Table 1.
Characteristics | Non-SLN Metastasis; Present, n = 105 | Non-SLN Metastasis; Absent, n = 131 | Significance, P Value |
---|---|---|---|
Age, years, n (%) | .67 | ||
≤50 | 67 (63.8%) | 80 (61.1%) | |
>50 | 38 (36.2%) | 51 (38.9%) | |
Axillary ultrasonography, n (%) | .087 | ||
Low suspicion of LN metastasis | 62 (59.0%) | 85 (64.9%) | |
High suspicion of LN metastasis | 21 (20.0%) | 13 (9.9%) | |
Not done | 22 (21.0%) | 33 (25.2%) | |
Primary tumor size, n (%) | .0015 | ||
T1 | 42 (40.0%) | 73 (55.7%) | |
T2 | 51 (48.6%) | 56 (42.7%) | |
T3 | 12 (11.4%) | 2 (1.5%) | |
Operation, n (%) | .24 | ||
Conservative | 10 (9.5%) | 19 (14.5%) | |
Mastectomy | 95 (90.5%) | 112 (85.5%) | |
Location of primary tumor, n (%) | .78 | ||
Upper outer | 33 (31.4%) | 41 (31.3%) | |
Upper inner | 12 (11.4%) | 18 (13.7%) | |
Lower outer | 17 (16.2%) | 14 (10.7%) | |
Lower inner | 7 (6.7%) | 10 (7.6%) | |
Central or 2 quadrant | 36 (34.4%) | 48 (36.6%) | |
Multifocality of primary tumor, n (%) | .65 | ||
Yes | 8 (7.6%) | 8 (6.1%) | |
No | 97 (92.4%) | 123 (93.9%) | |
Histological type of primary tumor, n (%) | .64 | ||
Invasive ductal carcinoma | 94 (89.5%) | 117 (89.3%) | |
Invasive lobular carcinoma | 6 (5.7%) | 5 (3.8%) | |
Other type | 5 (4.8%) | 9 (6.9%) | |
Histological grade of primary tumor, n (%) | .05 | ||
Ductal, I | 2 (1.9%) | 8 (6.1%) | |
Ductal, II | 41 (39.0%) | 64 (48.9%) | |
Ductal, III | 49 (46.7%) | 44 (33.6%) | |
Unclear | 13 (12.4%) | 15 (11.5%) | |
Lymphovascular invasion, n (%) | <.001 | ||
Present | 50 (47.6%) | 34 (26.0%) | |
Absent | 55 (52.4%) | 97 (74.0%) | |
ER status, n (%) | .49 | ||
Positive | 78 (77.2%) | 98 (81.0%) | |
Negative | 23 (22.8%) | 23 (19.0%) | |
Unclear | 4 (3.8%) | 10 (7.6%) | |
PR status, n (%) | .46 | ||
Positive | 75 (74.3%) | 95 (78.5%) | |
Negative | 26 (25.7%) | 26 (21.5%) | |
Unclear | 4 (3.8%) | 10 (7.6%) | |
Her-2 status, n (%) | .19 | ||
Positive | 30 (29.1%) | 30 (24.6%) | |
Intermediate | 4 (3.9%) | 1 (0.8%) | |
Negative | 69 (67.0%) | 92 (75.4%) | |
Unclear | 2 (1.9%) | 8 (6.1%) | |
Ki 67, n (%) | .35 | ||
Low | 23 (22.1%) | 36 (27.5%) | |
High | 81 (77.9%) | 95 (72.5%) | |
Unclear | 1 (1.0%) | 0 | |
Method of detection, n (%) | .25 | ||
FS | 70 (66.7%) | 95 (72.5%) | |
Routine H&E | 12 (11.4%) | 18 (13.7%) | |
Serial H&E | 19 (18.1%) | 17 (13.0%) | |
IHC | 4 (3.8%) | 1 (0.8%) | |
Sentinel lymph node features | |||
No of SLNs excised, n (%) | .50 | ||
1 | 18 (17.1%) | 16 (12.2%) | |
2 | 17 (16.2%) | 28 (21.4%) | |
3 | 19 (18.1%) | 16 (12.2%) | |
4 | 21 (20.0%) | 19 (14.5%) | |
≥5 | 30 (28.6%) | 42 (32.1%) | |
Number of metastatic SLN, n (%) | <.001 | ||
1 | 50 (47.6%) | 95 (72.5%) | |
2 | 27 (26.0%) | 23 (17.6%) | |
3 | 13 (12.5%) | 12 (9.2%) | |
≥4 | 15 (14.3%) | 1 (0.8%) | |
Number of nonmetastatic SLN, n (%) | .005 | ||
0 | 38 (36.2%) | 23 (17.6%) | |
1 | 17 (16.2%) | 34 (26.0%) | |
2 | 19 (18.1%) | 21 (16.0%) | |
3 | 16 (15.2%) | 18 (13.7%) | |
≥4 | 15 (14.3%) | 35 (26.7%) | |
Proportion of metastatic SLN/total SLN, n (%) | .0035 | ||
<0.5 | 35 (33.3%) | 64 (48.9%) | |
Between 0.5 and 1 | 32 (30.5%) | 44 (33.6%) | |
1 | 38 (36.2%) | 23 (17.6%) | |
Size of SLN metastasis | .30 | ||
ITC | 2 (1.9%) | 1 (0.8%) | |
Micrometastasis | 2 (1.9%) | 7 (5.3%) | |
Macrometastasis | 101 (96.2%) | 123 (93.9%) | |
Extracapsular extension | .36 | ||
Present | 5 (4.8%) | 10 (7.6%) | |
Absent | 100 (95.2%) | 121 (92.4%) |
Abbreviations: ER, estrogen receptor; FS, frozen section; H&E, hematoxylin and eosin; HER-2, human epidermal growth factor receptor 2; ITC, isolated tumor cell; LN, lymph node; PR, progesterone receptor; SLN, sentinel lymph node.
a n = 236.