Comparison of lymph node metastasis rates in breast cancer molecular subtypes; A retrospective clinical study

Breast cancer is the most common cancer in women. Axillary lymph node metastasis in breast cancer is the most important determinant of long-term prognosis, but isn't an independent risk factor for overall survival. Invasive breast cancer is divided into molecular subtypes according to the p...

Full description

Bibliographic Details
Main Authors: Ebru Esen, Mehmet Saydam, Sumeyra Guler, Kerim Bora Yilmaz, Mujdat Turan, Pervin Demir, Mehmet Ali Gulcelik
Format: Article
Language:English
Published: Society of Turaz Bilim 2023-03-01
Series:Medicine Science
Subjects:
Online Access:https://www.medicinescience.org/?mno=128062
_version_ 1797316443951333376
author Ebru Esen
Mehmet Saydam
Sumeyra Guler
Kerim Bora Yilmaz
Mujdat Turan
Pervin Demir
Mehmet Ali Gulcelik
author_facet Ebru Esen
Mehmet Saydam
Sumeyra Guler
Kerim Bora Yilmaz
Mujdat Turan
Pervin Demir
Mehmet Ali Gulcelik
author_sort Ebru Esen
collection DOAJ
description Breast cancer is the most common cancer in women. Axillary lymph node metastasis in breast cancer is the most important determinant of long-term prognosis, but isn't an independent risk factor for overall survival. Invasive breast cancer is divided into molecular subtypes according to the presence of estrogen, progesterone and Her2 receptors: these subtypes can guide systemic therapy. Our aim in the study is to compare the axillary lymph node metastasis rates statistically in breast cancer subtypes. Patients treated for breast cancer were retrospectively evaluated in Group1(LuminalA-likeERand/orPR+,Her2 -), Group2 (LuminalB-likeER and/or PR+,Her2-), Group3 (Her2+,ER and/or PR+), Group4 (Her2+,ER and/or PR-) and Group5 (Her2-,ER and PR-) analyzed for tumor type, pathological stage, lymph node metastasis.208 patients were included in the study, and the mean age of the patients was 57.3±12.8. Although the age distribution of the groups was similar, no significant difference was found between the groups in terms of menopausal status. While the lymph node distribution was highly proliferative in Group 2. Demonstrating metastasis organotropisms in the effect of molecular subtypes of breast cancer is necessary to understand tumor mechanisms. ER and PR positive tumors usually metastasize to bones, while Her2+ or triple-negative breast cancers usually tend to metastasize to the visceral system, including the central nervous system. As with distant metastasis habits, lymph node metastasis rates of molecular subtypes of breast cancer can also vary. Being aware of these metastasis possibilities is also helpful in understanding the clinical behavior of the disease. It is important to know the molecular subtypes and susceptibility of lymphatic metastases as well as trying to avoid unnecessary complications of axillary dissection using the sentinel lymph node sampling technique. [Med-Science 2023; 12(1.000): 52-7]
first_indexed 2024-03-08T03:19:26Z
format Article
id doaj.art-32ebf845f0224360a82fb8a3381eb675
institution Directory Open Access Journal
issn 2147-0634
language English
last_indexed 2024-03-08T03:19:26Z
publishDate 2023-03-01
publisher Society of Turaz Bilim
record_format Article
series Medicine Science
spelling doaj.art-32ebf845f0224360a82fb8a3381eb6752024-02-12T10:34:07ZengSociety of Turaz BilimMedicine Science2147-06342023-03-0112152710.5455/medscience.2022.11.233128062Comparison of lymph node metastasis rates in breast cancer molecular subtypes; A retrospective clinical studyEbru Esen0Mehmet Saydam1Sumeyra Guler2Kerim Bora Yilmaz3Mujdat Turan4Pervin Demir5Mehmet Ali Gulcelik6University Of Health Sciences, Gulhane Research And Training Hospital, Department Of Surgical Oncology University Of Health Sciences, Diskapi Yildirim Beyazit Research And Training Hospital, Department Of General Surgery Mamak State Hospital, Department Of General Surgery University Of Health Sciences, Gulhane Research And Training Hospital, Department Of General Surgery University Of Health Sciences, Gulhane Research And Training Hospital, Department Of General Surgery Yildirim Beyazit University, Department Of Biostatistics And Medical Informatics University Of Health Sciences, Gulhane Research And Training Hospital, Department Of Surgical OncologyBreast cancer is the most common cancer in women. Axillary lymph node metastasis in breast cancer is the most important determinant of long-term prognosis, but isn't an independent risk factor for overall survival. Invasive breast cancer is divided into molecular subtypes according to the presence of estrogen, progesterone and Her2 receptors: these subtypes can guide systemic therapy. Our aim in the study is to compare the axillary lymph node metastasis rates statistically in breast cancer subtypes. Patients treated for breast cancer were retrospectively evaluated in Group1(LuminalA-likeERand/orPR+,Her2 -), Group2 (LuminalB-likeER and/or PR+,Her2-), Group3 (Her2+,ER and/or PR+), Group4 (Her2+,ER and/or PR-) and Group5 (Her2-,ER and PR-) analyzed for tumor type, pathological stage, lymph node metastasis.208 patients were included in the study, and the mean age of the patients was 57.3±12.8. Although the age distribution of the groups was similar, no significant difference was found between the groups in terms of menopausal status. While the lymph node distribution was highly proliferative in Group 2. Demonstrating metastasis organotropisms in the effect of molecular subtypes of breast cancer is necessary to understand tumor mechanisms. ER and PR positive tumors usually metastasize to bones, while Her2+ or triple-negative breast cancers usually tend to metastasize to the visceral system, including the central nervous system. As with distant metastasis habits, lymph node metastasis rates of molecular subtypes of breast cancer can also vary. Being aware of these metastasis possibilities is also helpful in understanding the clinical behavior of the disease. It is important to know the molecular subtypes and susceptibility of lymphatic metastases as well as trying to avoid unnecessary complications of axillary dissection using the sentinel lymph node sampling technique. [Med-Science 2023; 12(1.000): 52-7]https://www.medicinescience.org/?mno=128062breast cancermolecular subtypesluminaler statuspr statusher2 status
spellingShingle Ebru Esen
Mehmet Saydam
Sumeyra Guler
Kerim Bora Yilmaz
Mujdat Turan
Pervin Demir
Mehmet Ali Gulcelik
Comparison of lymph node metastasis rates in breast cancer molecular subtypes; A retrospective clinical study
Medicine Science
breast cancer
molecular subtypes
luminal
er status
pr status
her2 status
title Comparison of lymph node metastasis rates in breast cancer molecular subtypes; A retrospective clinical study
title_full Comparison of lymph node metastasis rates in breast cancer molecular subtypes; A retrospective clinical study
title_fullStr Comparison of lymph node metastasis rates in breast cancer molecular subtypes; A retrospective clinical study
title_full_unstemmed Comparison of lymph node metastasis rates in breast cancer molecular subtypes; A retrospective clinical study
title_short Comparison of lymph node metastasis rates in breast cancer molecular subtypes; A retrospective clinical study
title_sort comparison of lymph node metastasis rates in breast cancer molecular subtypes a retrospective clinical study
topic breast cancer
molecular subtypes
luminal
er status
pr status
her2 status
url https://www.medicinescience.org/?mno=128062
work_keys_str_mv AT ebruesen comparisonoflymphnodemetastasisratesinbreastcancermolecularsubtypesaretrospectiveclinicalstudy
AT mehmetsaydam comparisonoflymphnodemetastasisratesinbreastcancermolecularsubtypesaretrospectiveclinicalstudy
AT sumeyraguler comparisonoflymphnodemetastasisratesinbreastcancermolecularsubtypesaretrospectiveclinicalstudy
AT kerimborayilmaz comparisonoflymphnodemetastasisratesinbreastcancermolecularsubtypesaretrospectiveclinicalstudy
AT mujdatturan comparisonoflymphnodemetastasisratesinbreastcancermolecularsubtypesaretrospectiveclinicalstudy
AT pervindemir comparisonoflymphnodemetastasisratesinbreastcancermolecularsubtypesaretrospectiveclinicalstudy
AT mehmetaligulcelik comparisonoflymphnodemetastasisratesinbreastcancermolecularsubtypesaretrospectiveclinicalstudy