scholarly journals Variation of Tumour Size Measurements Between Radiology and Pathology

The aim of this study is to determine the accuracy of the preoperative measurement of tumour size, by imaging modalities and whether they deviate from the postoperative pathological measurement in breast cancer. Material and methods: retrospective study done at King Fahad Hospital of University. For two years 2014-2015 all breast cancer patients included studied by reviewing US which was reported by two radiologists and gross size reports by five pathologists. The correlation of ultrasound, with pathology was studied. Results: 118 cases were collected from January 2014 to December 2015 with diagnosis of breast carcinoma. 36 patients were excluded from the study. Finally, a total of 82 were included in the analysis. Invasive ductal carcinoma (IDC) found in 57 patients (69.5%), 44 patients (53.7%) underwent breast conserving surgeries. 46 patient (56.1%) found to be either over or underestimated by US or Pathology. Conclusion: Despite the importance of accuracy of tumour size in management planning this study reflect marked discrepancy in sizes. More collaboration between radiologist and pathologist will yield accurate measurement, which will impact positively on outcome.

Heliyon ◽  
2021 ◽  
Vol 7 (10) ◽  
pp. e08179
Author(s):  
Samira Molaei Ramshe ◽  
Hamid Ghaedi ◽  
Mir Davood Omrani ◽  
Lobat Geranpayeh ◽  
Behnam Alipour ◽  
...  

2020 ◽  
Vol 27 (02) ◽  
pp. 424-430
Author(s):  
Ifrah Yaqoob ◽  
Muhammad Saeed ◽  
Aysha Azhar

Matrix metalloproteinases (MMPs) play significant part in the tumor development, metastasis and invasion by proteolytic degradation of basement membrane and extracellular matrix. Hence MMPs can serve as good biomarkers for carcinoma breast particularly MMP-2 in our population. Objectives: To measure the concentrations of MMP-2 in plasma of breast cancer patients and establishing their correlation with stage and grade of the disease. Study Design: Comparative cross sectional. Setting: Surgery department Madinah Teaching Hospital (MTH) and the Pathology department, The University of Faisalabad (TUF), Faisalabad. Period: 1st August, 2017 to 31st December, 2017. Material & Methods: Only females with diagnosed breast cancer disease along with staging and grading were included in the study. Females with incomplete reports, on chemotherapy or radiotherapy or having other diseases like oral squamous cell carcinoma, rheumatoid arthritis etc were excluded. ELISA kit was applied to measure the concentrations of MMP-2 in plasma of the participants. OD values were calculated at 450 nm by ELISA reader placed at Post Graduate Research Laboratory, The University of Faisalabad, Faisalabad. Data was gathered and results were finalized by using SPSS 22 for statistical assessment. Results: Age of 64(72%) breast cancer patients was within range of 30-76yrs and age for 25(28%) healthy females as controls range was 18-70yrs. Difference between ages of cases and controls using t-test was statistically highly significant. Ninety five percent cases showed invasive ductal carcinoma (IDC) as histological type. Range of MMP-2 levels in cases was 80-690 ng/mL with mean 451.02 while range of MMP-2 levels in controls was 65-830ng/mL with mean 329.72 showing statistically significant difference. Relationship of different groups of MMP-2 levels in cases with stages of breast cancer was established using chi-square test which was statistically significant, stage IIB (37.5%) and IIIA (34.4%) tumors showed higher values of MMP-2. Relationship between MMP-2 levels, grade, tumor size and node invasion was nonsignificant statistically. Conclusion: MMP-2 levels were raised in cases in comparison to healthy controls. Age of majority patients was > 45 yrs while the invasive ductal carcinoma was the main histological type. MMP-2 levels were associated with stage of the disease.


2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 10648-10648 ◽  
Author(s):  
M. R. Kell ◽  
C. Healy ◽  
Z. Martin ◽  
R. Downey ◽  
S. Potter-Bierne ◽  
...  

10648 Background: Early stage breast carcinoma is unlikely to have undergone metastatic spread at the time of presentation. The utility of routine staging liver ultrasound (LUS) and bone scan (BS) in early stage disease is unclear. We postulate that early stage breast cancer patients do not need routine radiological staging. Methods: We studied 200 patients with a diagnosis of invasive breast carcinoma. 100 with symptomatic breast cancer (SBC) and 100 with screen detected (SD). Patients’ histology, tumour markers (CEA, CA 15.3), hormone receptor status, CXR, LUS and BS results were reviewed. Results: All patients underwent curative surgery for early stage invasive breast cancer. 3 patients had liver metastases diagnosed by LUS. Two of these patients were from the SBC and one from SD (grade ≥2, mean tumour size 2.2 cm). 4 patients had bony metastases diagnosed by BS. Three of these were from the SBC and one from SD (grade ≥2, mean tumour size 3.2 cm.). No patients with low-grade T1 tumours had signs of metastasis on BS or US. Conclusions: The incidence of metastatic disease is very low in newly diagnosed early stage breast carcinoma. Our results suggest that patients with low-grade T1 tumours do not need staging BS or US. No significant financial relationships to disclose.


2007 ◽  
Vol 5 (4) ◽  
pp. 225-226
Author(s):  
A.D. Sanlioglu ◽  
A.F. Korcum ◽  
E. Pestereli ◽  
G. Erdogan ◽  
S. Karaveli ◽  
...  

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