January 2001 and March 2011, a total of 130 patients with a positive SLN were recruited. All these patients underwent a complete axillary lymph node dissection. The univariate and multivariate analyses of NSLN metastasis were performed. In univariate and multivariate analyses, large tumor size, macrometastasis and high tumor grade were all significant risk factors of NSLN metastasis in patients with a positive SLN. In univariate analysis, luminal B subgroup showed higher rate of NSLN metastasis than other subgroup (<italic>P</italic>
= 0.027). When other variables were adjusted in multivariate analysis, the molecular subtype classification was a determinant of NSLN metastasis. Relative to triple negative subgroup, both luminal A (<italic>P</italic>
= 0.047) and luminal B (<italic>P</italic>
= 0.010) subgroups showed a higher risk of NSLN metastasis. Otherwise, HER2 over-expression subgroup did not have a higher risk than triple negative subgroup (<italic>P</italic>
= 0.183). The area under the curve (AUC) value was 0.8095 for the Cambridge model. When molecular subtype classification was added to the Cambridge model, the AUC value was 0.8475.</p>
</sec>
<sec><title>Conclusions</title>
<p>Except for other factors, molecular subtype classification was a determinant of NSLN metastasis in patients with a positive SLN. The predictive accuracy of mathematical models including molecular subtype should be determined in the future.</p>
</sec>
</div>
</front>
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<author><name sortKey="Konstantiniuk, P" uniqKey="Konstantiniuk P">P Konstantiniuk</name>
</author>
<author><name sortKey="Wolfl, S" uniqKey="Wolfl S">S Wolfl</name>
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<author><name sortKey="Bogner, S" uniqKey="Bogner S">S Bogner</name>
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<author><name sortKey="Degnim, Ac" uniqKey="Degnim A">AC Degnim</name>
</author>
<author><name sortKey="Hoskin, Tl" uniqKey="Hoskin T">TL Hoskin</name>
</author>
<author><name sortKey="Reynolds, C" uniqKey="Reynolds C">C Reynolds</name>
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<author><name sortKey="Boughey, Jc" uniqKey="Boughey J">JC Boughey</name>
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<tree><noCountry><name sortKey="Chen, Lin" sort="Chen, Lin" uniqKey="Chen L" first="Lin" last="Chen">Lin Chen</name>
<name sortKey="He, Zhongyuan" sort="He, Zhongyuan" uniqKey="He Z" first="Zhongyuan" last="He">Zhongyuan He</name>
<name sortKey="Ling, Lijun" sort="Ling, Lijun" uniqKey="Ling L" first="Lijun" last="Ling">Lijun Ling</name>
<name sortKey="Liu, Xiaoan" sort="Liu, Xiaoan" uniqKey="Liu X" first="Xiaoan" last="Liu">Xiaoan Liu</name>
<name sortKey="Wang, Minghai" sort="Wang, Minghai" uniqKey="Wang M" first="Minghai" last="Wang">Minghai Wang</name>
<name sortKey="Wang, Shui" sort="Wang, Shui" uniqKey="Wang S" first="Shui" last="Wang">Shui Wang</name>
<name sortKey="Xue, Jialei" sort="Xue, Jialei" uniqKey="Xue J" first="Jialei" last="Xue">Jialei Xue</name>
<name sortKey="Zha, Xiaoming" sort="Zha, Xiaoming" uniqKey="Zha X" first="Xiaoming" last="Zha">Xiaoming Zha</name>
<name sortKey="Zhou, Wenbin" sort="Zhou, Wenbin" uniqKey="Zhou W" first="Wenbin" last="Zhou">Wenbin Zhou</name>
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