Table 3.
Multivariate Analysis of Associations Between Grade, Comedonecrosis, Multicentricity with Mammographic Features and ER Status in 1657 Patients with Pure DCIS
| Feature | Grade 3 (N=854) | Comedonecrosis (N=855) | Multicentricity (N=663) | ||||
|---|---|---|---|---|---|---|---|
| Odds Ratio (95% CI) | p value | Odds Ratio (95% CI) | p value | Odds Ratio (95% CI) | p value | ||
| Breast density | Fatty/scattered | 1 (−) | - | 1 (−) | - | 1 (−) | - |
| Heterogeneously dense | 1.2 (0.8–1.6) | 0.37 | 1.1 (0.8–1.5) | 0.57 | 1.1 (0.6–1.8) | 0.80 | |
| Extremely dense | 1.0 (0.5–1.9) | 0.98 | 0.9 (0.5–1.6) | 0.62 | 3.1 (1.3–7.0) | <0.01 | |
| Microcalcification morphology | Punctate/amorphous | 1 (−) | - | 1 (−) | - | 1 (−) | - |
| Coarse heterogeneous/fine pleomorphic | 2.3 (1.5–3.3) | <0.0001 | 1.4 (1.0–2.0) | 0.08 | 1.4 (0.8–2.6) | 0.25 | |
| Fine linear (branching) | 3.4 (1.9–6.1) | <0.0001 | 1.7 (1.0– 2.9) | <0.05 | 0.7 (0.3–1.7) | 0.44 | |
| Microcalcification distribution | Clustered/grouped | 1 (−) | - | 1 (−) | - | 1 (−) | - |
| Linear/segmental | 1.3 (0.8–1.9) | 0.27 | 1.6 (1.1–2.4) | <0.02 | 0.9 (0.5–1.8) | 0.83 | |
| Regional/diffuse | 1.0 (0.6–1.7) | 0.97 | 1.4 (0.8–2.2) | 0.21 | 1.6 (0.8–3.1) | 0.15 | |
| Mammographic size | 1.1 (1.0–1.2) | 0.02 | 1.2 (1.1–1.3) | <0.0001 | 1.4 (1.3–1.5) | <0.0001 | |
| ER-negative status | 30.8 (12.4–76.6) | <0.0001 | 3.2 (2.1–4.7) | <0.0001 | 1.4 (0.8–2.4) | 0.21 | |
Note: Multiple logistic regression analysis was implemented using the set of independent variables (breast density, microcalcification morphology, microcalcification distribution, mammographic size, ER-negative status) for each dependent variable (grade 3, comedonecrosis, and multicentricity). P values for the partial odds ratios derive from the two-sided Wald test. For categorical predictors with three factor levels, the partial odds ratio for observing the dependent variable is provided in relation to the reference category indicated by 1 (−). For mammographic size, the partial odds ratio is provided per unit increase in cm.