Prognostic significance of microvessel density and other variables in Japanese and British patients with primary invasive breast cancer.

The purpose of this study is to investigate the associations of microvessel density (MVD) and other pathological variables with survival, and whether they accounted for survival differences between Japanese and British patients. One hundred seventy-three Japanese and 184 British patients were includ...

Ամբողջական նկարագրություն

Մատենագիտական մանրամասներ
Հիմնական հեղինակներ: Kato, T, Steers, G, Campo, L, Roberts, H, Leek, R, Turley, H, Kimura, T, Kameoka, S, Nishikawa, T, Kobayashi, M, Harris, A, Gatter, K, Pezzella, F
Ձևաչափ: Journal article
Լեզու:English
Հրապարակվել է: 2007
_version_ 1826268776597815296
author Kato, T
Steers, G
Campo, L
Roberts, H
Leek, R
Turley, H
Kimura, T
Kameoka, S
Nishikawa, T
Kobayashi, M
Harris, A
Gatter, K
Pezzella, F
author_facet Kato, T
Steers, G
Campo, L
Roberts, H
Leek, R
Turley, H
Kimura, T
Kameoka, S
Nishikawa, T
Kobayashi, M
Harris, A
Gatter, K
Pezzella, F
author_sort Kato, T
collection OXFORD
description The purpose of this study is to investigate the associations of microvessel density (MVD) and other pathological variables with survival, and whether they accounted for survival differences between Japanese and British patients. One hundred seventy-three Japanese and 184 British patients were included in the study. British patients were significantly older (56.3+/-11.4 years vs 52.5+/-12.9 years; P<0.01) and had smaller tumours (2.2+/-1.3 vs 2.7+/-1.8 cm; P<0.01), which were more frequently oestrogen receptor positive (78.8 vs 57.2%, P<0.01), had more grade III tumours (29.9 vs 21.4%, P=0.04) and more infiltrating lobular carcinomas (13.6 vs 4.0%, P<0.01) and a higher MVD compared with Japanese patients (57.9+/-19.8 vs 53.2+/-18.6; P=0.01). However, no difference in the prevalence of lymph-node metastasis was found between them (39.1 vs 37.5%, P=0.75). Younger British patients (age <50 years) had the highest MVD compared with Japanese and older British patients (P<0.01). Japanese patients were proportionately more likely to receive chemotherapy than endocrine therapy (P<0.01). British patients had a significantly worse relapse-free survival and overall survival compared with Japanese patients, after statistical adjustment for variables (hazard ratio=2.1, 2.4, P<0.01, P<0.01, respectively), especially, in T2 stage, low MVD and older subgroup (HR: 3.6, 5.0; 3.1, 3.3; 3.2, 3.9, respectively), but only in ER negative cases (P=0.04, P=0.01, respectively). The present study shows that MVD contributes to the Japanese-British disparity in breast cancer. However, the MVD variability did not explain the survival differences between Japanese and British patients.
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spelling oxford-uuid:3f682a98-7e17-4e3e-b25c-0ce82d6461e92022-03-26T14:31:52ZPrognostic significance of microvessel density and other variables in Japanese and British patients with primary invasive breast cancer.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:3f682a98-7e17-4e3e-b25c-0ce82d6461e9EnglishSymplectic Elements at Oxford2007Kato, TSteers, GCampo, LRoberts, HLeek, RTurley, HKimura, TKameoka, SNishikawa, TKobayashi, MHarris, AGatter, KPezzella, FThe purpose of this study is to investigate the associations of microvessel density (MVD) and other pathological variables with survival, and whether they accounted for survival differences between Japanese and British patients. One hundred seventy-three Japanese and 184 British patients were included in the study. British patients were significantly older (56.3+/-11.4 years vs 52.5+/-12.9 years; P<0.01) and had smaller tumours (2.2+/-1.3 vs 2.7+/-1.8 cm; P<0.01), which were more frequently oestrogen receptor positive (78.8 vs 57.2%, P<0.01), had more grade III tumours (29.9 vs 21.4%, P=0.04) and more infiltrating lobular carcinomas (13.6 vs 4.0%, P<0.01) and a higher MVD compared with Japanese patients (57.9+/-19.8 vs 53.2+/-18.6; P=0.01). However, no difference in the prevalence of lymph-node metastasis was found between them (39.1 vs 37.5%, P=0.75). Younger British patients (age <50 years) had the highest MVD compared with Japanese and older British patients (P<0.01). Japanese patients were proportionately more likely to receive chemotherapy than endocrine therapy (P<0.01). British patients had a significantly worse relapse-free survival and overall survival compared with Japanese patients, after statistical adjustment for variables (hazard ratio=2.1, 2.4, P<0.01, P<0.01, respectively), especially, in T2 stage, low MVD and older subgroup (HR: 3.6, 5.0; 3.1, 3.3; 3.2, 3.9, respectively), but only in ER negative cases (P=0.04, P=0.01, respectively). The present study shows that MVD contributes to the Japanese-British disparity in breast cancer. However, the MVD variability did not explain the survival differences between Japanese and British patients.
spellingShingle Kato, T
Steers, G
Campo, L
Roberts, H
Leek, R
Turley, H
Kimura, T
Kameoka, S
Nishikawa, T
Kobayashi, M
Harris, A
Gatter, K
Pezzella, F
Prognostic significance of microvessel density and other variables in Japanese and British patients with primary invasive breast cancer.
title Prognostic significance of microvessel density and other variables in Japanese and British patients with primary invasive breast cancer.
title_full Prognostic significance of microvessel density and other variables in Japanese and British patients with primary invasive breast cancer.
title_fullStr Prognostic significance of microvessel density and other variables in Japanese and British patients with primary invasive breast cancer.
title_full_unstemmed Prognostic significance of microvessel density and other variables in Japanese and British patients with primary invasive breast cancer.
title_short Prognostic significance of microvessel density and other variables in Japanese and British patients with primary invasive breast cancer.
title_sort prognostic significance of microvessel density and other variables in japanese and british patients with primary invasive breast cancer
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