Primary tumour–vessel tumour–nodal tumour classification for patients with invasive ductal carcinoma of the breast
2005

New Classification for Breast Cancer Prognosis

Sample size: 393 publication Evidence: high

Author Information

Author(s): Hasebe T, Sasaki S, Imoto S, Wada N, Ishii G, Ochiai A

Primary Institution: National Cancer Center Research Institute East

Hypothesis

The study aims to establish a new prognostic histological classification for invasive ductal carcinoma (IDC) patients based on histological characteristics.

Conclusion

The PVN classification is the best prognostic classification available for IDC of the breast.

Supporting Evidence

  • The PVN classification significantly increased hazard rates of tumor recurrence and death in both IDCs with and without nodal metastasis.
  • Only the PVN classification could classify IDC patients into four risk groups with significant rates of tumor recurrence or death.
  • The study demonstrated that existing classifications did not adequately predict outcomes compared to the PVN classification.

Takeaway

Doctors have created a new way to predict how breast cancer will behave based on the characteristics of the tumors, which helps in treating patients better.

Methodology

Multivariate analyses using Cox proportional hazard regression models were used to compare the PVN classification with existing classifications.

Limitations

The study only included Japanese women and may not be generalizable to other populations.

Participant Demographics

392 consecutive cases of IDC, all Japanese women aged 28 to 78 years.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602353

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