Accumulation of uPA – PAI-1 complexes inside the tumour cells is associated with axillary nodal invasion in progesterone-receptor-positive early breast cancer
2003

uPA–PAI-1 Complexes and Breast Cancer

Sample size: 212 publication 10 minutes Evidence: moderate

Author Information

Author(s): Schneider J, Pollán M, Tejerina A, Sánchez J, Lucas A R

Primary Institution: Fundación Tejerina-Centro de Patología de la Mama, Madrid, Spain

Hypothesis

Does the presence of uPA–PAI-1 complexes in early breast cancer help predict axillary nodal metastasis?

Conclusion

The presence of uPA–PAI-1 complexes inside tumor cells in early breast cancers expressing progesterone receptors is associated with a significantly higher incidence of axillary metastasis.

Supporting Evidence

  • uPA and PAI-1 are important prognostic factors in breast cancer.
  • Patients with uPA–PAI-1 complexes had a higher incidence of axillary metastasis.
  • Statistical analysis showed significant associations with progesterone receptor positivity.

Takeaway

This study found that certain proteins in breast cancer cells can help doctors predict if the cancer has spread to nearby lymph nodes.

Methodology

The study analyzed 212 patients with unifocal invasive tumors of 2 cm or less, assessing various biological features and their association with axillary node invasion.

Potential Biases

Potential biases may arise from the selection of patients and the retrospective nature of the analysis.

Limitations

The study is limited to early-stage breast cancers and may not apply to all breast cancer stages.

Participant Demographics

Patients were primarily women with early-stage breast cancer, mostly infiltrating ductal carcinomas.

Statistical Information

P-Value

0.032

Confidence Interval

1.95–97.4

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6600656

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