Influence of the in situ component in 389 infiltrating ductal breast carcinomas

• Published in: Breast cancer (Tokyo, Japan) Japan), 2013-07, Vol.20 (3), p.213-217
• Main Authors: Carabias-Meseguer, Pau, Zapardiel, Ignacio, Cusidó-Gimferrer, Maite, Godoy-Tundidor, Sonia, Tresserra-Casas, Francesc, Rodriguez-García, Ignacio, Fábregas-Xauradó, Rafael, Xercavins-Montosa, Jordi
• Format: Article
• Language: English
• Subjects: Breast Neoplasms - mortality; Breast Neoplasms - pathology; Cancer Research; Carcinoma, Ductal, Breast - mortality; Carcinoma, Ductal, Breast - pathology; Carcinoma, Intraductal, Noninfiltrating - mortality; Carcinoma, Intraductal, Noninfiltrating - pathology; Female; Humans; Lymph Nodes - pathology; Medicine; Medicine & Public Health; Middle Aged; Neoplasm Grading; Oncology; Original Article; Prognosis; Surgery; Surgical Oncology; Survival Rate
• ISSN: 1340-6868; 1880-4233
• DOI: 10.1007/s12282-011-0330-1

Background Our aim was to evaluate and compare lymph node involvement, as well as disease-free survival (DFS) and overall survival (OS), between infiltrating ductal carcinoma with (group 1) and without (group 2) intraductal carcinoma component in order to determine the prognostic value of the intraductal component. Methods Data from 389 cases of infiltrating ductal carcinoma of the breast were included in the study by means of reviewing medical charts and pathology slides. Results There was no statistically significant difference between both groups regarding node status. The 5-year DFS rate was 90.7% in group 1 and 81.8% in group 2 ( p  = 0.014), with a median follow-up of 73.2 months (95% CI 68.3–77.4). There was no statistically significant difference in 5-year OS between groups (98% group 1 vs. 93% group 2) with a median global survival of 134 months (95% CI 131–137). Conclusions The presence of intraductal component in the infiltrating carcinoma seems to increase DFS and may be an independent and favorable prognostic factor for breast cancer.