RT-PCR detection of breast cancer cells in sentinel lymph modes.

A. Kataoka, Masaki Mori, N. Sadanaga, H. Ueo, K. Tsuji, Y. Rai, G. F. Barnard, K. Sugimachi

研究成果: Contribution to journalArticle査読

50 被引用数 (Scopus)

抄録

Sentinel lymph node (SLN) biopsy is being evaluated in breast cancer patients to improve detection of metastases and to guide therapy with minimal morbidity. The aim of this study was to increase the sensitivity of tumor cell detection in SLNs using superior reverse transcription polymerase chain reaction (RT-PCR) for carcinoembryonic antigen (CEA) and mammaglobin (MMG) analysis rather than current methods which fail to identify clinically relevant disease in many patients. In seventy stage I and II breast cancer patients dye-guided lymph node mapping was performed and the SLNs were divided alternately for RT-PCR or hematoxylin and eosin staining (H&E). RT-PCR and H&E diagnosis of SLNs were compared. SLNs were identified in 66/70 (94.3%) patients. Seventeen patients (26. 2%) had histological metastasis in SLNs. CEA was expressed in 25.0% of 48 patients with H&E negative SLNs, and MMG was expressed in 20. 8%. SLNs could predict axillary lymph node status with 95.4% accuracy and 6.3% false negative rate by H&E. Moreover, RT-PCR improved these to 98.5% and 2.8%, respectively. SLN diagnosis using RT-PCR is a powerful and sensitive method, which increases the accuracy of clinical staging and may provide more informed choices for appropriate therapeutic management of breast cancer patients.

本文言語英語
ページ(範囲)1147-1152
ページ数6
ジャーナルInternational journal of oncology
16
6
出版ステータス出版済み - 1 1 2000

All Science Journal Classification (ASJC) codes

  • 腫瘍学
  • 癌研究

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