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Research ArticleOriginal Article

Analysis of factors related to non-sentinel lymph node metastasis in 296 sentinel lymph node-positive Chinese breast cancer patients

Amina Maimaitiaili, Di Wu, Zhenyu Liu, Haimeng Liu, Xiamusiye Muyiduli and Zhimin Fan
Cancer Biology & Medicine August 2018, 15 (3) 282-289; DOI: https://doi.org/10.20892/j.issn.2095-3941.2018.0023
Amina Maimaitiaili
1Department of Breast Surgery, The First Hospital of Jilin University, Changchun 130021, China
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Di Wu
1Department of Breast Surgery, The First Hospital of Jilin University, Changchun 130021, China
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Zhenyu Liu
1Department of Breast Surgery, The First Hospital of Jilin University, Changchun 130021, China
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Haimeng Liu
1Department of Breast Surgery, The First Hospital of Jilin University, Changchun 130021, China
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Xiamusiye Muyiduli
2Department of Epidemiology & Health Statistics, School of Public Health, School of Medicine, Zhejiang University, Hangzhou 310058, China
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Zhimin Fan
1Department of Breast Surgery, The First Hospital of Jilin University, Changchun 130021, China
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  • For correspondence: fanzhimn{at}163.com
  • Article
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Article Figures & Data

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  • 1
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    1

    Schematic representation of nodal status. NSLN transfer ratio: number of NSLN involved/number of NSLN detected.

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    2

    Non-SLN rates when there are 0 to 3 risk factors. Risk factors include: (1) number of positive SLN ≥3; (2) SLN macrometastases; (3) lymphovascular invasion.

Tables

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    1

    Numbers of NSLN and non-NSLN metastases detected or tumor involved

    CharacteristicsNumber of lymph nodes
    Detected SLN
     Median3
     Range1–11
    Positive SLN
     Median1
     Range1–7
    Positive NSLN
     Median2
     Range1–14
    • View popup
    2

    Associations between clinicopathological characteristics and non-SLN metastasis

    Clinicopathological characteristicsPositive non-SLNs, n (%) Negative non-SLNs, n Total χ2 P
    Gender--
     Male011
     Female95 (32.2)200295
    Age (years)0.1470.702
     <5045 (31.3)100145
     ≥5050 (33.1)101151
    Mammary gland0.1900.663
     Left47 (33.3)94141
     Right48 (31.0)107155
    Location of primary mass2.7390.602
     Outer upper42 (37.2)71113
     Outer under9 (34.6)1726
     Upper inner18 (26.5)5068
     Lower inner5 (33.3)1015
     Other24 (30.4)5579
    Multicentric, multifocal3.8420.050
     Yes12 (50)1224
     No83 (30.5)189272
    Clinical tumor size0.5280.468
     T152 (30.4)119171
     ≥T243 (34.4)82125
    Surgery0.9560.328
     Mastectomy81 (33.3)162243
     Breast conversing surgery14 (26.4)3953
    Tracer method1.1130.573
     Blue dye alone23 (35.4)4265
     Blue dye + radioisotope28 (28.0)72100
     Blue dye + fluorescence44 (33.6)87131
    Number of SLN detected1.9170.166
     1–242 (36.8)72114
     ≥353 (29.1)129182
    Metastatic SLN20.207<0.001
     156 (28.1)143199
     218 (27.3)4866
     ≥321 (67.7)1031

    SLN transfer ratio

    0.003

    0.957

     <50%

    46 (31.9)

    98

    144

     ≥50%

    49 (32.2)

    103

    152

    SLN 100% positive

    0.963

    0.327

     Yes

    19 (38.0)

    31

    50

     No

    76 (30.9)

    170

    246

    SLN transfer size

    5.132

    0.023

     ITC

    0 (0)

    2

    2

     Micro

    8 (17.8)

    37

    45

     Macro

    87 (34.9)

    162

    249

    Primary pathological type

    0.164

    0.686

     IDC

    90 (32.4)

    188

    276

     Other

    5 (27.8)

    13

    18

    Histological grade

    1.343

    0.719

     1

    4 (25)

    12

    16

     2

    68 (34)

    132

    200

     3

    20 (30.0)

    47

    67

     Unclear

    3 (23.1)

    10

    13

    ER

    0.180

    0.671

     Negative

    12 (35.2)

    22

    34

     Positive

    83 (31.7)

    179

    262

    PR

    0.037

    0.847

     Negative

    18 (31.0)

    40

    58

     Positive

    77 (34.9)

    161

    238

    HER-2

    0.023

    0.988

     Negative

    72 (32.0)

    153

    225

     Positive

    19 (32.8)

    39

    58

     Critical value

    4 (30.8)

    9

    13

    Ki-67

    0.545

    0.761

     <14%

    29 (29.9)

    68

    97

     ≥14%

    62 (32.8)

    127

    189

     Unclear

    4 (40.0)

    6

    10

    Molecular classification

    0.406

    0.939

     Luminal A

    22 (29.7)

    52

    74

     Luminal B

    57 (32.0)

    121

    178

     HER-2

    5 (33.3)

    10

    15

     Triple negative

    6 (37.5)

    10

    16

     Unclear or unable to classify

    5 (38.5)

    8

    13

    Lymph-vascular invasion

    11.146 0.004

     No

    17 (19.8)

    69

    86

     Yes

    72 (39.1)

    112

    184

     Unclear

    6 (23.1)

    20

    26

    SLN transfer ratio: number of SLN involved/number of SLN detected. Macro: macrometastasis; Micro: micrometastasis; ITC: isolated tumor cells.

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    Analysis of factors related to non-sentinel lymph node metastasis in 296 sentinel lymph node-positive Chinese breast cancer patients
    Amina Maimaitiaili, Di Wu, Zhenyu Liu, Haimeng Liu, Xiamusiye Muyiduli, Zhimin Fan
    Cancer Biology & Medicine Aug 2018, 15 (3) 282-289; DOI: 10.20892/j.issn.2095-3941.2018.0023

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    Analysis of factors related to non-sentinel lymph node metastasis in 296 sentinel lymph node-positive Chinese breast cancer patients
    Amina Maimaitiaili, Di Wu, Zhenyu Liu, Haimeng Liu, Xiamusiye Muyiduli, Zhimin Fan
    Cancer Biology & Medicine Aug 2018, 15 (3) 282-289; DOI: 10.20892/j.issn.2095-3941.2018.0023
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    Keywords

    • breast cancer
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    • axillary lymph node dissection
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