Determination of infiltrative ductal breast carcinoma differentiation grade in biopsy imprints

Background/Aim. In patients with breast carcinoma there are many risk factors for assessment of breast carcinoma maturity and prognosis. Besides histological type of differentiation, cytologic criteria for the evaluation grade of the differentiation of infiltrative ductal breast carcinomas are very...

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Main Authors: Vukašinović-Bokun Zorana, Bokun Radojka, Tatomirović Željka
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2009-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500907527V.pdf
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author Vukašinović-Bokun Zorana
Bokun Radojka
Tatomirović Željka
author_facet Vukašinović-Bokun Zorana
Bokun Radojka
Tatomirović Željka
author_sort Vukašinović-Bokun Zorana
collection DOAJ
description Background/Aim. In patients with breast carcinoma there are many risk factors for assessment of breast carcinoma maturity and prognosis. Besides histological type of differentiation, cytologic criteria for the evaluation grade of the differentiation of infiltrative ductal breast carcinomas are very important for prognosis. The aim of this study was to define cytologic criteria for grading of infiltrative ductal carcinomas of the breast. Methods. The imprints of intraoperative biopsies from 124 patients were studied. They were air-dried and stained by May-Grünwald Giemsa method. The features assessed were: the degree and type of cell clustering, nuclear diameter and pleomorphism, chromatin structure, number and features of nucleoli, the aspect of cytoplasm, noncellular background and the variability of cells and nuclei. According to these morphologic features the infiltrative ductal carcinomas of the breast could be classified into three grades of differentiation. Results. Cytologic and histologic differentation grade revealed disagreement among 34.6% of the imprints. In 9 of total 23 histologicaly well differentiated carcinomas, cytological differentation grade was moderately differentiated. In 63 carcinomas with histologic differentiation grade II, cytologic differentiation grade was good in 12 and poor in 16 carcinomas. Conclusion. Cytologic and histologic grading were not identical in 34.6% of the imprints what points out the need to further definition of diagnostic criteria, especially for grade II of differentiation.
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spelling doaj.art-4406c546ec07490ea8e50d5069cf94222022-12-22T03:19:42ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502009-01-0166752753310.2298/VSP0907527VDetermination of infiltrative ductal breast carcinoma differentiation grade in biopsy imprintsVukašinović-Bokun ZoranaBokun RadojkaTatomirović ŽeljkaBackground/Aim. In patients with breast carcinoma there are many risk factors for assessment of breast carcinoma maturity and prognosis. Besides histological type of differentiation, cytologic criteria for the evaluation grade of the differentiation of infiltrative ductal breast carcinomas are very important for prognosis. The aim of this study was to define cytologic criteria for grading of infiltrative ductal carcinomas of the breast. Methods. The imprints of intraoperative biopsies from 124 patients were studied. They were air-dried and stained by May-Grünwald Giemsa method. The features assessed were: the degree and type of cell clustering, nuclear diameter and pleomorphism, chromatin structure, number and features of nucleoli, the aspect of cytoplasm, noncellular background and the variability of cells and nuclei. According to these morphologic features the infiltrative ductal carcinomas of the breast could be classified into three grades of differentiation. Results. Cytologic and histologic differentation grade revealed disagreement among 34.6% of the imprints. In 9 of total 23 histologicaly well differentiated carcinomas, cytological differentation grade was moderately differentiated. In 63 carcinomas with histologic differentiation grade II, cytologic differentiation grade was good in 12 and poor in 16 carcinomas. Conclusion. Cytologic and histologic grading were not identical in 34.6% of the imprints what points out the need to further definition of diagnostic criteria, especially for grade II of differentiation.http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500907527V.pdfbreast neoplasmshistologycytologycell differentiationprognosis
spellingShingle Vukašinović-Bokun Zorana
Bokun Radojka
Tatomirović Željka
Determination of infiltrative ductal breast carcinoma differentiation grade in biopsy imprints
Vojnosanitetski Pregled
breast neoplasms
histology
cytology
cell differentiation
prognosis
title Determination of infiltrative ductal breast carcinoma differentiation grade in biopsy imprints
title_full Determination of infiltrative ductal breast carcinoma differentiation grade in biopsy imprints
title_fullStr Determination of infiltrative ductal breast carcinoma differentiation grade in biopsy imprints
title_full_unstemmed Determination of infiltrative ductal breast carcinoma differentiation grade in biopsy imprints
title_short Determination of infiltrative ductal breast carcinoma differentiation grade in biopsy imprints
title_sort determination of infiltrative ductal breast carcinoma differentiation grade in biopsy imprints
topic breast neoplasms
histology
cytology
cell differentiation
prognosis
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500907527V.pdf
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AT tatomiroviczeljka determinationofinfiltrativeductalbreastcarcinomadifferentiationgradeinbiopsyimprints