The relationship between the systemic inflammatory response, tumour proliferative activity, T-lymphocytic and macrophage infiltration, microvessel density and survival in patients with primary operable breast cancer
2008

Inflammatory Response and Survival in Breast Cancer

Sample size: 168 publication Evidence: moderate

Author Information

Author(s): Murri AM Al, Hilmy M, Bell J, Wilson C, McNicol A-M, Lannigan A, Doughty J C, McMillan D C

Primary Institution: University Department of Surgery, University of Glasgow

Hypothesis

The study examines the relationship between systemic inflammatory response, tumor characteristics, and survival in patients with primary operable breast cancer.

Conclusion

The study found that host inflammatory responses are closely associated with poor tumor differentiation, proliferation, and malignant disease progression in breast cancer.

Supporting Evidence

  • Increased tumor grade and proliferative activity were associated with greater tumor T-lymphocyte and macrophage infiltration.
  • On univariate analysis, increased lymph-node involvement and lower albumin concentrations were associated with cancer-specific survival.
  • Only tumor microvessel density was independently associated with poorer cancer-specific survival.

Takeaway

This study shows that inflammation in the body can affect how well breast cancer patients do after treatment.

Methodology

The study used immunohistochemistry and slide-counting techniques to analyze tumor samples from patients with primary operable breast cancer.

Limitations

The study had a relatively limited number of events and a relatively short follow-up period.

Participant Demographics

81% of patients were over 50 years old, and 29% were in the most deprived categories.

Statistical Information

P-Value

P<0.01

Confidence Interval

95% CI 1.35–16.85

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604667

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication